Key result
Patch plasty repair of aortic coarctation in adults resulted in significant dilatation in 35.1% of patients and aneurysm formation requiring reoperation in 19.5%.
Why the study?
Does patch plasty repair of aortic coarctation increase the risk of aneurysm formation compared to other surgical methods in adolescent and adult patients?
Population
152 adolescent and adult patients with aortic coarctation, mean age 28.5 years (range 14-67 years).
Comparison
Patch plasty repair of aortic coarctation vs Other surgical repair methods
Design
Cohort
Follow-up
mean 9.1 years for imaging follow-up; mean 6.6 years for…
Authors
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Patch plasty linked to high late aneurysm rates in adults; leaves open optimal repair technique pending comparative studies.
Cohort (n=152)
Does patch plasty repair of aortic coarctation increase the risk of aneurysm formation compared to other surgical methods in adolescent and adult patients?
Patch plasty repair of aortic coarctation in adults is associated with a high incidence of late aneurysm formation and should be abandoned in favor of other surgical techniques.
Aebert et al. (1993) conducted a cohort in Aortic coarctation (n=152). Patch plasty repair vs. Other surgical methods (end-to-end anastomosis, tubular graft, prosthetic bypass, direct plasty) was evaluated on Significant dilatation at the operative site. Patch plasty repair of aortic coarctation in adults resulted in significant dilatation in 35.1% of patients and aneurysm formation requiring reoperation in 19.5%.
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