Background: Persistence or recurrence of stenosis is a
complication of initial coarctation repair. This study aims to report
short-term outcomes of surgical management of recurrent coarctation and
initial repair analysis. Methods: We retrospectively reviewed our
experience with 51 patients undergoing recoarctation surgical repair
between 2008 and 2019 using antegrade cerebral perfusion technique.
Results: Surgical correction included prosthetic patch
aortoplasty in 23 (45%), resection with wide end-to-end anastomosis in
15 (29%) and a tube interposition graft in 13 (25%) patients. Median
age at initial correction and reintervention were 12 month and 9 years.
Median interval from primary repair to reintervention was 60 months.
Initial repair analysis revealed 33% of patients had initial correction
in the neonatal period, 72,5% of patients were done via a left
thoracotomy approach and 63% of patients had end-to-end anastomosis at
initial surgery. Conclusion: Our study demonstrates that surgical
repair of recurrent coarctation of the aorta using antegrade cerebral
perfusion technique can be performed safely and with excellent results.
This clinical case demonstrated surgical management of a giant
congenital left ventricular aneurysm in a 2-month-old female using the
Dor procedure. Transthoracic echocardiography performed at 6-month
follow-up showed an ejection fraction of 66%.
Pregnancy in women with congenital heart disease, foetal cardiology and imagingASD closure, all the pts showed a significant improvement of exercise capacity parameters. Seven QoL parameters (except mental health) improved at 12 months follow up compared to their baseline data. The mean SF36q scale increased significantly in 85 (80.2%) pts of mean 41.2±26.1 (4-71). The right ventricular dimension decreased in 90 pts (84.9%) ( Table 1).
<p>We report the case of a 16-year-old child with Ebstein’s anomaly who successfully underwent recorrection via the ‘cone reconstruction’ method using a tricuspid valve-in-ring implant. Because the patient had high-grade atrioventricular block, a pacemaker was implanted. Ultrasound and magnetic resonance imaging were conducted to determine the anatomy of the right ventricle and its hemodynamic parameters. Echocardiography performed at the time of discharge revealed an improvement in the hemodynamic parameters of the patient after the correction: triuspid valve regurgitation is mild and peak/mean pressure gradient 10/5 mmHg.</p><p>Received 9 January 2020. Revised 16 March 2020. Accepted 17 March 2020.</p><p><strong>Informed consent:</strong> The patient’s informed consent to use the records for medical purposes is obtained.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p><p><strong>Author contributions</strong><br />Drafting the article: N.M. Troshkinev, O.V. Mochula, O.A. Egunov<br />Literature review: N.A. Shmakova, I.V. Ivanova<br />Illustrations: N.M. Troshkinev, O.V. Mochula<br />Critical revision of the article: E.V. Krivoshchekov, E.A. Svyazov<br />Surgical treatment: E.V. Krivoshchekov, O.A. Egunov, N.M. Troshkinev<br />Final approval of the version to be published: N.M. Troshkinev, E.A. Svyazov, O.V. Mochula, N.A. Shmakova, I.V. Ivanova, O.A. Egunov, E.V. Krivoshchekov</p>
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