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[Surgical treatment of congenital aortic arch disease]

Yu S Sinelnikov1, E N Gasanov2, I A Soinov3

  • 1Sukhanov Federal Center for Cardiovascular Surgery, Perm, Russia.

Khirurgiia
|October 8, 2020
PubMed

Insights

End-to-side anastomosis repair for congenital aortic arch disease significantly reduces risks of recurrent coarctation and long-term hypertension compared to patch repair.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Congenital aortic arch disease presents significant surgical challenges.
  • Recurrent coarctation and hypertension are common postoperative complications.

Purpose of the Study:

  • To compare treatment outcomes of two surgical repair methods for congenital aortic arch disease.
  • To evaluate the long-term efficacy of end-to-side anastomosis versus patch repair.

Main Methods:

  • Retrospective analysis of 65 patients (2005-2019) with congenital aortic arch disease.
  • Patients divided into two groups: patch repair (n=33) and end-to-side anastomosis (n=32).
  • Outcomes assessed included recurrent aortic arch coarctation and arterial hypertension.

Main Results:

  • End-to-side anastomosis group showed significantly lower rates of recurrent aortic arch coarctation (4% vs 16.8%, p=0.02).
  • Arterial hypertension was less frequent in the end-to-side anastomosis group (9.1% vs 39%, p=0.0025).

Conclusions:

  • End-to-side anastomosis is a superior surgical technique for congenital aortic arch disease.
  • This method reduces the risk of recurrent coarctation and long-term hypertension.
Abstract

Keywords:
antegrade cerebral perfusionaortic arch repairdeep hypothermiainfantsrenal dysfunction

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