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Coarctation of aorta with special reference to infants. Long-term results of operation in 126 cases
Insights
Surgical resection of coarctation of the aorta is crucial for infants with severe heart failure. Early intervention can prevent long-term complications like persistent hypertension.
Area of Science:
- Pediatric Cardiology
- Cardiovascular Surgery
Background:
- Coarctation of the aorta is a critical congenital heart defect.
- Infants with coarctation often present with intractable congestive cardiac failure.
- Associated cardiovascular abnormalities increase mortality risk in early infancy.
Purpose of the Study:
- To review cases of coarctation of the aorta.
- To determine the necessity of surgical intervention in infants with severe symptoms.
- To analyze long-term outcomes and identify strategies for complication prevention.
Main Methods:
- Retrospective review of 126 cases of coarctation of the aorta.
- Analysis of patient demographics, associated conditions, interventions, and long-term follow-up data.
Main Results:
- Surgical resection is indicated for infants with intractable congestive cardiac failure.
- High mortality associated with coarctation and additional cardiovascular defects.
- Pulmonary artery banding may be required for patients with large ventricular septal defects.
- Long-term complications include restenosis (18 cases) and persistent hypertension (10 cases).
Conclusions:
- Surgical resection is essential for infants with severe coarctation of the aorta.
- Addressing associated defects and considering pulmonary artery banding are critical.
- Elective resection at 1 year of age is suggested to prevent persistent hypertension.
Abstract:
A review of 126 cases of coarctation of the aorta confirms the need for surgical resection in infants with intractable congestive cardiac failure. The high association with additional cardiovascular abnormalities in patients presenting in early infancy contributes significantly to the mortality. Patients with large ventricular septal defects and coarctation of the aorta are at risk and may require pulmonary artery banding at the time of resection of the aortic coarctation. Long-term complications included restenosis (18 cases) and persistent hypertension (10 cases). In order to prevent persistent hypertension, it is suggested that elective resection of the coarctation be done at 1 year of age.