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.