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Surgery of aortic recoarctation

Roland Fiszer, Małgorzata Szkutnik, Linda Litwin, Sebastian Smerdziński, Beata Chodór, Jacek Białkowski
INTRODUCTION: Balloon angioplasty (BAP) and aortic or pulmonary balloon valvuloplasty (BAV, BPV) are well-established treatment options in congenital heart defects. Recently, significant technological progress has been made and new catheters have been implemented in clinical practice. AIM: To analyze the results of BAP, BAV and BPV with the new balloon catheter Valver and its second generation Valver II, which the company Balton (Poland) launched and developed. These catheters have not been clinically evaluated yet...
2016: Postępy W Kardiologii Interwencyjnej, Advances in Interventional Cardiology
Krzysztof W Michalak, Jadwiga A Moll, Katarzyna Sobczak-Budlewska, Maciej Moll, Paweł Dryżek, Tomasz Moszura, Konrad Szymczyk, Jacek J Moll
OBJECTIVES: Reoperations and catheter interventions after the arterial switch operation (ASO) are relatively rare, but their frequency varies among different centres. They significantly impact the postoperative course of children with transposition of the great arteries (TGA). The aim of this study was to assess the frequency of reoperations and catheter interventions in patients with TGA after the ASO and to identify the potential risk factors. METHODS: For this retrospective case review study we included all consecutive 715 patients with TGA who underwent the ASO in the Department of Cardiac Surgery between the years 1991 and 2015...
January 2017: European Journal of Cardio-thoracic Surgery
Sarah T Plummer, Christoph P Hornik, Hamilton Baker, Gregory A Fleming, Susan Foerster, M Eric Ferguson, Andrew C Glatz, Russel Hirsch, Jeffrey P Jacobs, Kyong-Jin Lee, Alan B Lewis, Jennifer S Li, Mary Martin, Diego Porras, Wolfgang A K Radtke, John F Rhodes, Julie A Vincent, Jeffrey D Zampi, Kevin D Hill
OBJECTIVES: Aortic arch reconstruction in children with single ventricle lesions may predispose to circulatory inefficiency and maladaptive physiology leading to increased myocardial workload. We sought to describe neoaortic anatomy and physiology, risk factors for abnormalities, and impact on right ventricular function in patients with single right ventricle lesions after arch reconstruction. METHODS: Prestage II aortic angiograms from the Pediatric Heart Network Single Ventricle Reconstruction trial were analyzed to define arch geometry (Romanesque [normal], crenel [elongated], or gothic [angular]), indexed neoaortic dimensions, and distensibility...
August 2016: Journal of Thoracic and Cardiovascular Surgery
Isabelle F Vonder Muhll, Tarun Sehgal, D Ian Paterson
Because surgical repair for coarctation of the aorta has been performed since 1945, growing numbers of patients with repaired coarctation are reaching adulthood. Primary transcatheter intervention for coarctation emerged as an alternative to surgery after 1983, and it provides comparable relief of the aortic gradient with few complications at a cost of an increased need for reintervention and a higher risk of aneurysm after repair. Although short-term outcomes are good after coarctation repair, alterations of vascular form and function persist...
August 2016: Canadian Journal of Cardiology
Sophie Malekzadeh-Milani, Zakaria Jalal, Daniel Tamisier, Younes Boudjemline
OBJECTIVES: Review early and midterm results of dilatable pulmonary artery band (PAB). BACKGROUND: PAB is performed in various conditions: as a transient stage before ventricular septal defect (VSD) closure, as a palliative procedure for multiple VSD or to prepare the left ventricle (LV) before switch or double switch operations in transposition of the great artery (TGA) or congenitally corrected transposition of great arteries (CCTGA). METHODS: All children with dilatation of PAB were reviewed...
September 2016: Catheterization and Cardiovascular Interventions
Ali Çoner, Serhat Balcıoğlu, Sinan Akıncı, Davran Çiçek, Haldun Müderrisoğlu
No abstract text is available yet for this article.
December 2015: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Iu N Gorbatykh, Iu S Sinel'nikov, I A Soĭnov, I A Kornilov, M S Kshanovskaia, A V Gorbatykh, S M Ivantsov, A Iu Omel'chenko
AIM: To evaluate long-term results and the causes of complications in congenital obstructive pathology of the aortic arch. MATERIAL AND METHODS: Retrospective study enrolled 62 patients aged 55 ± 14 days who underwent aortic arch surgery under cardiopulmonary bypass. It was compared two methods of aortic archplasty: use of xenopericardial material in group 1 and Rajasinghe's autoplastic method in group 2. RESULTS: Follow-up was 42 ± 14 months...
