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Coarctation of Aorta Repair at the National Hearth Institute (1983-1994)

Adeeb S.M.S.J., and Leman H., and Sallehuddin A.Y., and Yakub A., and Awang Y., and Alwi M., (2004) Coarctation of Aorta Repair at the National Hearth Institute (1983-1994). Medical Journal of Malaysia, 59 (1). pp. 11-14. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Hospital Universiti Kebangsaan Malaysia. Dept. of Surgery. Division of Cardiothoracic Surgery.
Institut Jantung Negara (National Heart Institute). Dept. of Cardiothoracic Surgery.
Institut Jantung Negara (National Heart Institute). Dept. of Cardiothoracic Surgery.
Institut Jantung Negara (National Heart Institute). Dept. of Cardiothoracic Surgery.
Institut Jantung Negara (National Heart Institute). Dept. of Cardiothoracic Surgery.
Institut Jantung Negara (National Heart Institute). Dept. of Cardiology.

Abstract

This retrospective sudy illustrates our approach to this problem over the years, from performing subclavian flap aortoplasty initially to the more accepted procedure now, which is resection and end-to-end anastomosis. Coarctation Of aorta in our population is seen in a varying age groups and are also associated with other cardiac anomalies including both acyanotic and cyanotic congenital cardiac defects. Therefore a wide variety of surgical procedures were performed including resection of the coarcted segment and end-to-end anastomosis, subclavian flap aortoplasty, patch aortoplasty and synthetic tube graft interposition. Subclavian flap aortoplasty is not widely practised anymore in favour of resection with end-to-end anastomosis. Fifty four point four percent of patients had isolated coarctation, 10.5% had associated valvular defects, 2.8% had other simple congenital defects and 7.0% had associated complex cyanotic congenital defects. Perioperative mortality was 5.26% and is correlated with the younger age of patients at time of surgery and severity of cardiac failure at time of presentation. we did not see any difference in mortality for patients with complex congenital disease or between the different surgical procedures. However, we did find that in the early period when resection with end-to-end anastomosis was performed, there was a significantly higher incidence of morbidities.

Item Type:Journal
Keywords:Aortic Coarctation
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:5889

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