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Journals / MN Kardiyoloji / 2000 / Cilt: 7 - Sayı: 1

Coarctation of the aorta: Long term follow up and prediction of recoarctation after surgical correction

Aort koarktasyonu: Cerrahi tedavi sonrası uzun dönem takip ve rekoarktasyon tesbiti

Mehmet ÖZKÖKELİ
NİYAZİ GÜLER
Rafet GÜNAY
Gülşah TAYYARECİ
Murat DEMİRTAŞ
Pages
47–49
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We concluded that in the postoperative follow up period of the aortic coarctation patients, transthoracic echocardiography is a cost effective, easy and accurate technique.

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: The purpose of this study is to predict the rate of recoarctation after surgical correction in long term follow up.
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Key Findings & Data:METHODS: We present 32 coarctation patients which we operated in Siyami Ersek Thoracic and Cardiovascular Surgery Center between the years 1972 and 1988.
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Conclusion & Impact:We concluded that in the postoperative follow up period of the aortic coarctation patients, transthoracic echocardiography is a cost effective, easy and accurate technique.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Aort koarktasyonu · Tedavi sonucu · Tekrarlama

Abstract

AIM: The purpose of this study is to predict the rate of recoarctation after surgical correction in long term follow up. METHODS: We present 32 coarctation patients which we operated in Siyami Ersek Thoracic and Cardiovascular Surgery Center between the years 1972 and 1988. Twenty three patients (71.8%) were male, 9 (28.2%) were female and mean age was about 18.06 years. In our study, the criteria of the recoarctation is a mean gradient above 20 mmHg at rest. After 5.5 year follow-up period, we evaluated patients with transthoracic Doppler echocardiography. RESULTS: We found that the mean gradient was below 20 mmHg in 28 patients (87.5%) and the mean gradient was above 20 mmHg only in 4 patients (12.5%). CONCLUSIONS: Recoarctation of the aorta is a multifactorial event and can be seen after all surgical techniques. Recoarctation depends on the age of patient at the surgery, the size of coarctated segment and resection of all segment of the coarctation. We concluded that in the postoperative follow up period of the aortic coarctation patients, transthoracic echocardiography is a cost effective, easy and accurate technique.

Özet

AMAÇ: Opere aort koarktasyonlu hastaların uzun süreli takipleri sonrası rekoarktasyon oranı saptamaktı. YÖNTEM: Bu çalışmada 1972-1998 yılları arasında Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Merkezinde aort koarktasyonu nedeniyle ameliyat edilen 32 hasta incelenmiştir. Hastaların 23 'ü erkek (%71.8), 9'u kadın (%28.2) olup yaş. ortalaması 18.06 yıldır. Hastalar Transtorasik Doppler ekokardiografi tetkiki ile ortalama 5.5 yıl takip edildi. BULGULAR: Transtorasik Doppler ekokardiografi ile takip sonrası 28(%87.5) hastanın ortalama gradienti 20 mmHg'nin altında. 4(%12.5) hastanın ise 20 mmHg'nın üzerinde idi. SONUÇ: Koarktasyon rekürensi multifaktöriyeldir ve her tip koarktasyon tamirinden sonra görülebilir. Rekoarktasyon açısından operasyon esnasındaki hastanın yaşı, koarkte segmentin yeri ve en önemlisi koarkte seğmentin tam olarak rezeke edilmesi büyük önem taşır. Bu hastaların takibinde transtorasik ekokardiografi rekoarktasyonun tespiti açısından ucuz. kolay ve kullanışlı bir tetkikdir.

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Cite This Article

ÖZKÖKELİ, M., GÜLER, N., GÜNAY, R., TAYYARECİ, G., DEMİRTAŞ, M. (2000). Coarctation of the aorta: Long term follow up and prediction of recoarctation after surgical correction. MN Kardiyoloji, Cilt: 7 - Sayı: 1, 47–49. https://ajindex.com/articles/298088

References (15)

  1. Edwards RAC, Williams WG, Colles JC, Rebeyka İM, Trusler GA, Freedom RM. Reoperation for recurrent aortic coarctation. Ann Thorac Surg 1995
  2. Cohen M, Fuster V, Steele PM, Driscoll D, McGoon DC. Coarctation of the aorta: Long term follow up and prediction of outcome after surgical correction. Circulation 1989
  3. Kappatein AP, Zwinderman AH, Bogers AJC, Rohmer J, Huymans HA. More than thirty five years of coarctation repair. An unexpected high relapse rate. J Thorac Cardiovasc Surg 1994
  4. İslamoğlu F, Alat I, Boğa M, Özyürek R, Coşkun Ş, Alayurt EA. Aort koarktasyonları ve operasyon tekniklerinin postoperatif sonuç üzerine etkilerinin değerlendirilmesi. GKDC Dergisi 1997
  5. Backer CL, Mavroudis C. Coarctation of the aorta and interrupted aortic arch. Glenn's Thoracic and Cardiavascular Surgery. Baue AE (ed.). Appleton & Lange. 1996:1243. Kirklin JW, Barrat-Boyes BG (eds). Cardiac Surgery. Churchill Livingstone Inc. 1993
  6. Vol II, 1292. Rey C, Vaksmann G, Francort C. Follow up of surgically treated congenital heart disease using Doppler echocardiography Arch Mal Coeur Vaiss 1990
  7. Teien D, Wendel H, Holm S, Hallberg M. Estimation of Doppler gradients at rest and during exercise in patients with recoarctation of the aorta. Br Heart J 1991
  8. Nanton MA, Olley PM. Residuel hypertension after coarctectomy in children. Am J Cardiol 1976
  9. Berry CL, Tawes RL. Mucopolysaccharides of the aortic wall in coarctation and recoarctation. Cardiovasc Res 1970
  10. Fishman NH, Bronstein MH, Berman W, et al. Surgical Management of severe aortic coarctation and interrupted aortic arch in neonates. J Thorac Cardiovasc Surg 1976
  11. Çobanoğlu A, Teply JF, Grunkemeier GL, Sunderland CO, Starr A. Coarctation of the aorta in patients younger than three months. A critique of the subclavian flap operation. J Thoraç Cardiovasc Surg 1985
  12. Goldman S, Hernandez J, Pappas G. Results of surgical treatment of coarctation of the aorta in the critically ill neonate. J Thorac Cardiavasc Surg 1986
  13. Sanchez GR, Balsara RK, Dunn JM, Mehta AV, O'Riordan AC. Recurrent obstruction of the aorta in infants. J Thorac Cardiovasc Surg 1986
  14. Hesslein PS, McNamara DG, Morriss MJH, Hallman GL, Cooley DA. Comparison of resection versus patch aortoplasty for repair of coarctation in infants and children. Circulation 1981
  15. Weber HS, Cyran SE, Grzeszczak M, Myers JL, Gleason MM, Baylen BG. Discrepancies in aortic growth explai