Incidence of aneurysm formation after dacron patch aortoplasty repair for coarctation of the aorta: Long-term results and assessment utilizing magnetic resonance angiography with three-dimensional surface rendering

Parks, W. James; Ngo, Thang; Plauth, William H.; Bank, Estelle R.; Sheppard, Scott K.; Pettigrew, Roderic I.; Williams, Willis H.

doi:10.1016/0735-1097(95)00127-l

Cited by 96 publications

(42 citation statements)

References 22 publications

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“…2 Among our COA patients, the 15-year survival rate after operation was 92%, which is in agreement with the 90% consistently reported. 8,13,23 An accompanying VSD reduces survival considerably. 24 In our hierarchy, pa- tients with COA and significant VSD were classified in the VSD group.…”

Section: Late Survivalmentioning

confidence: 99%

Late Results of Pediatric Cardiac Surgery in Finland

2001

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A Population-Based Study With 96% Follow-UpHeta P. Nieminen, MD; Eero V. Jokinen, MD; Heikki I. Sairanen, MDBackground-This population-based study characterizes the history and progress of pediatric cardiac surgery in Finland.For the first time, all defects and procedures are included in an outcome study, reflecting the true effectiveness of operative treatment. Methods and Results-All data relating to the operations were collected retrospectively from hospital records. Current patient status was obtained from the population registry. Survival was evaluated with the Kaplan-Meier method applied to all patients and separately to subgroups of patients with the most common defects. The survival rates were compared with those of an age-and sex-matched general population. During the 37 years (1953 to 1989), 6461 patients underwent surgery; 96% of them were traced. The number of operations and the constellation of defects treated increased dramatically over time. Actuarial survival for the 45 years ended October 28, 1998 (the ending date of this study) was 78% for patients versus 93% for the general population. Survival and the number of operations per patient varied widely with the defect. The survival of patients with a surgically closed atrial septal defect was comparable to that of the general population, and such patients rarely needed a reoperation, whereas only 15% of patients with univentricular heart survived for 34 years, and almost all needed at least 2 operations. Conclusions-The overall survival of patients with cardiac defects corrected surgically in childhood is good compared with their estimated natural course. The increasing number of surgically treatable defects and the growing number of operations per patient reflect the increasing ability to treat more difficult cases. (Circulation. 2001;104:570-575.)

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Section: Late Survivalmentioning

confidence: 99%

Late Results of Pediatric Cardiac Surgery in Finland

2001

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“…The aortic coarctation aortoplasty employing the Dacron patch was considered effective and safe by Venturini et al [20], with the occurrence of aneurismal formation in only one of the 60 patients. On the other hand, Parks et al [21], in 39 patients being followed-up, 10 presented aortic rupture, discontinuing this technique. Silva [22] emphasized the good results achieved in 3 patients followed-up for 30 years using pediculate pericardium, with no aneurismal formation.…”

Section: Discussionmentioning

confidence: 99%

Resultados do tratamento cirúrgico da coarctação de aorta em adultos

Jatene¹,

Abuchaim²,

Oliveira³

et al. 2009

Rev Bras Cir Cardiovasc

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Objective: The aim of this study is to describe our experience in aortic coarctation surgery in adult patients by assessing the immediate and mid-term outcomes.Methods: From January 1997 to March 2000, 50 consecutive adult patients underwent surgery for correction of aortic coarctation, through left lateral thoracotomy. Of these, forty two (84%) patients presented high blood pressure, with mean systolic arterial pressure of 170.56 mmHg (125-220 mmHg). The mean of pressure gradient in the coarctation area was 51.4 mmHg (18-123 mmHg). Other associated surgical cardiovascular diseases were not treated in the same operative act, except in two cases of patent ductus arteriosus (PDA). Three different techniques were used: aortic coarctation resection with end-to-end anastomosis was performed in 20 (40%) patients, coarctation enlargement with bovine pericardial patch was performed in 22 (44%) patients and synthetic tube interposition was performed in eight (16%) patients.Results: Operative morbidity was low; there was one case of bleeding who required reoperation. The most common immediate postoperative event was high blood pressure (98%), but it was easily controlled by intravenous drugs. There was no hospital death. Mean residual pressure gradient was 18.7 (8-33 mmHg). Patients were discharged in 9.5 days (5-30). Postoperative follow-up mean was 46.8 months (1-145 months) in 45 (91.8%) patients. Forty one (91.1%) of these followed-up patients had normal blood pressure, whereas 75.6% of them without drugs intake. 93.3% of these followed-up patients were asymptomatic. Four of them required further surgical operation, one needed a pacemaker implant, other two patients needed a cardiac valve replacement and one had endocarditis. There was one related death due to sepsis secondary to endocarditis.

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“…Coarctation of the aorta-surgical treatment has provided successful mostly in the last decade. (Kouchoukos et al, 2003;Schuster & Gross, 1962;Parks et al, 1995;Bell et al, 2003). The formation of aortic aneurysms associated with coarctation of the aorta is rare (Parks et al, 1995;Bell et al, 2003) There are currently endovascular techniques for the correction of aortic aneurysms associated or not to aortic coarctation.…”

Section: Thoracic Aorta Aneurysmsmentioning

confidence: 99%

“…(Kouchoukos et al, 2003;Schuster & Gross, 1962;Parks et al, 1995;Bell et al, 2003). The formation of aortic aneurysms associated with coarctation of the aorta is rare (Parks et al, 1995;Bell et al, 2003) There are currently endovascular techniques for the correction of aortic aneurysms associated or not to aortic coarctation. However, in this association the recommended procedure is open surgery (Bell et al, 2003;Knyshov, 1996) …”

Section: Thoracic Aorta Aneurysmsmentioning

confidence: 99%

Definitions, History and General Considerations Related to the Aortic Aneurysms

Careaga-Reyna¹

2011

Diagnosis and Treatment of Abdominal and Thoracic Aortic Aneurysms Including the Ascending Aorta and the Aortic Arch

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Incidence of aneurysm formation after dacron patch aortoplasty repair for coarctation of the aorta: Long-term results and assessment utilizing magnetic resonance angiography with three-dimensional surface rendering

Cited by 96 publications

References 22 publications

Late Results of Pediatric Cardiac Surgery in Finland

Late Results of Pediatric Cardiac Surgery in Finland

Resultados do tratamento cirúrgico da coarctação de aorta em adultos

Definitions, History and General Considerations Related to the Aortic Aneurysms

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