Bronchus compression is a predictor for reobstruction in coarctation with hypoplastic arch repair.

ABSTRACT:

Objectives

The surgical treatment of coarctation of aorta with hypoplastic aortic arch (CoA/HAA) was challenging to achieve long-lasting arch patency. We reviewed early and late outcomes in our centre and identified predictors for arch reobstruction.

Methods

A retrospective analysis of medical records was performed to identify CoA/HAA patients who underwent primary arch reconstruction via median sternotomy between 2011 and 2020. Preoperative aortic arch geometry was analysed with cardiac computed tomographic angiography. Bedside flexible fibre-optic bronchoscopy was routinely performed after surgery in intensive care unit.

Results

There were 104 consecutive patients (median age 39.5 days) who underwent extended end-to-end anastomosis, extended end-to-side anastomosis

SUBMITTER: Hui C 

PROVIDER: S-EPMC10681811 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature