 |
|
Late Repair of Coarctation of the Descending Thoracic Aorta in 190 PatientsResults up to 30 Years After Operation
Gerald M. Lawrie, MD;
Michael E. DeBakey, MD;
George C. Morris, Jr, MD;
E. Stanley Crawford, MD;
William F. Wagner, MD;
Donald H. Glaeser, DSc
Arch Surg. 1981;116(12):1557-1560.
Abstract
• Over a 30-year period, 190 consecutive patients had repair of coarctation of the descending thoracic aorta at a mean age of 25 years (range, 1 to 60 years); 130 were male. Median preoperative blood pressure (BP) was as follows: systolic, 160 mm Hg (range, 94 to 300 mm Hg) and diastolic, 90 mm Hg (range, 50 to 160 mm Hg). Dacron grafts were used in 64.7% of patients. Follow-up was obtained at a mean interval of 84.9 months, range, one to 360 months. Survival status was established for 86.1% (163/190) of patients. Postoperatively, the median BP was 133 mm Hg systolic (range, 90 to 195 mm Hg) and 80 mm Hg diastolic (range, 50 to 120 mm Hg). Overall, 80% of patients were either normotensive or had mild hypertension after operation. The best BP response and late survival were in patients operated on under 13 years of age. This study further confirms that early operation (below 5 years of age) is desirable. However, contrary to some previous reports, patients operated on as adolescents, despite some mild residual hypertension, had an excellent long-term prognosis. Patients over 21 years of age at operation had a high rate of persistent hypertension and experienced other serious cardiovascular complications.
(Arch Surg 1981;116:1557-1560)
Author Affiliations
From the Department of Surgery, Baylor College of Medicine, Houston.
Footnotes
Accepted for publication July 7, 1981.
Read at the 29th scientific meeting of the International Cardiovascular Society, Dallas, June 12, 1981.
Reprint requests to Department of Surgery, Baylor College of Medicine, 1200 Moursund, Houston, TX 77030 (Dr Lawrie).
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Is endovascular repair the new gold standard for primary adult coarctation?
Wheatley et al.
Eur J Cardiothorac Surg 2010;38:305-310.
ABSTRACT
| FULL TEXT
Strategy for Adult Aortic Coarctation Complicated by Coronary Artery Disease
Fujisawa et al.
Asian Cardiovasc. Thorac. Ann. 2007;15:e41-e42.
ABSTRACT
| FULL TEXT
The Results of Catheter-Based Therapy Compared With Surgical Repair of Adult Aortic Coarctation
Carr
J Am Coll Cardiol 2006;47:1101-1107.
ABSTRACT
| FULL TEXT
Role of surgery in the management of the adult patient with coarctation of the aorta
Ramnarine
Postgrad. Med. J. 2005;81:243-247.
ABSTRACT
| FULL TEXT
A safe strategy for surgical repair of coarctation of the aorta in an adult
Yamada et al.
J. Thorac. Cardiovasc. Surg. 2003;126:597-598.
FULL TEXT
Hypertension after Coarctation Repair
Danford
AAP Grand Rounds 2003;9:2-2.
FULL TEXT
Benefits of surgical repair of coarctation of the aorta in patients older than 50 years
Bauer et al.
Ann. Thorac. Surg. 2001;72:2060-2064.
ABSTRACT
| FULL TEXT
Coarctation of the aorta in adults: surgical results and long-term follow-up
Bouchart et al.
Ann. Thorac. Surg. 2000;70:1483-1488.
ABSTRACT
| FULL TEXT
Coarctation of the aorta: natural history and outcome after surgical treatment
Jenkins and Ward
QJM 1999;92:365-371.
FULL TEXT
Repair of aortic coarctation in patients more than 50 years of age
Aris et al.
Ann. Thorac. Surg. 1999;67:1376-1379.
ABSTRACT
| FULL TEXT
Severe internal mammary artery atherosclerosis after correction of coarctation of the aorta
Chen et al.
Ann. Thorac. Surg. 1995;59:1228-1230.
ABSTRACT
Influence of age on survival, late hypertension, and recoarctation in elective aortic coarctation repairIncluding long-term results after elective aortic coarctation repair with a follow-up from 25 to 44 years
Brouwer et al.
J. Thorac. Cardiovasc. Surg. 1994;108:525-531.
ABSTRACT
| FULL TEXT
Optimal age for repair of aortic coarctation
van Son et al.
Ann. Thorac. Surg. 1991;51:344-345.
Long-term results of direct aortoplasty for repair of aortic coarctation in adults
Heikkinen and Ala-Kulju
Ann. Thorac. Surg. 1990;49:948-950.
ABSTRACT
|
