The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 3 , Pages 547-552 , September 2009

Coarctation repair in neonates and young infants: Is small size or low weight still a risk factor?

  • Phillip T. Burch, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Primary Children's Medical Center and the University of Utah, Salt Lake City, Utah
    • Corresponding Author InformationAddress for reprints: Phillip T. Burch, MD, Divisions of Cardiothoracic Surgery, Primary Children's Medical Center, 100 North Mario Capecchi Dr, Salt Lake City, UT 84113.
    • ,
  • Collin G. Cowley, MD

      Affiliations

    • Division of Pediatric Cardiology, Primary Children's Medical Center and the University of Utah, Salt Lake City, Utah
    • ,
  • Richard Holubkov, PhD

      Affiliations

    • Division of Pediatric Critical Care Medicine, Primary Children's Medical Center and the University of Utah, Salt Lake City, Utah
    • ,
  • Donald Null, MD

      Affiliations

    • Division of Neonatology, Primary Children's Medical Center and the University of Utah, Salt Lake City, Utah
    • ,
  • Linda M. Lambert, MSN, FNP

      Affiliations

    • Division of Cardiothoracic Surgery, Primary Children's Medical Center and the University of Utah, Salt Lake City, Utah
    • ,
  • Peter C. Kouretas, MD, PhD

      Affiliations

    • Division of Cardiothoracic Surgery, Primary Children's Medical Center and the University of Utah, Salt Lake City, Utah
    • ,
  • John A. Hawkins, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Primary Children's Medical Center and the University of Utah, Salt Lake City, Utah

Received 20 June 2008 ,Revised 25 March 2009 ,Accepted 27 April 2009.

References 

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  2. Conte S, Lacour-Gayet F, Serraf A, Sousa-Uva M, Bruniaux J, Touchot A, et al. Surgical management of neonatal coarctation. J Thorac Cardiovasc Surg. 1995;109:663–675
  3. Knott-Craig CJ, Elkins RC, Ward KE, Overholt ED, Razook JD, McCue CA, et al. Neonatal coarctation repair: influence of technique on late results. Circulation. 1993;88;(suppl):II198-204
  4. McElhinney DB, Yang SG, Hogarty AN, Rychik J, Gleason MM, Zachary CH, et al. Recurrent arch obstruction after repair of isolated coarctation of the aorta in neonates and young infants; is low weight a risk factor?. J Thorac Cardiovasc Surg. 2001;122:883–890
  5. Bacha EA, Almodovar M, Wessel DL, Zurakowski D, Mayer JE, Jonas RA, et al. Surgery for coarctation of the aorta in infants weighing less than 2 kg. Ann Thorac Surg. 2001;71:1260–1264
  6. Sudarshan CD, Cochrane AD, Jun ZH, Soto R, Brizard CP. Repair of coarctation of the aorta in infants weighing less than 2 kilograms. Ann Thorac Surg. 2006;82:158–163
  7. Kecskes Z, Cartwright DW. Poor outcome of very low birthweight babies with serious congenital heart disease. Arch Dis Child Fetal Neonatal Ed. 2002;87:F31–F33
  8. Chang AC, Hanley FL, Lock JE, Castaneda AR, Wessel DL. Management and outcome of low birth weight neonates with congenital heart disease. J Pediatr. 1994;124:461–466
  9. Kaplan EL, Meier P. Non-parametric estimation from incomplete observations. J Am Stat Soc. 1958;53:457–481
  10. Reddy VM, Hanley FL. Cardiac surgery in infants with very low birth weight. Semin Pediatr Surg. 2000;9:91–95
  11. Rossi AF, Sciden HS, Sadeghi AM, Nguyen KH, Quintana CS, Gross RP, et al. The outcome of cardiac operations in infants weighing two kilograms or less. J Thorac Cardiovasc Surg. 1998;116:28–35
  12. Oppido G, Napoleone CP, Formigari R, Gabbieri D, Pacini D, Frascaroli G, et al. Outcome of cardiac surgery in low birth weight and premature infants. Eur J Cardiothorac Surg. 2004;26:44–53
  13. Curzon CL, Milford-Beland S, Li JS, O'Brien SM, Jacobs JP, Jacobs ML, et al. Cardiac surgery in infants with low birth weight is associated with increased mortality: analysis of the society of thoracic surgeons congenital heart database. J Thorac Cardiovasc Surg. 2008;135:546–551
  14. Quaegebeur JM, Jonas RA, Weinberg AD, Blackstone EH, Kirklin JW. Outcomes in seriously ill neonates with coarctation of the aorta: a multiinstitutional study. J Thorac Cardiovasc Surg. 1994;108:841–854
  15. Zehr KJ, Gillinov AM, Redmond JM, Greene PS, Kan JS, Gardner TJ, et al. Repair of coarctation of the aorta in neonates and infants: a thirty-year experience. Ann Thorac Surg. 1995;59:33–41
  16. Fenchel G, Steil E, Seybold-Epting W, Seboldt H, Apitz J, Hoffmeister HE. Repair of symptomatic aortic coarctation in the first three months of life: early and late results after resection and end-to-end anastomosis and subclavian flap angioplasty. J Cardiovasc Surg. 1988;29:257–263
  17. Wernovsky G, Rubenstein SD, Spray TL. Cardiac surgery in the low birth weight neonate: new approaches. Clin Perinatol. 2001;28:249–264
  18. Fiore AC, Fischer LK, Schwartz T, Jureidini S, Balfour I, Carpenter D, et al. Comparison of angioplasty and surgery for neonatal aortic coarctation. Ann Thorac Surg. 2005;80:1659–1665
  19. Rao PS, Galal O, Smith PA, Wilson AD. Five- to nine-year follow-up results of balloon angioplasty of native aortic coarctation in infants and children. J Am Coll Cardiol. 1996;27:462–470
  20. Backer CL, Mavoroudis C, Zias EA, Amin Z, Weigel TJ. Repair of coarctation with resection and extended end-to-end anastomosis. Ann Thorac Surg. 1998;66:1365–1371
  21. Chiu IS, Hung CR, Chao SF, Huang SH, How SW. Growth of the aortic anastomosis in pigs: comparison of continuous absorbable suture with nonabsorbable suture. J Thorac Cardiovasc Surg. 1988;95:112–118
  22. Hawkins JA, Minich LL, Tani LY, Ruttenberg HD, Sturtevant JE, McGough EC. Absorbable polydioxanone suture and results in total anomalous pulmonary venous connection. Ann Thorac Surg. 1995;60:55–59

 Read at the Thirty-fourth Annual Meeting of The Western Thoracic Surgical Association, Kona, Hawaii, June 25–28, 2008.

PII: S0022-5223(09)00771-5

doi: 10.1016/j.jtcvs.2009.04.046

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 3 , Pages 547-552 , September 2009

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