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Surgical repair of annulo-aortic ectasia in children
Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1984
Insights
Total repair of annulo-aortic ectasia in pediatric patients is feasible and life-saving. While one patient required a permanent pacemaker, all children survived without late complications.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Annulo-aortic ectasia is a rare but serious condition in children.
- Surgical repair is often necessary on vital indications.
- Outcomes in pediatric patients are critical to understand.
Observation:
- Three children with annulo-aortic ectasia underwent total surgical repair.
- Operations were performed due to life-threatening conditions.
- Follow-up ranged from 22 to 41 months.
Findings:
- All three children survived the complex surgical procedure.
- One child developed complete atrioventricular (AV) block, necessitating permanent pacemaker implantation.
- No other late complications were observed during the follow-up period.
Implications:
- Total repair of annulo-aortic ectasia in children can be successful, even in critical cases.
- Monitoring for and managing potential complications like AV block is crucial.
- This approach offers a viable treatment option for pediatric patients with this condition.
Abstract:
Results of total repair of annulo-aortic ectasia in three children are presented. The operations were performed on vital indications. All the children survived. In one of them a total AV-block developed and required permanent pacemaker treatment. There were no late complications in the follow-up period of 22 to 41 months.