We have reviewed 157 cases of coarctation of aorta in the age of infancy and children from March 1973 to december 1994. Patients were 93 males and 64 females, and their age ranged from one month to fifteen years(23.8±41.6months)with 113 infant
cases.
In the infantile age, congestive heart failure was the most common chief complaint(78/113), and above that age, asymptom was most common(15/44).
Isolated coarctation was present in 31 patients, and 9 patients had additional atrial septal defect(group I), 73 patients had associated ventricular septal defect(group II), and 44 patients had associated complex intracardiac lesions(group III).
Aortic
arch hypoplasia was present in 17 patients.
The operations performed were subclavian flap angioplasty in 71 patients, resection and anastomosis in 32 patients, patch aortoplasty in 26 patients, resd extended end-to-end anastomosis in 27 patients, and direct angioplasty with resection of
web
in l
patient. The early mortality was 17.2%(27/157) and re-coarctation rate was 18.0%(28/157). The most common complication was respiratory problem in infants and postoperative hypertension in children.
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