Is extended arch aortoplasty the operation of choice for infant aortic coarctation? Results of 15 years' experience in 181 patients

Comparison of surgical and interventional therapy of native and recurrent aortic coarctation regarding different age groups during childhood

“…These data confirm surgery as the treatment of choice in this specific age group. Wood et al have shown excellent longterm results after extended arch aortoplasty confirming our data [19]. A limited number of studies comparing surgery and balloon dilatation showed significantly lower re-intervention and complication rates after surgery than after balloon angioplasty [7,8,10].…”

“…The technique of extrapleural access to the operation site was performed as described earlier by Dave et al [17]. Full dissection and mobilization of the aortic arch and the arch vessels and mobilization of the descending aorta permitted an extended resection and end-to-end anastomosis [18,19] of the descending aorta to the distal aortic arch without tension.…”

Recurrent Coarctation After Neonatal Univentricular and Biventricular Norwood-Type Arch Reconstruction

“…In the largest 2V NTAR study to date, we found a rate of recurrent coarctation approaching 20% for patients with 2V anatomy. This falls within the range of 2% to 30% reported for other types of 2V arch repairs, including extended end-to-end anastomosis, subclavian flap, and patch repairs [10,13,16,[21][22][23][24][25][26][27]. The population of patients with 2V anatomy in this study all had associated aortic arch hypoplasia for which an extended arch augmentation was necessary and which may increase the risk for development of recurrent coarctation [12].…”

Contemporary Results of Aortic Coarctation Repair Through Left Thoracotomy

“…Reintervention rates in the literature vary widely, with the largest series describing reintervention rates between 2% and 15% [14][15][16][17][18]. Some of the variables that have been described as potential risk factors for reintervention include younger age [18][19][20], an aberrant right subclavian artery [16], a hypoplastic aortic arch [18], a persistent blood pressure gradient [14,15], and increased velocity on echocardiography [17].…”