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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Related Experiment Video

Updated: Dec 19, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Reintervention After Infant Aortic Arch Repair Using a Tailored Autologous Pericardial Patch.

Muhammad Owais Abdul Ghani1, Muhammad Aanish Raees1, Glenn R Harris2

  • 1Division of Pediatric Cardiac Surgery, Monroe Carell, Jr Children's Hospital at Vanderbilt, Nashville, Tennessee; Surgical Outcomes Center for Kids, Monroe Carell, Jr Children's Hospital at Vanderbilt, Nashville, Tennessee.

The Annals of Thoracic Surgery
|June 9, 2020
PubMed
Summary

Aortic arch reintervention rates were evaluated in pediatric patients using autologous pericardial patches. The study found comparable reintervention rates to other methods, with significant aortic arch growth observed over time.

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Area of Science:

  • Pediatric Cardiac Surgery
  • Congenital Heart Disease
  • Thoracic Surgery

Background:

  • Aortic arch reobstruction is a frequent complication post-aortic repair.
  • Reintervention rates vary significantly (0-40%) based on disease and institution.

Purpose of the Study:

  • To determine the reintervention rate in children undergoing aortic arch repair using a tailored autologous pericardial patch.
  • To assess the efficacy and outcomes of this specific surgical technique.

Main Methods:

  • Retrospective study of 171 patients undergoing aortic arch reconstruction (2011-2018).
  • Analysis included Kaplan-Meier survival analysis and cardiac catheterization measurements.
  • Data analyzed using Shapiro-Wilk test and nonparametric statistical methods.

Main Results:

  • 13.5% of patients required reintervention; 9.9% were catheter-based, 1.8% surgical.
  • 1-year freedom from reintervention was 82.1% for univentricular and 89.4% for biventricular patients (P=.174).
  • Cardiac catheterization showed significant aortic arch growth over time (pre-Glenn median 2.0, pre-Fontan median 2.5).

Conclusions:

  • Autologous pericardial patch repair demonstrates comparable reintervention rates to other aortic arch repair methods.
  • Significant aortic arch growth was observed post-repair, irrespective of arch type (univentricular vs. biventricular).