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Surgical treatment of the aortic coarctation: three-decade experience

Alline de Souza Alves Oliveira1, Breno Barbosa de Siqueira Carneiro, Ricardo de Carvalho Lima

  • 1Hospital Universitário Oswaldo Cruz, Faculdade de Ciências Médicas/UPE, Recife - Pernambuco, Brasil. alline@gmail.com

Revista Brasileira De Cirurgia Cardiovascular : Orgao Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular
|January 4, 2008
PubMed

Insights

Coarctation of the aorta (CoAo) repair surgery demonstrated good immediate results with low mortality rates. This 30-year review highlights the safety of corrective procedures for CoAo, even with associated defects.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Defects

Background:

  • Coarctation of the aorta (CoAo) is a congenital heart defect requiring surgical intervention.
  • A comprehensive review of long-term surgical outcomes for CoAo is essential for clinical practice.
  • Understanding immediate surgical results is crucial for managing patients with CoAo.

Purpose of the Study:

  • To conduct a 30-year review of the immediate outcomes of coarctation of the aorta (CoAo) operations.
  • To analyze surgical results in relation to patient demographics, associated defects, and surgical techniques.
  • To assess the incidence of systemic arterial hypertension post-CoAo repair.

Main Methods:

  • Retrospective analysis of 104 patients undergoing CoAo repair between 1974 and 2004.
  • Data collected included age at surgery, gender, associated lesions, and surgical technique.
  • Immediate surgical outcomes, including mortality and systemic arterial hypertension, were investigated.

Main Results:

  • A total of 104 patients underwent CoAo repair; 72% were pediatric. Associated defects were present in 63.5% of patients.
  • The overall immediate postoperative mortality rate was 6.7%.
  • Aortoplasty was the most common surgical technique (76.9%), followed by end-to-end anastomosis (14.4%).

Conclusions:

  • Corrective surgery for coarctation of the aorta is safe and associated with low immediate mortality.
  • The study indicates good immediate results for CoAo repair, despite limitations in long-term follow-up.
  • Surgical intervention for CoAo can be performed effectively in both pediatric and adult patients.
Abstract

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