Key result
Left heart bypass during aortic coarctation repair is linked to 100% satisfactory distal perfusion.
Why the study?
Is left heart bypass safe and effective for maintaining distal perfusion during aortic coarctation repair in children?
Observational (n=47)
Is left heart bypass safe and effective for maintaining distal perfusion during aortic coarctation repair in children?
Left heart bypass is a safe and effective method to maintain distal perfusion during aortic coarctation repair in children when distal aortic pressure is low.
Answers are grounded in this paper and cite their sources.
Supports left heart bypass for distal perfusion in select pediatric cases; leaves open need for prospective validation.
Of 47 children over the age of 1 year who underwent repair of aortic coarctation during 1978-85, 22 had the operation performed with left heart bypass because the distal aortic pressure was below 50 mm Hg after the initial application of the arterial clamps. One further child had an elective left heart bypass. Satisfactory distal perfusion was achieved in all 23 patients. There were no deaths related to the use of left heart bypass but three complications occurred. One child had a mild transient hemiparesis on the ninth postoperative day and two had a pericardial effusion.
No takes yet. Share an insight, caveat, or question.
Buckels et al. (1988) conducted an observational in Aortic coarctation (n=47). Left heart bypass vs. No left heart bypass was evaluated on Satisfactory distal perfusion. Left heart bypass during aortic coarctation repair achieved satisfactory distal perfusion in 100% of patients (23/23), with no related deaths and three complications.
Synapse has enriched 10 related papers. Consider them for comparative context: