Journal of Developmental Medicine(Electronic Version)  2016, Vol. 4 Issue (3): 152-158 DOI: |
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| Clinical study of aortic arch sliding aortoplasty in surgical repair of infants with coarctation of the aorta and hypoplastic aortic arch |
| XIONG Hong-yan, ZHU Hai-long , SUN Guo-cheng, et al
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| XIONG Hong-yan 1,2, ZHU Hai-long 1, SUN Guo-cheng 1, WEI Dong-ming 1, YU Shi-qiang 1 (1.Department of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Shanxi, Xi’an 710032, China; 2.Department of Cardiothoracic Surgery, Xi’an Central Hospital, Shanxi, Xi’an 710003, China) |
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Abstract Objective To summarize the clinical experiences of aortic arch sliding aortoplasty in surgical repair of infants with coarctation of the aorta and hypoplastic aortic arch. Methods Eight patients with coarctation of the aorta and hypoplastic aortic arch who underwent surgical repair by aortic arch sliding aortoplasty from January 2013 to May 2015 were retrospectively analyzed. The patients' age was (7±5.4) months (2~21 months) and weight was (6.6±1.7) kg (4~10 kg). Six of them were male and two of them were female. All the operations were performed through median sternotomy under deep hypothermia cardiopulmonary bypass with selective cerebral perfusion. According to the pathological anatomy of aortic arch, the techniques were different to reach optimal anatomical repair. Results All patients were repaired successfully. There was no mortality or major complication such as renal dysfunction or nervous system complications. Follow-up was carried out for (16.0±5.6) months (6~20 months). At the last follow-up, the lower limb systolic blood pressure was higher than upper limb systolic pressure in (8.9±3.2) mmHg (0~15 mmHg)(1 mmHg=0.133 kPa). No patient showed evidence of residual obstruction. Conclusion Aortic arch sliding aortoplasty is an optimal surgical method to treat coarctation of the aorta with hypoplastic aortic, showing good short-and middle-term outcomes.
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Received: 02 June 2016
Published: 25 January 2018
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