Surgical treatment of aortic arch malformations in infants under cardiopulmonary bypass

Iu N. Gorbatykh; Iu S. Sinel'nikov; I. A. Soĭnov; I. A. Kornilov; M. S. Kshanovskaia; A. V. Gorbatykh; S. M. Ivantsov; A. Iu Omel'chenko

doi:10.17116/hirurgia2015818-21

Surgical treatment of aortic arch malformations in infants under cardiopulmonary bypass

Iu N. Gorbatykh, Iu S. Sinel'nikov, I. A. Soĭnov, I. A. Kornilov, M. S. Kshanovskaia, A. V. Gorbatykh, S. M. Ivantsov, A. Iu Omel'chenko

Department of Anesthesiology and Perioperative Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

MATERIAL AND METHODS: Retrospective study enrolled 62 patients aged 55 ± 14 days who underwent aortic arch surgery under cardiopulmonary bypass. It was compared two methods of aortic archplasty: use of xenopericardial material in group 1 and Rajasinghe's autoplastic method in group 2.

RESULTS: Follow-up was 42 ± 14 months. In the long-term recoarctation occurred in 7 (13.7%) cases including 6 (18.75%) patients in group 1 and one (3.3%) patient in group 2. Residual hypertension was observed in 12 (23.5%) cases including 10 (37%) patients in group 1 and 2 (8.3%) patients in group 2. Six (50%) patients receive antihypertensive therapy, 5 (41.6%) patients who receive antihypertensive drugs have persistent increase of blood pressure without evidence of anatomic aortic obstruction. Hypertensive response to functional tests was observed in one patient.

CONCLUSIONS: Aortic arch reconstruction using autoplasty is associated with lower risk of recoarctationand residual hypertension compared with xenopericardial patch application.

AIM: To evaluate long-term results and the causes of complications in congenital obstructive pathology of the aortic arch.

Original language	English (US)
Pages (from-to)	18-21
Number of pages	4
Journal	Khirurgiia
Issue number	8
DOIs	https://doi.org/10.17116/hirurgia2015818-21
State	Published - 2015

All Science Journal Classification (ASJC) codes

General Medicine

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title = "Surgical treatment of aortic arch malformations in infants under cardiopulmonary bypass",

abstract = "MATERIAL AND METHODS: Retrospective study enrolled 62 patients aged 55 ± 14 days who underwent aortic arch surgery under cardiopulmonary bypass. It was compared two methods of aortic archplasty: use of xenopericardial material in group 1 and Rajasinghe's autoplastic method in group 2.RESULTS: Follow-up was 42 ± 14 months. In the long-term recoarctation occurred in 7 (13.7%) cases including 6 (18.75%) patients in group 1 and one (3.3%) patient in group 2. Residual hypertension was observed in 12 (23.5%) cases including 10 (37%) patients in group 1 and 2 (8.3%) patients in group 2. Six (50%) patients receive antihypertensive therapy, 5 (41.6%) patients who receive antihypertensive drugs have persistent increase of blood pressure without evidence of anatomic aortic obstruction. Hypertensive response to functional tests was observed in one patient.CONCLUSIONS: Aortic arch reconstruction using autoplasty is associated with lower risk of recoarctationand residual hypertension compared with xenopericardial patch application.AIM: To evaluate long-term results and the causes of complications in congenital obstructive pathology of the aortic arch.",

author = "Gorbatykh, {Iu N.} and Sinel'nikov, {Iu S.} and Soĭnov, {I. A.} and Kornilov, {I. A.} and Kshanovskaia, {M. S.} and Gorbatykh, {A. V.} and Ivantsov, {S. M.} and Omel'chenko, {A. Iu}",

year = "2015",

doi = "10.17116/hirurgia2015818-21",

language = "English (US)",

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journal = "Khirurgiia",

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T1 - Surgical treatment of aortic arch malformations in infants under cardiopulmonary bypass

AU - Gorbatykh, Iu N.

AU - Sinel'nikov, Iu S.

AU - Soĭnov, I. A.

AU - Kornilov, I. A.

AU - Kshanovskaia, M. S.

AU - Gorbatykh, A. V.

AU - Ivantsov, S. M.

AU - Omel'chenko, A. Iu

PY - 2015

Y1 - 2015

N2 - MATERIAL AND METHODS: Retrospective study enrolled 62 patients aged 55 ± 14 days who underwent aortic arch surgery under cardiopulmonary bypass. It was compared two methods of aortic archplasty: use of xenopericardial material in group 1 and Rajasinghe's autoplastic method in group 2.RESULTS: Follow-up was 42 ± 14 months. In the long-term recoarctation occurred in 7 (13.7%) cases including 6 (18.75%) patients in group 1 and one (3.3%) patient in group 2. Residual hypertension was observed in 12 (23.5%) cases including 10 (37%) patients in group 1 and 2 (8.3%) patients in group 2. Six (50%) patients receive antihypertensive therapy, 5 (41.6%) patients who receive antihypertensive drugs have persistent increase of blood pressure without evidence of anatomic aortic obstruction. Hypertensive response to functional tests was observed in one patient.CONCLUSIONS: Aortic arch reconstruction using autoplasty is associated with lower risk of recoarctationand residual hypertension compared with xenopericardial patch application.AIM: To evaluate long-term results and the causes of complications in congenital obstructive pathology of the aortic arch.

AB - MATERIAL AND METHODS: Retrospective study enrolled 62 patients aged 55 ± 14 days who underwent aortic arch surgery under cardiopulmonary bypass. It was compared two methods of aortic archplasty: use of xenopericardial material in group 1 and Rajasinghe's autoplastic method in group 2.RESULTS: Follow-up was 42 ± 14 months. In the long-term recoarctation occurred in 7 (13.7%) cases including 6 (18.75%) patients in group 1 and one (3.3%) patient in group 2. Residual hypertension was observed in 12 (23.5%) cases including 10 (37%) patients in group 1 and 2 (8.3%) patients in group 2. Six (50%) patients receive antihypertensive therapy, 5 (41.6%) patients who receive antihypertensive drugs have persistent increase of blood pressure without evidence of anatomic aortic obstruction. Hypertensive response to functional tests was observed in one patient.CONCLUSIONS: Aortic arch reconstruction using autoplasty is associated with lower risk of recoarctationand residual hypertension compared with xenopericardial patch application.AIM: To evaluate long-term results and the causes of complications in congenital obstructive pathology of the aortic arch.

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Surgical treatment of aortic arch malformations in infants under cardiopulmonary bypass

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