Why the study?
Does resection and end-to-end anastomosis improve outcomes compared to Dacron patch aortoplasty in infants and children with coarctation of the aorta?
Population
184 infants and children younger than 16 years of age with coarctation of the aorta
Comparison
Resection and end-to-end anastomosis vs Dacron patch aortoplasty
Design
Cohort
Follow-up
1-12.3 years, median 4.3 years
Authors
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May support either resection or patch aortoplasty in coarctation; leaves open age at operation as independent driver of residual gradients.
Does resection and end-to-end anastomosis improve outcomes compared to Dacron patch aortoplasty in infants and children with coarctation of the aorta?
Resection and patch aortoplasty are equivalent operations for coarctation of the aorta in infants and children, with long-term relief of gradient related to age at operation rather than surgical technique.
Hesslein et al. (1981) studied this question.
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