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Related Experiment Videos

Surgery for aortic coarctation: a 30 years experience.

A F Corno1, U Botta, M Hurni

  • 1Centre Hospitalier Universitaire Vaudois, 46 rue du Bugnon, CH-1011 Lausanne, Switzerland. antonio.corno@chuv.hospvd.ch

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|November 22, 2001
PubMed
Summary

Surgery for aortic coarctation shows excellent long-term outcomes, with low re-operation rates and minimal residual pressure gradients. Surgical treatment remains the gold standard for aortic coarctation, outperforming interventional angioplasty.

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[Congenital heart disease: from childhood to adulthood].

Revue medicale suisse·2015

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Aortic coarctation is a congenital heart defect requiring surgical intervention.
  • Long-term outcomes of surgical repair are crucial for patient management.

Purpose of the Study:

  • To review a single center's 30-year experience with aortic coarctation surgery.
  • To evaluate early and late surgical results, including mortality, reoperation, pressure gradients, and hypertension.

Main Methods:

  • Retrospective analysis of 141 patients undergoing aortic coarctation repair (1970-1999).
  • Data collected on patient demographics, associated lesions, surgical techniques, and outcomes.
  • Outcomes assessed included deaths, reoperations, pressure gradients, and systemic hypertension.

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Main Results:

  • No hospital deaths; low late mortality (2.7% adults, 2.9% pediatric).
  • Re-coarctation requiring reoperation occurred in 9.9% of pediatric patients, primarily those operated on before 1980.
  • End-to-end anastomosis with aortic arch enlargement in neonates showed the lowest re-coarctation incidence.

Conclusions:

  • Surgical repair of aortic coarctation yields favorable long-term results.
  • Surgery is confirmed as the gold standard treatment for aortic coarctation.
  • Interventional angioplasty must demonstrate comparable long-term outcomes to surgical methods.