Correction of Aortic Coarctation in Neonates: Mortality and Late Results

Quentin Macmanus, Albert Starr, Louis E. Lambert, Gary Grunkemeier

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)544-549
Number of pages6
JournalAnnals of Thoracic Surgery
Volume24
Issue number6
DOIs
StatePublished - Jan 1 1977

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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