2015: Khirurgiia
Anita Saxena
Coarctation of the aorta (CoA) accounts for 5% to 8% of all congenital heart defects. With all forms of interventions for native CoA, repeat intervention may be required due to restenosis and/or aneurysm formation. Restenosis rates vary from 5% to 24% and are higher in infants and children and in those with arch hypoplasia. Although repeat surgery can be done for recurrent CoA, guidelines from a number of professional societies have recommended balloon angioplasty with or without stenting as the preferred intervention for patients with isolated recoarctation...
April 2015: World Journal for Pediatric & Congenital Heart Surgery
J W J Vriend, B J M Mulder
Survival of patients with aortic coarctation improved dramatically after surgical repair became available and the number of patients who undergo surgery and reach adulthood is steadily increasing. However, life expectancy is still not as normal as in unaffected peers. Cardiovascular complications are frequent and require indefinite follow-up. Concern falls chiefly into five categories: recoarctation, endocarditis, stenotic and/or incompetent coexisting bicuspid aortic valve, aortic aneurysm formation and systemic hypertension...
December 2003: Netherlands Heart Journal
Caroline Bechtold, Ariawan Purbojo, Judith Schwitulla, Martin Glöckler, Okan Toka, Sven Dittrich, Robert Anton Cesnjevar, André Rüffer
BACKGROUND: The aim of this study was to analyze risk factors promoting development of recoarctation (Re-CoA) in neonates who survived aortic arch repair from an anterior approach. METHODS: Fifty consecutive neonates with biventricular morphology and ductal-dependent lower body perfusion who were discharged home following aortic arch repair with cardiopulmonary bypass between 2000 and 2012 were retrospectively reviewed. Arch anatomy was either interruption (n = 10) or hypoplasia with coarctation (n = 40)...
August 2015: Thoracic and Cardiovascular Surgeon
Anaïs Lemaire, Fabio Cuttone, Julien Desgué, Calin Ivascau, Sabino Caprio, Vladimir Saplacan, Annette Belin, Gérard Babatasi
BACKGROUND: Coarctation of the aorta is a congenital malformation that has long been considered completely correctable with appropriate surgery in childhood. However, with the aging of these patients, many late complications have been reported, and this notion must be reevaluated. METHODS: We retrospectively reviewed all patients who underwent reoperation between 1992 and 2012 in our adult cardiac surgery department following surgical correction of coarctation in childhood; 18 patients over 15-years old were included in the study...
May 2015: Asian Cardiovascular & Thoracic Annals
Vojislav Parezanović, Mirko Mrdjen, Slobodan Illić, Irena Vulićević, Milan Djukić, Ida Jovanović, Igor Stefanović, Tamara Illisić, Jasna Kalanj, Branko Mimic, Vladimir Milovanović
INTRODUCTION: Arterial switch operation (ASO) is a cardiosurgical method of choice for complete anatomical correction of transposition of great arteries. Improvement of this procedure has made considerably improved the outcome and long-term prognosis of children born with this complex congenital heart disease. OBJECTIVE: The aim of this study was to estimate the success rate of ASO through retrospective analysis of mortality and late complications. METHODS: This study included 57 children operated from 1st January 2005 until 31st December 2009...
May 2014: Srpski Arhiv za Celokupno Lekarstvo
Shari L Wellen, Andrew C Glatz, Matthew J Gillespie, Chitra Ravishankar, Meryl S Cohen
Recoarctation of the aorta (RCoA) is a major cause of morbidity and mortality after the Norwood procedure. We sought to identify transthoracic echocardiographic (TTE) indexes associated with RCoA and to develop a highly sensitive and specific diagnostic score for accurate diagnosis. All subjects who underwent a Norwood procedure from December 2005 to December 2009 were identified. Subjects were excluded if they did not undergo a TTE within 1 month of an outcome-defining event (cardiac catheterization, autopsy, or surgery)...
July 1, 2014: American Journal of Cardiology
Juan Miguel Gil-Jaurena, Juan-Ignacio Zabala, Dimpna C Albert, Rafael Castillo, Mayte González, Luis Miró
INTRODUCTION AND OBJECTIVES: There are several techniques for the palliative treatment of patients with single-ventricle physiology, ventriculoarterial discordance and subaortic stenosis. The Fontan procedure relies on optimal initial palliation to avoid the development of subaortic stenosis (as well as ventricular hypertrophy and diastolic dysfunction). METHODS: We present seven patients with single-ventricle physiology, transposition of the great arteries and subaortic stenosis, with low systemic output and high pulmonary flow, aged 21 to 383 days (median, 75) and weighing between 3...
