scholarly journals Surgery for aortic re-coarctation in children less than 10 years old. A single center experience in Siberia, Russia

2021 ◽  
Author(s):  
Oleg Egunov ◽  
Evgeny V. Krivoshchekov ◽  
Frank Cetta ◽  
Alexander Sokolov ◽  
Evgenii A. Sviazov ◽  
...  
Keyword(s):  
Cerebral Perfusion ◽  
Surgical Repair ◽  
Primary Repair ◽  
Coarctation Of The Aorta ◽  
Perfusion Technique ◽  
Single Center Experience ◽  
Initial Surgery ◽  
End To End ◽  
Initial Correction ◽  
Antegrade Cerebral Perfusion

Background: Persistence or recurrence of stenosis is a complication of initial coarctation repair. This study aims to report short-term outcomes of surgical management of recurrent coarctation and initial repair analysis. Methods: We retrospectively reviewed our experience with 51 patients undergoing recoarctation surgical repair between 2008 and 2019 using antegrade cerebral perfusion technique. Results: Surgical correction included prosthetic patch aortoplasty in 23 (45%), resection with wide end-to-end anastomosis in 15 (29%) and a tube interposition graft in 13 (25%) patients. Median age at initial correction and reintervention were 12 month and 9 years. Median interval from primary repair to reintervention was 60 months. Initial repair analysis revealed 33% of patients had initial correction in the neonatal period, 72,5% of patients were done via a left thoracotomy approach and 63% of patients had end-to-end anastomosis at initial surgery. Conclusion: Our study demonstrates that surgical repair of recurrent coarctation of the aorta using antegrade cerebral perfusion technique can be performed safely and with excellent results.

Outcome of truncus arteriosus repair: 20 years of single-center experience comparing early versus late surgical repair

2021 ◽  
pp. 1-7
Author(s):  
Abdah Hrfi ◽  
Muna Ismail ◽  
Mohammed H. A. Mohammed ◽  
Hussam K. Hamadah ◽  
Fahad Alhabshan ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Surgical Repair ◽  
Group Versus ◽  
Truncus Arteriosus ◽  
Early Repair ◽  
Single Center Experience ◽  
Post Surgery ◽  
Initial Surgery ◽  
Repair Group

Abstract Background: Truncus arteriosus is a rare CHD. Neonatal and early infancy repair is recommended though some cases may present late. The aim of our study is to investigate the current results of truncus arteriosus repair and to analyse the differences in outcome and reintervention need between early versus late truncus arteriosus surgical repair. Material and methods: In this cohort study, we reviewed all children who underwent truncus arteriosus repair from 2001 till 2021. We divided patients into two groups; early repair group including patients repaired at age less than 3 months and late repair group including patients who had repair at 3 months of age and later. We compared both groups for outcome variables. Results: Sixty-four children had truncus arteriosus repair including 48(75%) patients in early repair and 16(25%) patients in late repair groups. Peri-operative course was comparable between both groups. Post-surgery, we observed pulmonary hypertension in 6(12%) patients in early repair group comparing with 11(69%) patients in late repair group (p = 0.0001). In the last follow-up visit, pulmonary hypertension resolved in all early repair group patients while 6(37.5%) patients in late repair group continued to have pulmonary hypertension (p = 0.0001). Twenty-three(36%) patients required reintervention including 22(48%) in early repair group versus 1(6%) in late repair group (p = 0.007). Conclusion: In general, the outcome of early truncus arteriosus repair is excellent with resolution of pulmonary hypertension following early repair. Late repair caries higher risk of persistent pulmonary hypertension (37.5%). About one-third of the patients who had truncus arteriosus repair will require re-intervention within 38±38.4 months after initial surgery.

Total Arch Replacement with Hypothermic Circulatory Arrest, Antegrade Cerebral Perfusion and the Y-graft

2020 ◽  
Vol 32 (4) ◽  
pp. 683-691 ◽  
Author(s):  
Cinthia P. Orlov ◽  
Oleg I. Orlov ◽  
Vishal N. Shah ◽  
Maxwell Kilcoyne ◽  
Meghan Buckley ◽  
...  
Keyword(s):  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Hypothermic Circulatory Arrest ◽  
Total Arch Replacement ◽  
Antegrade Cerebral Perfusion
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