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Surgery for aortic re-coarctation in children less than 10 years old. A single center experience in Siberia, Russia
  • +3
  • Oleg Egunov,
  • Evgeny V. Krivoshchekov,
  • Frank Cetta,
  • Alexander Sokolov,
  • Evgenii A. Sviazov,
  • Vladimir V. Shipulin
Oleg Egunov
FGBNU Tomskij nacional'nyj issledovatel'skij medicinskij centr Rossijskoj akademii nauk

Corresponding Author:[email protected]

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Evgeny V. Krivoshchekov
FGBNU Tomskij nacional'nyj issledovatel'skij medicinskij centr Rossijskoj akademii nauk
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Frank Cetta
Mayo Clinic Minnesota
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Alexander Sokolov
FGBNU Tomskij nacional'nyj issledovatel'skij medicinskij centr Rossijskoj akademii nauk
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Evgenii A. Sviazov
FGBNU Tomskij nacional'nyj issledovatel'skij medicinskij centr Rossijskoj akademii nauk
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Vladimir V. Shipulin
FGBNU Tomskij nacional'nyj issledovatel'skij medicinskij centr Rossijskoj akademii nauk
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Abstract

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.
28 Oct 2021Submitted to Journal of Cardiac Surgery
28 Oct 2021Assigned to Editor
28 Oct 2021Submission Checks Completed
01 Nov 2021Reviewer(s) Assigned
10 Nov 2021Review(s) Completed, Editorial Evaluation Pending
16 Nov 2021Editorial Decision: Revise Major