July 2013: Revista Española de Cardiología
Philippe Mahouna Adjagba, Baher Hanna, Joaquim Miró, Adrian Dancea, Nancy Poirier, Suzanne Vobecky, Julie Déry, Chantale Lapierre, Nagib Dahdah
Balloon angioplasty (BAP) used to manage native coarctation of the aorta (CoAo) in infants remains controversial. This study aimed to compare short- and midterm results of BAP between native CoAo (NaCo) and postsurgical recoarctations (ReCo) in infants younger than 1 year. This retrospective study compared the clinical, echocardiographic, hemodynamic, and angiographic data for infants who underwent BAP between July 2003 and September 2012. The 12 NaCo and 13 ReCo patients in this study underwent BAP at 4.61 ± 3...
October 2014: Pediatric Cardiology
Robert Juszkat, Bartlomiej Perek, Bartosz Zabicki, Olga Trojnarska, Marek Jemielity, Ryszard Staniszewski, Wiesław Smoczyk, Fryderyk Pukacki
BACKGROUND: In some patients, local surgery-related complications are diagnosed many years after surgery for aortic coarctation. The purposes of this study were: (1) to systematically evaluate asymptomatic adults after Dacron patch repair in childhood, (2) to estimate the formation rate of secondary thoracic aortic aneurysms (TAAs) and (3) to assess outcomes after intravascular treatment for TAAs. METHODS: This study involved 37 asymptomatic patients (26 female and 11 male) who underwent surgical repair of aortic coarctation in the childhood...
2013: PloS One
Ratnasari Padang, Mark Dennis, Christopher Semsarian, Paul G Bannon, David J Tanous, David S Celermajer, Rajesh Puranik
BACKGROUND: Despite early repair, patients with aortic coarctation (CoA) continue to have a reduced life expectancy due to the development of late complications. We sought to define the rate of aortic abnormalities in patients with previous CoA repair, referred for surveillance magnetic resonance (MR) imaging. METHODS: We evaluated 59 asymptomatic adults consecutively for repaired CoA with MR imaging between 2008 and 2012. RESULTS: Patients were aged 29 ± 8 (16-49) years; 34 males (58%) and 34 with bicuspid aortic valve (58%)...
April 2014: Heart, Lung & Circulation
Zhi-peng Hu, Zhi-wei Wang, Xiao-feng Dai, Bo-tao Zhan, Wei Ren, Luo-cheng Li, Hao Zhang, Zong-li Ren
BACKGROUND: Native coarctation of the aorta (COA) accounts for 5-7% of congenital heart disease. Open surgical treatment was the only choice until balloon angioplasty (BA) treatment was introduced as an alternative therapy for COA in the 1980s. BA treatment was thought to be a less invasive and potentially safer technique, and has been used on numerous patients. But as has been reported during the past 30 years, the risk of aneurysm formation and recoarctation existed in either of those 2 procedures...
February 2014: Annals of Vascular Surgery
Iliana Acevedo-Bañuelos, Javier González-Peña, Miguel Ángel Chagolla-Santillán, Gunter Hernández-Morales, Claudia Vianey Farías-Serratos
OBJECTIVE: The study's purpose is to present our experience with surgical correction of aortic coarctation in infants, at short and medium term, particularly morbidity and mortality. METHOD: This is a retrospective observational and descriptive trial. We included all infant patients undergoing surgical correction of AC. All data were obtained from the clinical database of the hospital. RESULTS: We included 20 patients with AC. The surgical technique was extended coarctectomy in 19 patients and, in one patient, a subclavian artery flap was performed...
July 2013: Archivos de Cardiología de México
Kevin D Hill, John F Rhodes, Ranjit Aiyagari, G Hamilton Baker, Lisa Bergersen, Paul J Chai, Gregory A Fleming, J Curt Fudge, Matthew J Gillespie, Robert G Gray, Russel Hirsch, Kyong-Jin Lee, Jennifer S Li, Richard G Ohye, Matthew E Oster, Sara K Pasquali, Andrew N Pelech, Wolfgang A K Radtke, Cheryl M Takao, Julie A Vincent, Christoph P Hornik
BACKGROUND: Recoarctation after the Norwood procedure increases risk for mortality. The Single Ventricle Reconstruction (SVR) trial randomized subjects with a single right ventricle undergoing a Norwood procedure to a modified Blalock-Taussig shunt or a right ventricle-pulmonary artery shunt. We sought to determine the incidence of recoarctation, risk factors, and outcomes in the SVR trial. METHODS AND RESULTS: Recoarctation was defined by intervention, either catheter based or surgical...
August 27, 2013: Circulation
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