A postoperative follow-up study of infantile coarctation of the aorta

Follow-up investigations were performed in 16 patients operated on for coarctation during infancy. The follow-up period ranged from 4.5 to 11 years (median 5.5 years). Four different surgical techniques were used: resection with end-to-end anastomosis (REE) (4 patients), subclavian flap aortoplasty...

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Bibliographic Details
Published inActa pædiatrica (Oslo, Norway : 1992). Supplement Vol. 410; p. 69
Main Authors Abdulla, S, Malmgren, N, Björkhem, G, Lundström, N R
Format Journal Article
LanguageEnglish
Published Norway 01.08.1995
Subjects
Aortic Coarctation - diagnostic imaging
Aortic Coarctation - physiopathology
Aortic Coarctation - surgery
Exercise Test
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Treatment Outcome
Ultrasonography
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Summary:Follow-up investigations were performed in 16 patients operated on for coarctation during infancy. The follow-up period ranged from 4.5 to 11 years (median 5.5 years). Four different surgical techniques were used: resection with end-to-end anastomosis (REE) (4 patients), subclavian flap aortoplasty (SFA) (10 patients), patch aortoplasty (1 patient) and resection and SFA (1 patient). One patient developed recoarctation (6%). She had been operated on by REE at 7 days of age. The other three patients operated on by REE had equal pulses in the arms and legs; none had hypertension and all had normal arm/leg pressure gradients at rest. Seven (58%) of the 12 patients operated on by SFA or aortoplasty had weak radial pulses in the left arm but no limitation of left arm function. The left a rm showed a normal bone age but was smaller and shorter than the right arm in 9 (81%) of the patients. None of the patients operated on by SFA had hypertension and the arm/leg gradient at rest was normal.
ISSN:0803-5326
DOI:10.1111/j.1651-2227.1995.tb13848.x