This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (15)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

James W. Kilman, MD; Thomas E. Williams, Jr., MD; Thomas S. Breza, MD; Josepha Craenen, MD; Don M. Hosier, MD

AMA Arch Surg. 1972;105(6):865-868.

Abstract
The case records of all children under 2 years of age, treated by medical and/or surgical means for coarctation of the aorta and associated defects at the Columbus Children's Hospital, 1960 through 1971, were reviewed. Forms of the hypoplastic left heart syndrome were excluded, leaving 112 cases. Operative mortality was reduced from 75% (1960 through 1966) to 30% (1967 through 1971) by a combination of earlier surgery, improved patient selection, and adoption of a surgical program based on correction and/or total palliation for all elements of the infants' congenital malformation. A lowering of the mortality in the combined medical-surgical experience from 65% (1960 through 1966) to 35% (1967 through 1971) is documented.

Author Affiliations
Columbus, Ohio

From the departments of surgery and pediatrics, the Ohio State University College of Medicine, Columbus.

Footnotes
Accepted for publication July 13, 1972.

Read before the 20th scientific meeting of the International Cardiovascular Society, Carmel, Calif, June 23, 1972.

Reprint requests to 410 W Tenth Ave, Columbus, Ohio 43210 (Dr. Kilman).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?