Early Outcomes of Aortic Coarctation Repair in Children not Suitable for Percutaneous Catheter Intervention | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 4, April 2025, Pages 156-162 PDF (326.55 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aimj.2025.446518 | ||
| Authors | ||
| Deyaa Aldin Ahmed Abdallah Mohamed1; Mohamed Shaffik Hassan Abdallah2; Bahaa Abd Algwad Hassan2; Mohamed Sharaf AlSaied2 | ||
| 1Cardiothoracic Surgery, National Heart Institute, Cairo, Egypt | ||
| 2Cardiothoracic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Aortic coarctation (CoA) is a congenital heart disease (CHD) marked by discrete or diffuse narrowing in the descending aorta at the juxta-ductal region.1 It represents 5-8% of all CHD. Surgical repair is an established technique, and it is used when catheter intervention is not suitable. The aim of the study: To analyse the impact of present anatomical characteristics and surgical performance (end-to-end and extended end-to-end anastomosis) on early outcomes, in children not suitable for percutaneous catheter intervention. Methods: This is a prospective study performed on 60 patients who underwent CoA repair from January 2022 to December 2024. The patients who had end-to-end repair (EEA) were group A, and the other who had extended end-to-end repair (EEEA) were group B. Results: In group A, 56.7% of the patients were females. The mean pre-operative PPG across CoArc was 64.9±6.2 mmHg. The mean cross-clamp time was 16.0±1.4 minutes. The mean post-operative PG was 16.5±2.1 mmHg. While in group B, 46.7% of the patients were females. The mean CoA length was 4.07±2.08 mm, and the mean CoA diameter was 2.89±0.56 mm. The mean cross-clamp time was 28.9±3.5 minutes. The mean post-operative PG was 4.2±2.8 mmHg. There were statistically significant differences regarding cross-clamp time and mean postoperative PG (P value <0.001 & <0.001, respectively). Conclusion: Our study reported that surgical repair of AoC in children is an alternative method to catheter intervention. It had good results, whatever the method of anastomosis was used. | ||
| Keywords | ||
| Aortic coarctation (CoA); End to end ansatomosis (EEA); Extended end to end ansatomosis (EEEA); early mortality | ||
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