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
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..View full abstract
This research project was supported by the Victorian Government's Operational Infrastructure Support Program. We thank Bill Reid for creating the drawings. Yves d'Udekem is a Career Development Fellow of the National Heart Foundation of Australia (CR 10M 5339).