Isthmusplasty for Coarctation of the Aorta

Knothe, W; Hehrlein, F. W.

doi:10.1378/chest.53.2.148

Cited by 2 publications

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“…Als Hauptvorteil wurde die Möglichkeit des Wachstums angegeben, da im Gegensatz zur Zirkulärnaht wachstumsfähige Aortenwand im Bereich der chirurgischen Korrektur zurückbleibe. Einige Autoren haben Kinder, die nach diesem Prinzip operiert worden sind, nachkontrolliert und gute Resultate beschrieben (9,17,18,19).…”

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Kritische Nachuntersuchung von 49 Kindern mit operierter Aorten-Isthmusstenose unter besonderer Berücksichtigung der Operationstechnik

Mosimann¹,

Schüpbach²,

Weber³

et al. 1976

Thorac cardiovasc Surg

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36 children operated upon with the diagnosis coarctation of the aorta have been controlled in a follow-up examination. We payed special attention to the surgical technique and brought the results in connection with the method of operation. One group had the stenosis corrected by resection and end-to-end-anastomosis, the second group with plastic operation, either by a longitudinal incision, resection of a diaphragm and transverse closure, or by improving the dilatation using a dacron patch. The results in both groups are satisfactory. Actually we prefer to carry out the resection with end-to-end anastomosis. Plastic correction remains reserved for selected cases. We believe that the high mortality rate in infants can be reduced by operation in hypothermy and by removing the stenosis as completely as possible.

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