Surgery for aortic re-coarctation in children less than 10 years old. A
single center experience in Siberia, Russia
Background: Persistence or recurrence of stenosis is a
complication of initial coarctation repair. This study aims to report
short-term outcomes of surgical management of recurrent coarctation and
initial repair analysis. Methods: We retrospectively reviewed our
experience with 51 patients undergoing recoarctation surgical repair
between 2008 and 2019 using antegrade cerebral perfusion technique.
Results: Surgical correction included prosthetic patch
aortoplasty in 23 (45%), resection with wide end-to-end anastomosis in
15 (29%) and a tube interposition graft in 13 (25%) patients. Median
age at initial correction and reintervention were 12 month and 9 years.
Median interval from primary repair to reintervention was 60 months.
Initial repair analysis revealed 33% of patients had initial correction
in the neonatal period, 72,5% of patients were done via a left
thoracotomy approach and 63% of patients had end-to-end anastomosis at
initial surgery. Conclusion: Our study demonstrates that surgical
repair of recurrent coarctation of the aorta using antegrade cerebral
perfusion technique can be performed safely and with excellent results.