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[Coarctation syndrome in infancy and its outcome: surgical results and long-term follow-up]

D C Belli, B Friedli, B Faidutti

    Helvetica Paediatrica Acta
    |August 1, 1984
    PubMed

    Insights

    Early surgery for coarctation of the aorta improves outcomes in infants. However, recoarctation can occur, especially in those operated on early, necessitating long-term follow-up.

    Area of Science:

    • Pediatric Cardiology
    • Congenital Heart Disease
    • Surgical Outcomes

    Context:

    • Coarctation of the aorta is a critical congenital heart defect.
    • Surgical intervention is the primary treatment for severe cases.
    • Infantile coarctation often presents with complex intracardiac malformations.

    Purpose:

    • To evaluate the long-term outcomes of surgical repair for coarctation of the aorta in newborns and infants.
    • To identify risk factors for recurrence and mortality.
    • To assess the need for ongoing patient monitoring.

    Summary:

    • A study of 29 infants undergoing surgical repair for coarctation of the aorta between 1972-1983 revealed a 7% early mortality and 31% overall mortality.
    • Twenty patients followed for 1-10 years showed a 20% recoarctation rate, primarily in those operated on within the first month of life.
    • Elevated blood pressure was noted in 6 children, 4 with recoarctation, highlighting the importance of long-term follow-up.

    Impact:

    • Early surgical correction enhances the prognosis for infantile coarctation syndrome.
    • The study underscores the risk of recoarctation, particularly in early-operated infants.
    • Long-term surveillance is crucial for managing patients post-coarctation repair.

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