Repair of Coarctation of the Aorta

  • Kazutomo Goh
  • Yoshihiko Kubo
  • Tadahiro Sasajima


Coarctation of the aorta is a congenital narrowing of the aorta, with the narrowing usually located adjacent to the ductus arteriosus or ligamentum arteriosum. Less commonly, congenital narrowing of the aorta may be recognized anywhere in the aorta.


Aortic Arch Ventricular Septal Defect Ventricular Septal Defect Left Subclavian Artery Aortic Coarctation 
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  1. 1.
    Pellegrino A, Deverall PB, Anderson RH, et al. Aortic coarctation in the first three months of life. J Thorac Cardiovasc Surg. 1985;89:121–127.PubMedGoogle Scholar
  2. 2.
    Moulaert AJ, Bruins CC, Oppenheimer-Dekker A. Anomalies of the aortic arch and ventricular septal defect. Circulation. 1976;53:1011–1015.PubMedCrossRefGoogle Scholar
  3. 3.
    Pigott JD, Chin AJ, Weinberg PM, et al. Transposition of the great arteries with aortic arch obstruction. J Thorac Cardiovasc Surg. 1987;94:82–86.PubMedGoogle Scholar
  4. 4.
    Jones RD, Duncan AE, Mee RB. Perioperative management of neonatal aortic isthmic coarctation. Anesthesia and Intensive Care. 1985;13:311–318.Google Scholar
  5. 5.
    Kappetein AP, Guit GL, Bogers AJJC, et al. Noninvasive long-term follow-up after coarctation. Ann Thorac Surg. 1993;55:1153–1159.PubMedCrossRefGoogle Scholar
  6. 6.
    Rubay JE, Sluysmans T, Alexandrescu V, et al. Surgical repair of coarctation of the aorta in infants under one year of age. Long-term results in 146 patients comparing subclavian flap angioplasty and modified end-to-end anastomosis. J Cardiovasc Surg. 1992;33:216–222.Google Scholar
  7. 7.
    Bertolini A, Dalmonte P, Tom P, et al. Goretex patch aortoplasty for coarctation in children: Nuclear magnetic resonance assessment. J Cardiovasc Surg. 1992;33:223–228.Google Scholar
  8. 8.
    Messmer BJ, Minale C, Muhler E. Surgical correction of coarctation in early infancy: does surgical technique influence the result? Ann Thorac Surg. 1991;52:594–603.PubMedCrossRefGoogle Scholar
  9. 9.
    Zannini L, Gargiulo G, Albanese SB, et al. Aortic coarctation with hypoplastic arch in neonates: a spectrum of anatomic lesions requiring different surgical options. Ann Thorac Surg. 1993;56:288–284.PubMedCrossRefGoogle Scholar
  10. 10.
    AmatoJJ, Galdieri RJ, CotroneoJV. Role of extended aor-toplasty related to the definition of the aorta. Ann Thorac Surg. 1991;52:615–620.PubMedCrossRefGoogle Scholar
  11. 11.
    Chiu I, Hung C, Chao S, et al. Growth of the aortic anastomosis in pigs. J Thorac Cardiovasc Surg. 1988;95:112–118.PubMedGoogle Scholar
  12. 12.
    Schmitz-Rixen T, Storck M, Erasmi H, et al. Vascular anastomoses with absorbable suture material: an experimental study. Ann Vasc Surg. 1991;5:257–264.PubMedCrossRefGoogle Scholar
  13. 13.
    Harlan JL, Doty DB, Brandt B III, et al. Coarctation of the aorta in infants. J Thorac Cardiovasc Surg. 1984;88:1012–1019.PubMedGoogle Scholar
  14. 14.
    Contis JC, Heffron TG, Whitington PF, et al. Use of absorbable suture material in vascular anastomoses in pediatric liver transplantation. Transplantation Proc. 1993;25:1878–1880.Google Scholar
  15. 15.
    Cobanoglu A, Teply JF, Grunkemeier GL, et al. Coarctation of the aorta in patients younger than three months: a critique of the subclavian flap operation. J Thorac Cardiovasc Surg. 1985;89:128–135.PubMedGoogle Scholar
  16. 16.
    Korfer R, Meyer H, Kleikamp G, et al. Early and late results after resection and end-to-end anastomosis of coarctation of the thoreacic aorta in infancy. J Thorac Cardiovasc Surg. 1985;890:616–622.Google Scholar
  17. 17.
    Lacour-Gayet F, Bruniaux J, Serraf A, et al. Hypoplastic transverse arch and coarctation in neonates. J Thorac Cardiovasc Surg. 1990;100:808–816.PubMedGoogle Scholar
  18. 18.
    Lansman S, Shapiro AJ, Schiller MS, et al. Extended aortic arch anastomosis for repair of coarctation in infancy. Circulation. 1986;74:137–141.Google Scholar
  19. 19.
    Elliot MJ. Coarctation of the aorta with arch hypoplasia: Improvements on a new technique. Ann Thorac Surg. 1987;44:321–323.CrossRefGoogle Scholar
  20. 20.
    van Son JAM, van Asten WNJC, van Lier HJJ, et al. A comparison of coarctation resection and subclavian flap angioplasty using ultrasonographically monitored postocclusive reactive hyperemia. J Thorac Cardiovasc Surg. 1990;100:817–829.PubMedGoogle Scholar
  21. 21.
    Myers JL, McConnell BA, Waldhausen JA. Coarctation of the aorta in infants: does the aortic arch grow after repair? Ann Thorac Surg. 1992;54:869–874.PubMedCrossRefGoogle Scholar
