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Coarctation of the aorta operated upon in infancy. Long-term follow-up

J R Jacobsen, A Wennevold, I Boesen

    European Journal of Cardiology
    |August 1, 1979
    PubMed

    Insights

    Infant surgery for coarctation of the aorta may not prevent later hypertension or recoarctation. Long-term follow-up is crucial for these patients, and elective infant surgery requires further evidence.

    Area of Science:

    • Cardiovascular Surgery
    • Pediatric Cardiology
    • Long-term Health Outcomes

    Background:

    • Coarctation of the aorta is a congenital heart defect requiring surgical intervention.
    • Early surgical repair in infancy is a common practice.
    • Long-term outcomes and potential complications require further investigation.

    Purpose of the Study:

    • To evaluate the long-term outcomes of surgical repair for coarctation of the aorta in infancy.
    • To assess the incidence of recoarctation and hypertension following early surgical intervention.
    • To determine the relationship between age at operation and long-term complications.

    Main Methods:

    • A long-term follow-up study involving 14 patients operated for coarctation of the aorta in infancy.
    • Median age at operation was 4 months.
    • Follow-up duration ranged from 7 to 22 years, with a mean age of 16 years at follow-up.

    Main Results:

    • Recoarctation was present in 6 out of 14 patients, with no correlation to the age at initial operation.
    • Three patients had overlooked concomitant aortic valve anomalies.
    • Systolic and diastolic blood pressure were significantly elevated at follow-up, with 2 patients exhibiting diastolic hypertension.

    Conclusions:

    • Infant surgery for coarctation of the aorta does not consistently prevent later hypertension or recoarctation.
    • The risks associated with elective infant surgery, including recoarctation, warrant cautious consideration pending more long-term data.
    • Maintaining long-term follow-up for these patients is essential.

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