EXTENDED RESECTION AND END TO END ANASTOMOZIS IN INFANT AORTIC COARCTATION

KALKO Yusuf , ÖZCAN Vural , HÖKENEK Faruk , KIZILTAN Feyyaz, TİRELİ Emin , DAYIOĞLU Enver , KARGI Aydın, *AYDOĞAN Ümrah

İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı
^*Pediatrik Kardiyoloji Bilim Dalı, İSTANBUL

In this study we reviewed extended resection + end to end anastomozis technique performed for the repair of infantile coarctation. In the last two years we used this technique by 10 patients with aort coarctation.We performed median sternotomy for one patient with large ventricular septal defect and left posterolateral toracotomy to the others. There was isthmic hypoplasia in 3 patients, distaly arch + isthmic hypoplasia in 4 patients and proximal + distaly arch hypoplasia in 3 patients. Mean cross-clamp time was 22 minutes. There was no significant gradient postoperatively. 1 patient had paralysis of the recurrent laryngeal nerve. Extended resection and end to end anastomosis yields a low mortality and particularly a low recoarctation rate.This surgical procedure is our standart choice.

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