TY - JOUR
T1 - Correction of Aortic Coarctation in Neonates
T2 - Mortality and Late Results
AU - Macmanus, Quentin
AU - Starr, Albert
AU - Lambert, Louis E.
AU - Grunkemeier, Gary
PY - 1977
Y1 - 1977
N2 - To determine those factors that affect mortality and to analyze long-term results, the records of 44 infants who underwent repair of aortic coarctation at less than 90 days of age were examined. There were 14 operative and 8 late deaths (mean, 4.3 months postoperatively). Subsequent operation, generally to repair or palliate associated anomalies, was required 22 times in 20 patients and was a source of considerable mortality. There is evidence that earlier total repair of associated anomalies might improve survival. Sufficient data were available on 17 of the 22 survivors to assess long-term results. The outcome was considered excellent in 8 patients, fair in 4, and poor in 5. Revision of the coarctation repair due to growth failure of the anastomosis was required in 1 patient. Aggressive surgical management is recommended in these infants because, despite a high early mortality, a considerable proportion of excellent results can be anticipated in what is otherwise a hopeless situation.
AB - To determine those factors that affect mortality and to analyze long-term results, the records of 44 infants who underwent repair of aortic coarctation at less than 90 days of age were examined. There were 14 operative and 8 late deaths (mean, 4.3 months postoperatively). Subsequent operation, generally to repair or palliate associated anomalies, was required 22 times in 20 patients and was a source of considerable mortality. There is evidence that earlier total repair of associated anomalies might improve survival. Sufficient data were available on 17 of the 22 survivors to assess long-term results. The outcome was considered excellent in 8 patients, fair in 4, and poor in 5. Revision of the coarctation repair due to growth failure of the anastomosis was required in 1 patient. Aggressive surgical management is recommended in these infants because, despite a high early mortality, a considerable proportion of excellent results can be anticipated in what is otherwise a hopeless situation.
UR - http://www.scopus.com/inward/record.url?scp=0017657520&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0017657520&partnerID=8YFLogxK
U2 - 10.1016/S0003-4975(10)63455-8
DO - 10.1016/S0003-4975(10)63455-8
M3 - Article
C2 - 596967
AN - SCOPUS:0017657520
SN - 0003-4975
VL - 24
SP - 544
EP - 549
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 6
ER -