摘要
Objectives: To assess survival and long term arch patency rates in a consecutive group of children after extended arch repair for coarctation of the aorta. Methods: Review of 191 consecutive children(154(81% ) under 1 year of age) operated on between 1990 and 2002 by a single surgeon using extended arch reconstructive techniques. For assessment of survival patients were divided into three groups: 1, coarctation alone, n=104; 2, coarctation and ventricular septal defect, n=38; and 3, coarctation in association with complex intracardiac anomalies, n=49. A prospective and systematic clinical and echocardiographic evaluation of the aortic arch was undertaken. Results: Median time to follow up was 4.2 years(range 1-10.6 years). Overall actuarial survival was 92% , 88% , and 88% at two, five, and 10 years. Mortality was significantly higher in those patients with complex intracardiac anatomy. Arch obstruction recurred in seven of 165(4.2% ) patients: four of 139(2.9% ) term and three of 10(30% ) premature infants(p < 0.001). Conclusions: Survival after extended arch reconstruction for coarctation is excellent. At long follow up recurrent arch obstruction is rare, with prematurity the only risk factor.
Objectives： To assess survival and long term arch patency rates in a consecutive group of children after extended arch repair for coarctation of the aorta. Methods： Review of 191 consecutive children（154（81% ） under 1 year of age） operated on between 1990 and 2002 by a single surgeon using extended arch reconstructive techniques. For assessment of survival patients were divided into three groups： 1, coarctation alone, n = 104; 2, coarctation and ventricular septal defect, n =38; and 3, coarctation in association with complex intracardiac anomalies, n = 49. A prospective and systematic clinical and echocardiographic evaluation of the aortic arch was undertaken. Results： Median time to follow up was 4.2 years（range 1-10. 6 years） .
