ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Long-term outcomes after surgical repair of the coarctation of aorta beyond infancy period
Mustafa Paç1, Sinan Sabit Kocabeyoğlu1, Anıl Özen1, Ayşenur Paç2, Ümit Kervan1, Ertekin Utku Ünal1, Emre Kubat3, Ahmet Sarıtaş1
1Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2Department of Pediatric Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
3Department of Cardiovascular Surgery, Karabük Training and Research Hospital, Karabük, Turkey
DOI : 10.5606/tgkdc.dergisi.2017.14124
Background: This study aims to evaluate the long-term results of the patients in whom coarctation of the aorta was surgically repaired beyond the infancy period.

Methods: Between January 1999 and August 2016, a total of 49 patients (28 males, 21 females; mean age 22.9±11.3 years; range 3 to 56 years) who underwent surgical repair of coarctation of the aorta and followed in the outpatient clinic were included in this study. The repair procedures included patch angioplasty (51%), interposition grafting (40.8%), simple and extended end-to-end anastomosis (6.12%), and subclavian plasty (2%).

Results: The mean follow-up was 78.1±33.5 months (range 2 to 144 months). Of the patients, 22 (44.9%) had recoarctation, 19 (38.7%) had hypertension, three (6.1%) had an aneurysm of the ascending aorta, five (10.2%) had aortic valve stenosis, five (10.2%) had aortic insufficiency, and two (4.08%) had coronary artery disease. There was no significant difference (p=0.787) in the recoarctation rates between the patients who initially underwent patch angioplasty and the patients who initially underwent interposition grafting. The mean age in the initial surgery was not statistically significantly different (p=0.696) between the patients with and without recoarctation. However, the mean age was significantly higher (p=0.006) in the patients with postoperative hypertension than those who did not. None of the patients had in-hospital mortality or cerebrovascular accident.

Conclusion: Even following a successful repair of coarctation of the aorta, further cardiac diseases may develop. Therefore, early diagnosis and treatment of such cardiac pathologies are of utmost importance.

Keywords : Aortic aneurysm; aortic valve disease; coarctation of the aorta; long-term
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