Risks for Recoarctation. Which Operation in Infants?

Sinan ARSAN, Metin DEMİRCİN, İlhan PAŞAOĞLU, Rıza DOĞAN, Yurdakul YURDAKUL, A. Yüksek BOZER

Hacettepe Üniversitesi Tıp Fakültesi, Toraks ve Kalp-Damar Cerrahisi ABD, Ankara

From 1984 until 1994, 75 consequtive patients younger than 12 months of age were operated on for coarctation of the aorta. We retrospectively analized the interaction between surgical procedures and recoarctation. Patients were divided into three groups. Group I: The patients who undervent classic resection and end-to-end anastomosis (n=55), Group II: The patients who underwent prosthetic patch aortoplasty (n=12), Grup III: The patients who underwent subclavian flap aortoplasty (n=8). Immediate postrepair gradient was equal after these procedures. The recoarctation rate was 11.3% (6 patients). We conclude that the treatment of first choice in the management of coarctation of the aorta in infants is classic resection and end-to-end anastomosis.

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