Related Experiment Video

Updated: Aug 5, 2026

O-Ring Aortic Banding Versus Traditional Transverse Aortic Constriction for Modeling Pressure Overload-Induced Cardiac Hypertrophy
09:24

O-Ring Aortic Banding Versus Traditional Transverse Aortic Constriction for Modeling Pressure Overload-Induced Cardiac Hypertrophy

Published on: October 6, 2022

Coarctation of the thoracic aorta: an 18-year experience

G F Kish, V K Tenekjian, T J Tarnay

    The American Surgeon
    |January 1, 1981
    PubMed

    Insights

    Surgical repair of coarctation of the aorta in infants has a high mortality rate due to associated defects. Early correction in older children significantly reduces mortality and prevents long-term hypertension.

    Area of Science:

    • Cardiology
    • Pediatric Surgery
    • Thoracic Surgery

    Background:

    • Coarctation of the aorta is a congenital heart defect requiring surgical intervention.
    • Infants with coarctation often present with severe symptoms and multiple cardiac anomalies.
    • Older patients may present with hypertension or be asymptomatic.

    Purpose of the Study:

    • To evaluate the outcomes of surgical correction for coarctation of the aorta in different age groups.
    • To compare mortality rates and long-term complications between infants and older children.

    Main Methods:

    • Retrospective review of 80 patients undergoing coarctation repair between 1960 and 1978.
    • Categorization of patients into two groups: infants (<3 months) and older children (≥3 months).
    • Analysis of surgical procedures, mortality, and postoperative complications.

    Main Results:

    • Infants (<3 months) had a high mortality rate (58%) primarily due to associated cardiac defects.
    • Older patients (≥3 months) experienced a low operative mortality rate (two deaths).
    • Complications in older patients included paradoxical hypertension, recurrent coarctation, and false aneurysms.

    Conclusions:

    • Surgical correction of coarctation in infants is associated with high mortality due to complex congenital heart disease.
    • Early surgical intervention in older children offers minimal operative risk and prevents long-term sequelae like hypertension.

    More Related Videos

    Novel and Innovative Hybrid Technique for Type A Aortic Dissection06:26

    Novel and Innovative Hybrid Technique for Type A Aortic Dissection

    Published on: March 28, 2025

    Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

    Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

    Published on: August 1, 2025

    Related Concept Videos

    Thoracic Aorta01:15

    Thoracic Aorta

    The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
    Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

    Aortic Regurgitation II: Clinical Features and Diagnostic Tests

    Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
    Aortic Regurgitation III: Medical Management01:25

    Aortic Regurgitation III: Medical Management

    Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
    Aneurysm I: Introduction01:30

    Aneurysm I: Introduction

    An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
    Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

    Aneurysm II: Clinical Manifestations and Diagnostic Studies

    Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
    Aneurysm III: Interprofessional Care01:26

    Aneurysm III: Interprofessional Care

    Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...