1. Outcome of Single-Stage Repair of Coarctation with Ventricular Septal Defect
- Author
-
Tae-Gook Jun, Seong Ho Cho, Yang Hyun Cho, Pyo Won Park, Ji-Hyuk Yang, Heung Jae Lee, I-Seok Kang, and June Huh
- Subjects
Heart Septal Defects, Ventricular ,Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Coarctation of the aorta ,Aortic Coarctation ,Internal medicine ,medicine ,Humans ,Cerebral perfusion pressure ,Retrospective Studies ,Surgical repair ,Heart septal defect ,Single stage ,business.industry ,Cardiovascular Surgical Procedures ,Infant, Newborn ,Infant ,Aortopexy ,Retrospective cohort study ,medicine.disease ,Surgery ,Treatment Outcome ,Cardiology ,Deep hypothermic circulatory arrest ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background: The optimal surgical strategy for coarctation of the aorta (CoA) with ventricular septal defect (VSD) is controversial. The aim of this study is to evaluate the clinical outcome of a single-stage repair of CoA with VSD. Methods: We reviewed 72 patients who underwent single-stage repair for CoA with VSD between January 1995 and December 2007. There were 43 males and 29 females. The median age of the patients was 28 days (range = 3 to 188) and median weight was 3.7 kg (range = 2.16 to 5.6). Deep hypothermic circulatory arrest was used in 22 patients and selective antegrade cerebral perfusion was performed in 43 patients. Results: There were no operative deaths and one late death at a median follow-up of 60 months (range = 16 to 158). Postoperative complications were left main bronchus compression requiring aortopexy in one patient and recoarctation requiring balloon dilatation in one patient. Subaortic stenosis occurred in two patients and surgical repair was performed. Conclusions: One-stage simultaneous repair can be performed with a low risk at an early age. (J Card Surg 2011;26:420-424)
- Published
- 2011
- Full Text
- View/download PDF