Interact Cardiovasc Thorac Surg 15(5):865–870. Sakurai T, Stickley J, Stümper O, Khan N, Jones TJ, Barron DJ, Brawn WJ (2012) Repair of isolated aortic coarctation over two decades: impact of surgical approach and associated arch hypoplasia. Kaushal S, Backer CL, Patel JN, Patel SK, Walker BL, Weigel TJ, Randolph G, Wax D, Mavroudis C (2009) Coarctation of the aorta: midterm outcomes of resection with extended end-to-end anastomosis. Gropler MRF, Marino BS, Carr MR, Russell WW, Gu H, Eltayeb OM, Mongé MC, Backer CL (2019) Long-term outcomes of coarctation repair through left thoracotomy. McElhinney DB, Yang SG, Hogarty AN, Rychik J, Gleason MM, Zachary CH, Rome JJ, Karl TR, Decampli WM, Spray TL, Gaynor JW (2001) Recurrent arch obstruction after repair of isolated coarctation of the aorta in neonates and young infants: is low weight a risk factor? J Thorac Cardiovasc Surg 122(5):883–890. Wolters Kluwer Health, Philadelphia, PA, p 329 In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds) Moss and Adams’ heart disease in infants, children, and asolescents, 8th edn. Mertens LL, Friedberg MK (2013) Echocardiographic assessment of cardiac dimensions, cardiac function, and valve function. Krishnamurthy R (2010) Neonatal cardiac imaging. Goudar SP, Shah SS, Shirali GS (2016) Echocardiography of coarctation of the aorta, aortic arch hypoplasia, and arch interruption: strategies for evaluation of the aortic arch. Haramati LB, Glickstein JS, Issenberg HJ, Haramati N, Crooke GA (2002) MR imaging and CT of vascular anomalies and connections in patients with congenital heart disease: significance in surgical planning. ( Epub 2012 Sep 6 PMID: 22956060)īudoff MJ, Shittu A, Roy S (2013) Use of cardiovascular computed tomography in the diagnosis and management of coarctation of the aorta. Watson TG, Mah E, Joseph Schoepf U, King L, Huda W, Hlavacek AM (2013) Effective radiation dose in computed tomographic angiography of the chest and diagnostic cardiac catheterization in pediatric patients. ( Epub 2021 May 29 PMID: 34052859)ĭarabian S, Zeb I, Rezaeian P, Razipour A, Budoff M (2013) Use of noninvasive imaging in the evaluation of coarctation of aorta. Schoeneberg L, Prodhan P, Spray B, Akmyradov C, Zakaria D (2021) Risk factors for increased post-operative length of stay in children with coarctation of aorta. Wolters Kluwer Health, Philadelphia, PA, pp 1044–1060 In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (eds) Moss and Adams’ Heart disease in infants children, and adolescents, 8th edn. CTA is useful in the surgical planning for neonates with arch hypoplasia/coarctation and may help risk stratify for residual lesions/re-intervention.īeekman RH (2013) Coarctation of the aorta. Smaller left-sided structures proximal to the aortic arch and thoracotomy predicted the development of residual lesions/re-intervention. Aortic measurements were smaller on echocardiogram when compared to CTA. Our study found that patients who underwent CTA preoperatively had smaller left-sided structures. A smaller aortic valve annulus and aortic root as well as thoracotomy approach were associated with residual gradients/re-intervention ( p < 0.01). When comparing CTA to echocardiogram measurements, the aortic valve annulus, ascending aorta, proximal and distal transverse arch, and isthmus were smaller on echo ( p < 0.01). Patients in the CTA + echo group had smaller mitral valve and ascending aorta measurements ( p = 0.01). 44 (52%) patients received an echocardiogram and CTA, and 41 (48%) patients received an echocardiogram only. Two groups were compared: patients with pre-operative echocardiograms only and patients with both echocardiogram and CTA evaluations. This was a single-center retrospective cohort study that included 85 neonates and infants who underwent repair of coarctation/arch hypoplasia by three months of age. The goals of this study were to compare echocardiographic and CTA findings in critical coarctation of the aorta, to evaluate each modality’s influence on surgical approach for repair and determine if pre-operative measurements or surgical approach are associated with residual lesions/re-interventions. Computed tomographic angiography (CTA) has been increasingly used for the evaluation of infants with aortic arch hypoplasia and coarctation of the aorta.
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