ABSTRACT
Long-term results of surgical treatment of isolated coarctation of the aorta were studied in infants from the first year of life till 14 years. In infants of the first year of life elimination of coarctation of the aorta with end-to-end anastomosis is more preferable than isthmoplasty of the aorta of the left subclavian artery, since risk of recoarctation is less, the subclavian artery remains preserved, the ductal tissues are completely dissected. An important condition of success of the operation with elimination of the end-to-end CA is thought to be maximal mobilization of the aorta from the surrounding tissues which leads to greater mobility, less tension in the anastomosis zone. The operations in newborns do not cause recoarctations more often than in infants from one month till one year, so the operative treatment is possible in such young age.
Subject(s)
Aortic Coarctation/surgery , Blood Vessel Prosthesis , Vascular Surgical Procedures/methods , Age Factors , Aortic Coarctation/diagnosis , Auscultation , Echocardiography, Doppler , Female , Follow-Up Studies , Humans , Infant , Infant, Newborn , Male , Recurrence , Retrospective Studies , Time Factors , Treatment OutcomeABSTRACT
Modified Norwood's operations were performed on 46 children aged from 1 to 180 days. The operations were performed on patients with the single heart ventricle in combination with hypoplasia or atresia of the aorta. Atrioseptostomy was fulfilled in 29 children. Two variants of reconstruction of the aorta arch were used: plasty of the aorta arch with a patch or direct anastomosis between the aorta and pulmonary artery. A modified subclavian-pulmonary shunt was made in 24 children, venous-pulmonary conduit by the S.Sano method--in 22 children. No difference was found in the postoperative treatment and survival in groups of patients with the Blalock shunt and Norwood's conduit. The results of Norwood's operation depend on the experience of the surgical team rather than on the type of the operation.
Subject(s)
Cardiac Surgical Procedures/methods , Heart Defects, Congenital/surgery , Vascular Surgical Procedures/methods , Aorta, Thoracic/abnormalities , Aorta, Thoracic/surgery , Follow-Up Studies , Heart Defects, Congenital/mortality , Heart Ventricles/abnormalities , Heart Ventricles/surgery , Humans , Infant , Infant, Newborn , Pulmonary Artery/abnormalities , Pulmonary Artery/surgery , Retrospective Studies , Survival Rate , Treatment OutcomeSubject(s)
Cardiac Surgical Procedures , Delivery of Health Care , Family Health , Military Medicine , Military Personnel , Age Factors , Cardiac Surgical Procedures/rehabilitation , Cardiac Surgical Procedures/statistics & numerical data , Delivery of Health Care/statistics & numerical data , Humans , Military Medicine/statistics & numerical data , Military Personnel/statistics & numerical data , Postoperative Care , Preoperative Care , Referral and Consultation , USSRABSTRACT
The operation of choice for correction of secundum type atrial septal defect is cardiopulmonary bypass. Combination of atrial septal defect with partial anomalous pulmonary venous drainage is considered absolute indication for bypass operation. The authors apply an original method for closure of the defect without resorting to bypass. For a period of seven years they have operated 240 patients from 3 to 54 years of age. Eighty four patients have been operated by the covered method of professor Zorin and in 23 correction of venous sinus defect was performed.
