Mid to Long Term Outcomes of Surgical Treatment for Isolated Coarctation of Aorta.
- Author:
Seung Cheol LEE
1
;
Dong Man SEO
;
Tae Jin YOON
;
Jeong Jun PARK
;
Meong Gun SONG
;
Young Hwee KIM
;
Jae Kon KO
;
In Sook PARK
Author Information
1. Division of Pediatric Cardiac Surgery, Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, College of Medine,University of Ulsan, Korea. dmseo@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Congenital heart disease (CHD);
Coarctation of aorta;
Hypertension
- MeSH:
Aortic Aneurysm;
Aortic Coarctation*;
Cardiovascular Diseases;
Humans;
Hypertension;
Incidence;
Mortality;
Retrospective Studies;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(2):83-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The surgical repair of an isolated coarctation of the aorta, without complex cardiac anomalies, has improved, with very good results. However, despite the success of surgical repair, many long-term complications, such as hypertension, re-coarctation and an aortic aneurysm, still exist. MATERIAL AND METHOD: Between 1991 and 2006, 50 patients diagnosed with an isolated coarctation of the aorta were reviewed retrospectively. The incidence of re-coarctation and hypertension were compared with respect to age and surgical methods. RESULT: There were no early & late mortality, or post operative aortic aneurysms. Hypertension developed in 11 patients (22%). A greater number of patients in the child/adult group had hypertension (52.4%) than in the neonate/infant group (0%). With respect to the surgical methods, the patients in the graft interposition group suffered more hypertension (88.9%) than those in the EEEA (extended end to end anastomosis) group (5.3%). Post operative re-coarctation developed in 2 out of the 29 patients (6.9%) in the neonate/infant group and 2 out of the 21 patients (9.5%) in the child/adult group, but without any statistical difference. There were no statistical differences between the operative type-related groups. CONCLUSION: Even though the surgical outcomes have greatly improved, an isolated coarctation of the aorta still has many long-term problems, such as hypertension and re-coarctation. An isolated coarctation is accepted as a systemic vascular dysfunction, and often progresses to other cardiovascular diseases. Therefore, patients with a coarctation of the aorta have to be carefully followed-up, and aggressive management must be given when required.
