Recurrent aortic coarctation: Is surgical repair still the gold standard?

A. G. Sakopoulos, T. L. Hahn, Mark Turrentine, John Brown

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: We reviewed our experience with surgical repair compared with balloon aortoplasty of recurrent coarctations of the aorta. Methods: This is a retrospective review of 1 institution's 27-year experience with surgical repair of recurrent aortic coarctation. A thorough chart review was performed of all pediatric patients undergoing surgical repair for recurrent aortic coarctation (n = 56) from January 1970 through July 1996. Results: The vast majority of recoarctations were repaired with a prosthetic patch technique, with a greater than 96% success rate. No deaths or major complications occurred in the 56 patients. Although a direct comparison with balloon aortoplasty cannot be done, we have reviewed the data available in the literature and found higher complication rates and lower success rates than we obtained in our series. Conclusions: Although the treatment of aortic coarctation has improved significantly during the past decades, persistent hypertension after repairs at an older age and recurrent coarctation after repairs in neonates occur in all institutions. Surgeons have not agreed on the optimal approach to primary coarctation repair, and invasive cardiologists have challenged operative intervention for both recurrent and primary coarctation. This study demonstrates that surgical repair of recurrent coarctation of the aorta can be performed safely and with excellent results. We believe it is still the gold standard in the management of recurrent coarctation of the aorta.

Original languageEnglish
Pages (from-to)560-565
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume116
Issue number4
DOIs
StatePublished - 1998

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Aortic Coarctation
Newborn Infant
Pediatrics
Hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Recurrent aortic coarctation : Is surgical repair still the gold standard? / Sakopoulos, A. G.; Hahn, T. L.; Turrentine, Mark; Brown, John.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 116, No. 4, 1998, p. 560-565.

Research output: Contribution to journalArticle

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