Surgical correction of coarctation in early infancy: Does surgical technique influence the result?

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

“…Although outcomes after traditional arch repairs have been reported in neonates and infants with 2V anatomy [10][11][12][13][14][15][16][17], outcomes in patients with 2V anatomy after NTAR have not been well described. We recently described the outcomes of transcatheter intervention for recurrent coarctation in this population [18].…”

“…In our center, increasing familiarity with aortic augmentation used for the NP has translated into the use of a Norwood-type aortic arch reconstruction (NTAR) in patients with 2-ventricle (2V) anatomy with aortic coarctation and diffuse arch hypoplasia. Differing from more traditional patch aortoplasty performed for discrete coarctation in patients with 2V anatomy, in which patch material is used only across the area of stenosis and generally does not extend proximal to the left subclavian artery [10,11], an NTAR uses extended patch augmentation of the underside of the aortic arch in a manner similar to the NP.…”

Ascending-to-descending aortic bypass via right thoracotomy for complex (re-) coarctation and hypoplastic aortic arch☆

“…The problem of aortic recoarctations is fairly pressing because, first of all, of the necessity of performing operations according to the life-threatening indications in the early childhood [10,11]. As shown by the reported data, the incidence of aortic arch hypoplasia in infants undergoing operations for aortic coarctation accounts for 70%.…”

Congenital diseases of the thoracic aorta. Role of MRI and MRA

“…An increased risk for aneurysm formation at the site of repair has been reported after both synthetic patch aortoplasty and subclavianflap arterioplasty. Moreover, restenosis, aortic dissection and pseudoaneurysms has been reported after surgery or balloon angioplasty in up to 42% of patients [31][32][33]. Therefore, careful follow-up is recommended for patients who underwent repair of an aortic coarctation, independently of surgical technique used and timing of the repair [34].…”