Coarctation of the thoracic aorta in adults: A follow-up study after surgical treatment

Ala-Kulju, K

doi:10.3109/14017438109104796

Cited by 1 publication

(2 citation statements)

References 137 publications

(81 reference statements)

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“…O/sson and co-workers (14) reported some cases of aneurysmal dilatation of the remaining aortic wall after patch aortopl asty . An alarmingly high ineidence of late aneurysm formation (30 %) after patch aortoplasty for CoA in adults was found in an earlier study from this hospital (2). The patients other than those of the patch aortoplasty group had no postoperative aneurysms…”

Section: Discussionmentioning

confidence: 73%

“…Received for publicatio n: April II , 1983 In our hospital the resection-anastomosis procedure and patch aort oplasty have been used as equal alternatives and practically with no preselection for CoA of adult patients since 1967 (23,24) . A long-term follow-up has revealed a significant number of late aneurysm formations at the CoA repair site after patch aorto plasty and good long-term results after resection -anastomosis (2) . We present our patch aortoplasty material as a whole and our experience in the management of the postoperative aneurysms.…”

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confidence: 99%

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Late Aneurysms after Patch Aortoplasty for Coarctation of the Aorta in Adults

Ala-Kulju¹,

Järvinen²,

Maamies³

et al. 1983

Thorac cardiovasc Surg

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Sixty-eight patch aortoplasties were performed for coarctation of the aorta (CoA) in adult patients from 1967 to 1978 in our hospital. The mortality was 1.5% and the immediate result of the surgical repair seemed good. Long-term follow-up of 2 to 14 years later revealed aneurysm formation at the repair area in 27% of the 62 patients for whom sufficient follow-up data are available. Two aneurysms had ruptured with a fatal outcome. Other repair methods used for coarctation in 106 patients were free from aneurysm complication. Thirteen patients with an aneurysm underwent reoperation without mortality. The etiology of these unexpected aneurysms is discussed.

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Section: Discussionmentioning

confidence: 73%

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confidence: 99%