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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

[Coarctation of the aorta associated with interventricular communication]

A Martínez Sánchez, J I Contreras Zárate, H Santamaría Díaz

    Boletin Medico Del Hospital Infantil De Mexico
    |March 1, 1981
    PubMed

    Insights

    Congenital heart defects coarctation of the aorta (CoAo) and ventricular septal defect (VSD) have high mortality without surgery. Surgical intervention for CoAo and VSD offers improved survival rates, though long-term outcomes require further study.

    Area of Science:

    • Cardiology
    • Pediatric Surgery
    • Congenital Heart Disease

    Context:

    • Coarctation of the aorta (CoAo) and ventricular septal defect (VSD) are serious congenital heart defects.
    • The combined condition has a historically high mortality rate, approximately 75% within the first year of life, without surgical intervention.
    • Congestive heart failure and pulmonary hypertension are common initial clinical manifestations.

    Purpose:

    • To report surgical outcomes for patients with combined CoAo and VSD.
    • To evaluate different surgical techniques for CoAo repair in this patient cohort.
    • To assess the early surgical mortality associated with these complex congenital heart defects.

    Summary:

    • This study analyzed twenty cases of CoAo and VSD, with ages ranging from 5 days to 13 years.
    • Surgical interventions included subclavia flap technique, rhomboid patch repair, and end-to-end anastomosis for CoAo, with some patients also undergoing pulmonary artery banding.
    • The overall surgical mortality rate was 25%, with simultaneous repair of CoAo and VSD showing lower survival in this series.

    Impact:

    • Surgical treatment for CoAo and VSD demonstrates a reduced mortality rate compared to non-operative management.
    • Different surgical approaches for CoAo repair were utilized, providing insights into their application.
    • Further long-term follow-up is necessary to determine the need for reoperation and long-term prognosis.

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