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“…Despite a decade and a half of experience, reports, and discussions, this issue has not been resolved and continues to generate controversy within the cardiovascular community [47,62,88,115,116]. This is not unexpected, as CoA is not one unique lesion, but has many facets that impact immediate and long-term outcomes.…”
Section: ''Now That We Can Dilate Should We?''mentioning
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rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…Despite a decade and a half of experience, reports, and discussions, this issue has not been resolved and continues to generate controversy within the cardiovascular community [47,62,88,115,116]. This is not unexpected, as CoA is not one unique lesion, but has many facets that impact immediate and long-term outcomes.…”
Section: ''Now That We Can Dilate Should We?''mentioning
“…Attempted comparisons between balloon angioplasty and surgery have often resulted in more controversy and disagreements than they have in developing common ground to apply rationally one or another treatment algorithm, depending upon circumstances [47,61,62,129]. The inconsistencies of available data make objective comparisons in neonates and infants impossible.…”
Section: Neonates and Infantsmentioning
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“…The anatomy and physiology, however, can be variable and complex due to associated tubular narrowing of the proximal aortic isthmus, hypoplasia of the aortic arch, other malformations (especially bicuspid aortic valve, patent ductus arteriosus, ventricular septal defect, and mitral valvular anomalies), aneurysms of the aorta or intercostal arteries, and/or an unusual spatial relation of the coarctation to the brachiocaphalic arteries. Consequently, at times operations other than, or in addition to, resection with direct anastomosis are needed [1][2][3][4]. These include various subclavian flap aortoplasties, which frequently are used in neonates and infants, but rarely in adults; aortic arch augmentation; patch graft aortoplasty; and extra-anatomic bypass grafts from ascending to descending aorta [2][3][4][5].…”
Section: Discussionmentioning
“…Consequently, at times operations other than, or in addition to, resection with direct anastomosis are needed [1][2][3][4]. These include various subclavian flap aortoplasties, which frequently are used in neonates and infants, but rarely in adults; aortic arch augmentation; patch graft aortoplasty; and extra-anatomic bypass grafts from ascending to descending aorta [2][3][4][5]. In two large series of patients 1 year of age or older, resection of the coarctate segment of aorta with insertion of a tubular interposition graft was the operation employed in 11% and 10% of patients, respectively [1,2].…”
Section: Discussionmentioning