Fifteen years of experience in the treatment of aortic coarctation

Authors: Soynov I.A., Rzaeva K.A., Gorbatykh Yu.N., Kulyabin Yu.Yu., Gorbatykh A.V., Velyukhanov I.A., Nichay N.R., Arkhipov A.N.

Company: ¹ Meshalkin National Medical Research Center, Novosibirsk, Russian Federation
² Almazov National Medical Research Centre Saint-Petersburg, Russian Federation

Cite as: Soynov I.A., Rzaeva K.A., Gorbatykh Yu.N., Kulyabin Yu.Yu., Gorbatykh A.V., Velyukhanov I.A., Nichay N.R., Arkhipov A.N. Fifteen years of experience in the treatment of aortic coarctation. Children’s Heart and Vascular Diseases. 2023; 20 (2): 126–40 (in Russ.). DOI: 10.24022/1810-0686-2023-20-2-126-140

Received / Accepted: 02.06.2023 / 19.06.2023

Keywords: aortic coarctation aortic arch hypoplasia aortic recoarctation arterial hypertension

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Abstract

Objective. To evaluate the immediate and long-term results of treatment of aortic coarctation in newborns and infants.

Material and methods. A cohort retrospective study included 308 patients with aortic coarctation. The age of the patients was 11 (7; 23) days. Weight was 3.4 (2.8; 3.75) kg. The male gender predominated in the study, 61.7%.

Results. The hospital mortality rate was 10%. The only risk factor for death were patients with critical aortic coarctation. The frequency of aortic recoarctation was 9%. Predictors of aortic recoarctation were: low weight of the child at the time of surgery, operations from lateral access, remodeling of the aortic arch, absorbable suture material. The incidence of arterial hypertension was 22.4%. The predictors of arterial hypertension were: gothic aortic arch and left ventricular myocardial mass index greater than 59 g/m2 .

Conclusion. Long-term complications did not depend on the variant of correction of aortic coarctation.

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About the authors

Ilya A. Soynov, Cand. Med. Sci., Cardiovascular Surgeon, Senior Researcher; ORCID
Kseniya A. Rzaeva, Postgraduate; ORCID
Yuriy N. Gorbatykh, Dr. Med. Sci., Professor, Cardiovascular Surgeon, Leading Researcher; ORCID
Yuriy Yu. Kulyabin, Cand. Med. Sci., Cardiovascular Surgeon, Junior Researcher; ORCID
Artem V. Gorbatykh, Cand. Med. Sci., Cardiovascular Surgeon, Head of Laboratory; ORCID
Ilya A. Velyukhanov, Anesthesiologist-Intensivist; ORCID
Nataliya R. Nichay, Cand. Med. Sci., Cardiovascular Surgeon, Junior Researcher; ORCID
Aleksey N. Arkhipov, Cand. Med. Sci., Senior Researcher, Cardiovascular Surgeon, Head of Department; ORCID

Chief Editor

Konstantin V. Shatalov
MD, PhD, DSc, Professor
Bakoulev National Medical Research Center for Cardiovascular Surgery

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