Premium
A postoperative follow‐up study of infantile coarctation of the aorta
Author(s) -
Abdulla S,
Malmgren N,
Björkhem G,
Lundström NR
Publication year - 1995
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1995.tb13848.x
Subject(s) - medicine , surgery , anastomosis , rest (music) , coarctation of the aorta , resection , aorta , cardiology
Follow‐up investigations were performed in 16 patients operated on for coarctation during infancy The follow‐up period ranged from 4.5 to 11 years (median 5.5 years) Four different surgical techniques were used: resection with end‐to‐end anastomosis (REE) (4 patients), subclavian flap aortoplasty (SFA) (10 patients), patch aortoplasty (1 patient) and resection and SFA (1 patient) One patient developed reforestation (6%) She had been operated on by REE at 7 days of age The other three patients operated on by REE had equal pulses in the arms and legs; none had hypertension and all had normal arm/leg pressure gradients at rest Seven (58%) of the 12 patients operated on by SFA or aortoplasty had weak radial pulses in the left arm but no limitation of left arm function The left arm showed a normal bone age but was smaller and shorter than the right arm in 9 (81%) of the patients None of the patients operated on by SFA had hypertension and the arm/leg gradient at rest was normal.