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  Vol. 134 No. 5, May 1980 TABLE OF CONTENTS
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Coarctation of the Aorta in Children

Late Results After Surgery

Lee B. Beerman, MD; William H. Neches, MD; Roger E. Patnode, MD; Frederick J. Fricker, MD; Robert A. Mathews, MD; Sang C. Park, MD

Am J Dis Child. 1980;134(5):464-466.


Abstract



• From 1960 to 1970, 110 patients underwent operation for coarctation of the aorta. The overall mortality was 23%. However, in infants operated on at less than 6 months of age, the mortality was 63%, whereas there was only a 4% mortality in those operated on after 6 months of age. Late follow-up was available in 87 patients from five to 15 years postoperatively. There was a 14% frequency of recoarctation in the group of long-term survivors. Systemic hypertension, defined as an upper extremity blood pressure greater than 140/90 mm Hg, was found in 23% of the survivors. This study has demonstrated a significant frequency of postcoarctectomy hypertension and residual hemodynamic and angiographic abnormalities in patients without clinical evidence of recoarctation. This indicates the need for continued long-term follow-up of these patients.

(Am J Dis Child 134:464-466, 1980)



Author Affiliations



From the Cardiology Division (Drs Beerman, Neches, Fricker, Mathews, and Park), Children's Hospital of Pittsburgh; and Department of Pediatrics (Dr Patnode), University of Pittsburgh School of Medicine.


Footnotes



Reprint requests to Cardiology Division, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr Beerman).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pediatric Therapeutic Cardiac Catheterization : A Statement for Healthcare Professionals From the Council on Cardiovascular Disease in the Young, American Heart Association
Allen et al.
Circulation 1998;97:609-625.
FULL TEXT  





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