Synthetic patch aortoplasty is a safe treatmentfor coarctation of the aorta in adolescents and young adults | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2001]

Author(s):

1. Jamal Abdul Nasir: Department of Cardiac Surgery, Mayo Hospital, Lahore, Pakistan.

2. Anjum Jalal: Department of Cardiac Surgery, Cardiothoracic Centre, Liverpool, United Kingdom.

3. Haider Zaman: Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, Pakistan

4. Zulfiquar Haider: Department of Cardiac Surgery, Mayo Hospital, Lahore, Pakistan.

Abstract:

To evaluate the immediate postoperative and short-term results of synthetic patch aortoplasty for coarctation of aorta. Patients and Methods: During the period July 1994 to 1996, 30 patients underwent repair of coarctation of aorta. All were over one year of age and majority were 11 to 20 years old. The main presenting complaints included chest pain, headache, dyspnoea and epistaxis. Diagnosis was established on the basis of clinical examination, chest X-ray, echocardiography and cardiac catheterisation. All patients had left-sided posterolateral thoracotomy through fourth intercostal space. Repair entailed mobilization of aorta, proximal and distal clamping, excision of intimal shelf and patch aortoplasty with PTFE. Mean clamp time was less than 25 minutes. Elective ventilation was done for one to four hours and total duration of stay in intensive care unit was less than 24 hours. Follow-up examinations were conducted at 1, 6, 12 months and 2 years after operation. Data was recorded in the individual patient profolformas and electronic data sheet for analysis. Results: In early postoperative period 18 patients required treatment for hypertension. Re-exploration for bleeding, abdominal pain/ileus, transient laryngeal nerve paraesis, and chylothorax were noted in one patient each. One patient developed recurrence and another developed aneurysm formation. There was no mortality during the whole study period. Conclusion: Surgical repair of coarctation of aorta is a safe procedure in adolescents and young adults. The operative morbidity is very low and predictable and it provides reasonable freedom from recoarctation over short to medium term follow-up

Page(s): 91-94

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 11, Issue: 2, Year: 2001

Keywords:

balloon Surgery , Aortic diseases Aortic coarctation Angioplasty

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