Journal article

End-to-Side Repair for Aortic Arch Lesions Offers Excellent Chances to Reach Adulthood Without Reoperation

Melissa GY Lee, Johann Brink, John C Galati, Sandeep S Rakhra, Igor E Konstantinov, Michael MH Cheung, Christian P Brizard, Yves d'Udekem

The Annals of Thoracic Surgery | ELSEVIER SCIENCE INC | Published : 2014

Abstract

BACKGROUND: The purpose of this study was to determine the rate of reinterventions from birth to adulthood after end-to-side anastomosis technique for interrupted and hypoplastic aortic arches. Multicenter data have shown that more than half of patients require arch reintervention in the 2 decades after repair. METHODS: The follow-up of 170 consecutive patients undergoing end-to-side repair through sternotomy for interrupted aortic arch (95) or coarctation (75) in one institution between 1985 and 2012 was reviewed. Associated lesions included ventricular septal defect (143) and bicuspid aortic valve (50). One-stage repair was performed in 158 patients (93%). RESULTS: There were 12 hospital d..

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