Surgical correction of isolated coarctation of the aorta in infants of the first year of life
Liubomudrov, V.G.; Lazarev, S.M.; Andrievskiĭ, A.N.; Kungurtsev, V.L.; Bolsunovskiĭ, V.A.; Tsytko, A.L.
Vestnik Khirurgii Imeni I. I. Grekova 168(4): 61-63
2009
ISSN/ISBN: 0042-4625 PMID: 19947420 Document Number: 629287
Long-term results of surgical treatment of isolated coarctation of the aorta were studied in infants from the first year of life till 14 years. In infants of the first year of life elimination of coarctation of the aorta with end-to-end anastomosis is more preferable than isthmoplasty of the aorta of the left subclavian artery, since risk of recoarctation is less, the subclavian artery remains preserved, the ductal tissues are completely dissected. An important condition of success of the operation with elimination of the end-to-end CA is thought to be maximal mobilization of the aorta from the surrounding tissues which leads to greater mobility, less tension in the anastomosis zone. The operations in newborns do not cause recoarctations more often than in infants from one month till one year, so the operative treatment is possible in such young age.