Moderately hypoplastic arches: do they reliably grow into adulthood after conventional coarctation repair?

Interactive Cardiovascular and Thoracic Surgery
Jessie Y J LiuYves d'Udekem

Abstract

To determine whether conventional coarctation repair results in sustained growth of hypoplastic transverse arches, we examined the follow-up of 20 patients operated through a thoracotomy between 1990 and 1995 who had available serial echocardiographic examinations. Mean age at operation was 8.6+/-5.7 days. In the distal transverse arch, maximum change was observed in the early postoperative period and sustained growth was observed thereafter. At last follow-up, no patients had Z-scores of less than -2. In contrast, only minimal growth occurred in the proximal transverse arch (mean Z-score diameter before and after repair: -1.87+/-0.12 vs. -1.66+/-0.09; P=0.05) in the postoperative period. At last follow-up, seven patients (35%) kept a diameter Z-score of less than -2, and 5 of them had a gradient of 15 mmHg (P=0.01). No correlation was found between the size of the proximal arch at last follow-up and its size before repair or technique used. Patients with moderately hypoplastic arch treated by conventional coarctation repair have adequate growth of the distal arch demonstrated at long-term follow-up, but one-third of them keep a small proximal arch. This subset of patients is at risk of developing hypertension and may warrant f...Continue Reading

References

Jun 1, 1976·Circulation·A J MoulaertA Oppenheimer-Dekker
Nov 1, 1992·The Annals of Thoracic Surgery·J L MyersJ A Waldhausen
Sep 1, 1991·The Annals of Thoracic Surgery·R D SiewersP J del Nido
Feb 1, 1988·The Annals of Thoracic Surgery·F TrinquetJ Y Neveux
Mar 15, 1993·Journal of the American College of Cardiology·H S WeberB G Baylen
Aug 5, 2000·The Journal of Thoracic and Cardiovascular Surgery·M JahangiriC Lincoln
Jul 16, 2002·Heart·D S Celermajer, K Greaves
Oct 24, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hilde HøimyrVibeke E Hjortdal
Apr 15, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Michael D PettersenRichard A Humes

❮ Previous
Next ❯

Citations

Jan 6, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hitendu DaveRené Prêtre
Jul 27, 2012·Interactive Cardiovascular and Thoracic Surgery·Takahisa SakuraiWilliam J Brawn
Sep 26, 2013·Heart, Lung & Circulation·Jessamine Y J LiuYves d'Udekem
Jul 22, 2014·The Annals of Thoracic Surgery·Melissa G Y LeeYves d'Udekem
Feb 15, 2016·The Journal of Thoracic and Cardiovascular Surgery·Alduz S CabasaAlberto B Pochettino
Oct 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Melissa G Y LeeYves d'Udekem
Oct 21, 2011·Congenital Heart Disease·Thais A L PedersenKristian Emmertsen
Apr 15, 2015·Circulation·Sachin Khambadkone
Jul 17, 2019·World Journal for Pediatric & Congenital Heart Surgery·Connor P CallahanRonald K Woods
Jun 3, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jeremy S Y WongYves d'Udekem
Dec 1, 2019·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·E G WarmerdamM Voskuil

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Coarctation

Aortic coarctation is a congenital condition characterized by narrowing of the aorta. Discover the latest research on this disease here.