Effect of stage 1 repair of coarctation of aorta combined with cardiac anomalies and analysis of median follow－up finding
10.3760/cma.j.issn.2095-428X.2018.23.007
- VernacularTitle:主动脉缩窄并心内畸形一期矫治术后效果及中期随访结果分析
- Author:
Weijie LIANG
1
;
Taibing FAN
;
Liyun ZHAO
;
Bin LI
;
Shubo SONG
;
Haoju DONG
;
Sijie ZHOU
Author Information
1. 450003郑州,河南省人民医院心外科,郑州大学人民医院,阜外华中心血管病医院
- Keywords:
Congenital heart disease;
Coarctation of aorta;
Stage 1 surgical therapy
- From:
Chinese Journal of Applied Clinical Pediatrics
2018;33(23):1785-1787
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the outcomes and the median follow －up finding of stage 1 surgical approaches of coarctation of aorta(CoA)combined with cardiac anomalies.Methods A retrospective study was per-formed for summarizing the operative and follow－up finding of 82 patients(40 males and 42 females)of CoA combined with cardiac anomalies,who underwent stage 1 repair from February 2013 to December 2016 at the Department of Cardio-vascular Surgery,Henan Provincial People's Hospital.The operative age was ranged from 1 month to 8 years old[mean (11.92 ± 22. 51)months]and the weight was (7.31 ± 6.79)kg. Forty －five cases had ventricular septal defect (VSD)or atrial septal defect (ASD).Septal defect and patent ductus arteriosus were found in 31 patients.CoA was associated with aortic arch hypoplasia in 5 patients.Complex cardiovascular deformity was found in 7 cases.The surgical methods included end－to－end anastomosis,end－to－side anastomosis and patch augmentation of the coarctation seg-ment.Results Seven patients died after operation,3 cases of them died of low cardiac output syndrome amd circulatory failure,1 case died of circulatory failure and respiratory failure,1 patient died of malignant arrhythmia,and 2 cases died of respiratory failure.Postoperative echocardiogram suggested that anastomosis maintained patency in all the patients. The follow－up time was 8 months to 4 years,63 patients were followed up,and follow－up rate was 77%.No death or aneurysm occurred during follow－up period.Recoarctation was found in 5 cases.Conclusions Stage 1 repair for CoA combined with cardiac anomalies is effective,and has low complications during postoperative and median follow－up period.Long－term results need further study.
