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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tehran University of Medical Sciences
2011
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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. |
format | Online Article Text |
id | pubmed-3466896 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Tehran University of Medical Sciences |
record_format | MEDLINE/PubMed |
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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