Reoperation for aortic coarctation: techniques, results, and indications for various approaches |
| |
Authors: | M S Sweeney W E Walker J M Duncan G L Hallman J J Livesay D A Cooley |
| |
Affiliation: | Department of Surgery, the Texas Heart Institute, and the Division of Thoracic and Cardiovascular Surgery, University of Texas Medical School, Houston, TX |
| |
Abstract: | To define the safety and efficacy of operation for recurrent thoracic aortic coarctation, we reviewed the hospital records and subsequent courses of 53 patients who underwent such procedures over a 23-year period. Previous operations included end-to-end anastomosis, prosthetic patch or subclavian flap aortoplasty, and prosthetic interposition or bypass grafts, performed in patients ranging from 1 day to 44 years old. Several different reoperative procedures were used, including an ascending-descending aortic bypass graft in 4 patients who had had two previous repairs. There were no hospital or late deaths and only 3 relatively minor complications. Only 2 patients have hypertension requiring drug therapy at follow-up, which now averages 7 years. We conclude that operative management of severe, recurrent coarctation is both safe and effective, and that several techniques of reconstruction may have a place in such therapy. |
| |
Keywords: | Address reprint requests to Dr. Walker 6431 Fannin Suite 1.222 Houston TX 77030 |
本文献已被 ScienceDirect 等数据库收录! |
|