ArticlePediatric cardiology2022
Effectiveness of Repair of Aortic Coarctation in Neonates: A Long-Term experience.
Article in Pediatric cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 24 citations in OpenAlex.
- Exploring the future of robotic approaches in neonatal cardiac surgery: opportunities, barriers, and innovation pathways.Journal of robotic surgery · 2025Review
- 15-Year Analysis of Surgical Approaches and Outcomes for Coarctation in 132 Neonates and Infants.Pediatric cardiology · 2025Article
- Hypertension in aortic coarctation.Frontiers in cardiovascular medicine · 2025Review
- Sternotomy or thoracotomy for neonatal repair of coarctation of the aorta with aortic arch hypoplasia.JTCVS open · 2024Article
- Deciphering risk elements: exploring precursors to recoarctation in individuals with aortic coarctation.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2024Article
- Evaluation of Children with Aortic Coarctation: A Single-Center Experience.Turkish archives of pediatrics · 2024Article
- Interdigitating Technique for Repair of Aortic Arch Obstruction to Reduce Reintervention Rates.The Annals of thoracic surgery · 2024Article
- Three-dimensional aortic arch geometry and blood flow in neonates after surgical repair for aortic coarctation.Frontiers in cardiovascular medicine · 2024Article
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Authors and funding
8 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To evaluate early and long-term results of surgical treatment of aortic coarctation (CoAo) in neonates. This is a retrospective clinical review of neonates with CoAo, who underwent surgery between 1995 and 2019. Data were retrieved from our institutional database, to identify preoperative and postoperative characteristics. Statistical analysis was performed by means of relative risk ratio and Cox and logistic multivariate analysis. 218 consecutive neonates (M/F: 129/89, median age 11 days, IQR 7-17 days) were included; 202 (92.7%) had a left thoracotomy; 178 underwent extended end-to-end anastomosis (EEEA, 81.6%). Hypoplastic aortic arch (HAA) was present in 102 patients (46.8%); complex cardiac anomalies in 85 (39%). Significant postoperative complications occurred in 20 (9.2%). Thirty-day mortality was 2.3% (most in complex types). At a median follow-up of 10.4 years (IQR 5.6-15.0 years; FU completeness 95.9%), there were 8 late deaths (3.7%), all associated to complex CoAo. Among 196 survivors, 177 (93.2%) were in NYHA class I; re-interventions on aortic arch occurred in 9.2% (2.0% were surgical). Freedom from mortality and re-intervention on aorta at 10 years were 94.3% and 96.7%, respectively. Surgical repair of CoAo in newborns without CPB in our series was safe and low-risk, with excellent early and late outcomes.
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