Follow-up of aortic coarctation repair in neonates

Journal of the American College of Cardiology
Michael D PuchalskiL Y Tani

Abstract

The purposes of this study were to assess the growth of left heart (LH) structures, to evaluate midterm outcomes, and to define echocardiographic parameters predictive of increased risk of re-intervention in patients born with aortic coarctation and hypoplasia of LH structures that underwent neonatal coarctation repair. Neonatal coarctation is often associated with hypoplasia of LH structures. Although previous studies have shown that coarctation repair can be performed with good results in these neonates, there are little data regarding growth of the LH structures or outcomes in these patients. Patients with isolated coarctation and at least one hypoplastic LH valve (mitral or aortic Z-score <-2) who underwent a neonatal coarctation repair were identified. Clinic charts and the latest echocardiograms were reviewed. All 55 patients were alive and well, and no patient had clinical evidence of mitral stenosis. Three patients (5%) required re-intervention. Thirty-eight patients had echocardiograms that demonstrated normal left ventricular (LV) size and function with a follow-up duration of 73 +/- 19 months (range 3 to 9 years). Both mitral and aortic annulus Z-scores increased significantly: -3.1 +/- 1.5 to -0.5 +/- 1.6 (p < 0.001...Continue Reading

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Citations

Mar 13, 2012·Pediatric Cardiology·Rachel T McCandlessShaji C Menon
Jan 15, 2011·Annals of Pediatric Cardiology·Maziar Gholampour DehakiShahyad Salehi
Apr 29, 2015·The Annals of Thoracic Surgery·Jan Erik FreundMatthias W Freund
Aug 27, 2013·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Martijn H T den DekkerMatthias W Freund
Feb 23, 2013·The American Journal of Cardiology·Robert G GrayMichael D Puchalski
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·V Vivian DimasThomas M Zellers
Dec 18, 2015·Cardiology in the Young·Michelle Kaplinski, Meryl S Cohen
Jun 7, 2005·Journal of the American College of Cardiology·Thomas P Graham
Jul 3, 2016·Interactive Cardiovascular and Thoracic Surgery·Tai FuchigamiNobuhiro Nagata
Apr 17, 2016·Asian Cardiovascular & Thoracic Annals·Hamid Bigdelian, Mohsen Sedighi
Dec 14, 2005·The Nurse Practitioner·Mary Lou Taylor
Aug 21, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mari K YlinenTaisto Sarkola
Aug 21, 2016·Interactive Cardiovascular and Thoracic Surgery·Stephen C BrownMarc Gewillig
May 16, 2019·Interactive Cardiovascular and Thoracic Surgery·Amélia LehnertDamien Bonnet
Aug 10, 2020·Current Cardiology Reports·Nicholas D AndersenJoseph W Turek
May 25, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Stephanie L PerrierChristian P Brizard

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