Arcus Aorta Reconstructions in Neonates and Early Infants
Özgür Yıldırım
, Dilek Suzan
Yeni Yuzyil University Gaziosmanpasa Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
Keywords: Arch of the aorta, reconstructive surgical procedure, aortic arch reconstruction, neonate
Abstract
Introduction: Various instances of aortic arch hypoplasia (AAH) with a wide spectrum of severity have been observed in the neonatal patients. The purpose of this paper is to discuss the aortic arch reconstruction in the coarctation of the aorta and AAH while focusing on the surgical decisions and patient management for the neonatal and infant patients.
Patients and Methods: We performed a retrospective review of 15 patients who underwent aortic arch reconstruction. Importantly, we investigated postoperative outcomes with associated complex congenital heart diseases.
Results: The median age and mean weight of the patients were 74 days (range: 4-306 days) and 4192 ± 1253
gram, respectively. The surgical correction of aortic arch congenital abnormalities was performed under selective antegrade cerebral perfusion in all the 15 patients. All the reconstructions were performed with pericardial
patch, and the coarcted segment of the aorta was completely resected in seven of the patients. One-stage repair
was performed in the seven of the patients. The mean follow-up time was 13.7 ± 9.3 months. In one patient,
transcatheter balloon angioplasty was performed for re-coarctation six months after operation. There was one
early and one late mortality.
Conclusion: Aortic arch reconstruction can be performed with a low mortality and morbidity in the newborn
and infants.
Ethics committee approval was received for this study from the Istanbul Yeni Yuzyil University Gaziosmanpaşa Hospital Clinical Researchs Ethics Committee (Number: 995, Date: 09/06/2020).
Written informed consent was obtained from patients who participated in this study.
Externally peer-reviewed.
Concept/Design - ÖY; Analysis/Interpretation - ÖY; Data Collection - ÖY, DS; Writing - ÖY, DS; Critical Revision - ÖY; Final Approval - ÖY; Statistical Analysis - ÖY; Overall Responsibility - ÖY.
The authors declared that there was no conflict of interest during the preparation and publication of this article.
The authors declared that this study has received no financial support.