RESUMO
From January 1992 to December 1996, fifty-one (male 31) patients underwent operative intervention for coarctation of the aorta. The mean age was 26.8+/-20.3 days. Twenty six patients had simple coarctation and 25 patients had coexisting other complex cardiac anomalies. Coarctation with Hypoplastic aortic arch was seen in 47% of the patients. Resection and end-to-end anastomosis was done on 28 (55%), extended end-to end anastomosis on 22 (43.1%), and one had subclavian flap aortoplasty. The overall mortality was 13.7%. Five of the seven patients who died had additional congenital heart disease (p<0.05). The major cause of death was left ventricular dysfunction following surgery. The mean duration of follow-up was 16. 5+/-12.8 months. The rate of recoarctation was 19.6%. This study shows that associated cardiac anomalies increase the mortality.
