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Coarctation of the Aorta in ChildrenLate 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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