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Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants

BACKGROUND: Coarctation of the aorta is a discrete stenosis of the proximal thoracic aorta. The common clinical pattern is congestive heart failure in infancy. Treatment methods include balloon angioplasty and surgical repair in this age group. Percutaneous balloon angioplasty is a less invasive met...

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Autores principales: Alaei, Fariba, Moghadam, Mohammad Yousef Arabi, Mortaezaian, Hojat, Alaei, Mastaneh, Bakhshandeh, Hooman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3466896/
https://www.ncbi.nlm.nih.gov/pubmed/23074619
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author Alaei, Fariba
Moghadam, Mohammad Yousef Arabi
Mortaezaian, Hojat
Alaei, Mastaneh
Bakhshandeh, Hooman
author_facet Alaei, Fariba
Moghadam, Mohammad Yousef Arabi
Mortaezaian, Hojat
Alaei, Mastaneh
Bakhshandeh, Hooman
author_sort Alaei, Fariba
collection PubMed
description BACKGROUND: Coarctation of the aorta is a discrete stenosis of the proximal thoracic aorta. The common clinical pattern is congestive heart failure in infancy. Treatment methods include balloon angioplasty and surgical repair in this age group. Percutaneous balloon angioplasty is a less invasive method for the repair of discrete coarctation but remains controversial as a primary treatment strategy for a native coarctation. This study aimed to compare the effectiveness and outcome of balloon angioplasty and surgical repair in coarctation infants younger than 1 year old. METHODS: This retrospective study evaluated the results of the two methods in 167 patients younger than one year old admitted into a tertiary heart center pediatric ward with the diagnosis of coarctation of the aorta: Balloon angioplasty was done for 55 and surgical repair for 112 infants. Patients with previous interventions were not included in this study. RESULTS: Primary results revealed no significant difference in the effectiveness of the two methods (p value = 0.0601). While the rate of recurrent coarctation was significantly lower in the surgery group [19 (17%) vs. 11 (20%), p value = 0.0470], the mortality rate was lower in the balloon angioplasty method [5 (5.5%) vs. 13 (11.6%), p value = 0.039]. Our multivariate logistic regression model, however, showed no statistically significant difference (p value = 0.120). CONCLUSION: Because of the incidence of re-coarctation, balloon angioplasty compared with surgical repair did not confer an improved outcome for our infants’ coarctation.
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spelling pubmed-34668962012-10-16 Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants Alaei, Fariba Moghadam, Mohammad Yousef Arabi Mortaezaian, Hojat Alaei, Mastaneh Bakhshandeh, Hooman J Tehran Heart Cent Original Article BACKGROUND: Coarctation of the aorta is a discrete stenosis of the proximal thoracic aorta. The common clinical pattern is congestive heart failure in infancy. Treatment methods include balloon angioplasty and surgical repair in this age group. Percutaneous balloon angioplasty is a less invasive method for the repair of discrete coarctation but remains controversial as a primary treatment strategy for a native coarctation. This study aimed to compare the effectiveness and outcome of balloon angioplasty and surgical repair in coarctation infants younger than 1 year old. METHODS: This retrospective study evaluated the results of the two methods in 167 patients younger than one year old admitted into a tertiary heart center pediatric ward with the diagnosis of coarctation of the aorta: Balloon angioplasty was done for 55 and surgical repair for 112 infants. Patients with previous interventions were not included in this study. RESULTS: Primary results revealed no significant difference in the effectiveness of the two methods (p value = 0.0601). While the rate of recurrent coarctation was significantly lower in the surgery group [19 (17%) vs. 11 (20%), p value = 0.0470], the mortality rate was lower in the balloon angioplasty method [5 (5.5%) vs. 13 (11.6%), p value = 0.039]. Our multivariate logistic regression model, however, showed no statistically significant difference (p value = 0.120). CONCLUSION: Because of the incidence of re-coarctation, balloon angioplasty compared with surgical repair did not confer an improved outcome for our infants’ coarctation. Tehran University of Medical Sciences 2011 2011-08-31 /pmc/articles/PMC3466896/ /pubmed/23074619 Text en Copyright © Tehran Heart Center, Tehran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Alaei, Fariba
Moghadam, Mohammad Yousef Arabi
Mortaezaian, Hojat
Alaei, Mastaneh
Bakhshandeh, Hooman
Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants
title Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants
title_full Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants
title_fullStr Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants
title_full_unstemmed Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants
title_short Balloon Angioplasty versus Surgical Repair of Coarctation of Aorta in Infants
title_sort balloon angioplasty versus surgical repair of coarctation of aorta in infants
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3466896/
https://www.ncbi.nlm.nih.gov/pubmed/23074619
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