  22. 22.
    Baudet E, al-Qudah A. Late results of the subclavian flap repiar of coarctation in infancy. J Cardiovasc Surg. 1989;30:445–449.Google Scholar
  23. 23.
    Ziemer G, Jonas RA, Perry SB, et al. Surgery for the coarctation of the aorta in neonates. Circulation. 1986;74:125–131.Google Scholar
  24. 24.
    Kopf GS, Hallenbrand W, Kleinman C, et al. Repair of aortic coarctation in the first three months of life: immediate and long-term results. Ann Thorac Surg. 1986;41:425–430.PubMedCrossRefGoogle Scholar
  25. 25.
    Brown JW, Fiore AC, King H. Isthmus flap aortoplasty: an alternative to subclavian flap aortoplasty for long-segment coarctation of the aorta in infants. Ann Thorac Surg. 1985;40:274–279.PubMedCrossRefGoogle Scholar
  26. 26.
    Hart JL, Waldhausen JA. Reversed subclavian flap angioplasty for arch coarctation of the aorta. Ann Thorac Surg. 1983;36:715–717.PubMedCrossRefGoogle Scholar
  27. 27.
    Rostad H, Abdelnoor M, Sorland S, et al. Coarctation of the aorta, early and late results of various surgical techniques. J Cardiovasc Surg. 1989;30:885–890.Google Scholar
  28. 28.
    Yee ES, Turley K, Soifer S, et al. Synthetic patchangioplasty. A simplified approach for coarctation in repairs during early infancy and thereafter. Am J Surg. 1984;148:240–243.PubMedCrossRefGoogle Scholar
  29. 29.
    Yee ES, Soifer SJ, Turley K, et al. Infant coarctation: a spectrum in clinical presentation and treatment. Ann Thorac Surg. 1986;42:488–493.PubMedCrossRefGoogle Scholar
  30. 30.
    Planche C, Serraf A, Comas JV, et al. Anatomic repair of transposition of great arteries with ventricular septal defect and aortic arch obstruction. J Thorac Cardiovasc Surg. 1993;105:925–933.PubMedGoogle Scholar
  31. 31.
    Bove EL, Munich LL, Pridjian AK, et al. The management of severe subaortic stenosis, ventricular septal defect, and aortic arch obstruction in neonates. J Thorac Cardiovasc Surg. 1993;105:289–296.PubMedGoogle Scholar
  32. 32.
    DeLeon SY, Downey FX, Baumgartner NE, et al. Transster-nal repair of coarctation and associated cardiac defects. Ann Thorac Surg. 1994;58:179–184.PubMedCrossRefGoogle Scholar
  33. 33.
    Hellenbrand WE, Allen HD, Golinko RJ, et al. Balloon angioplasty for recoarctation results of valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol. 1990;65:793–797.PubMedCrossRefGoogle Scholar
  34. 34.
    Hijazi ZM, Fahey JT, Kleinman CS, et al. Balloon angioplasty for recurrent coarctation of aorta. Immediate and long-term results. Circulation. 1991;84:1150–1156.PubMedCrossRefGoogle Scholar
  35. 35.
    Fletcher SE, Nihill MR, Grifka RG, et al. Balloon angioplasty of native coarctation of the aorta: midterm follow-up and prognostic factors. J Am Coll Cardiol. 1995;25:730–734.PubMedCrossRefGoogle Scholar
  36. 36.
    Rocchini AP, Rosental A, Barger AC. Pathogenesis of paradoxical hypertension after coarctation resection. Circulation. 1976;54:382–387.PubMedCrossRefGoogle Scholar
  37. 37.
    De Lezo JS, Sancho M, Pan M, et al. Angiographic follow up after balloon angioplasty for cooarctation of the aorta. J Am Coll Cardiol. 1989;13:689–695.PubMedCrossRefGoogle Scholar
  38. 38.
    Cooper RS, Ritter SB, Rothe WB, et al. Angioplasty for coarctation of the aorta: long-term results. Circulation. 1987;75:600–604.PubMedCrossRefGoogle Scholar
  39. 39.
    Lock JE, Bass JL, Amplatz K, et al. Balloon dilation angioplasty of aortic coarctation in infants and children. Circulation. 1983;68:109–116.PubMedCrossRefGoogle Scholar
  40. 40.
    Ralph-Edwards AC, Williams WG, Coles JC, et al. Reoperation for recurrent aortic coarctation. Ann Thorac Surg. 1995;60:1303–1307.PubMedCrossRefGoogle Scholar
  41. 41.
    Demircin M, Arsan S, Pasaoglu I, et al. Coarctation of the aorta in infants and neonates: Results and assessment of prognostic vaiables. J Cardiovasc Surg. 1995;36:459–464.Google Scholar
  42. 42.
    Kappetein KP, Zwindeman AH, Bogers AJJC et al. More than thirty-five years of coarctation repair. An unexpected high relapse rate. J Thorac Cardiovasc Surg. 1994;107:87–95.PubMedGoogle Scholar
  43. 43.
    Cohen M, Fuster V, Steele PM, et al. Coarctation of the aorta. Circulation. 1989;80:840–845.PubMedCrossRefGoogle Scholar
  44. 44.
    Zehr KJ, Gillinov AM, Redmond JM, et al. Repair of coarctation of the aorta in neonates and infants: a thirty-year experience. Ann Thorac Surg. 1995;59:33–41.PubMedCrossRefGoogle Scholar
  45. 45.
    Merrill WH, Hoff SJ, Stewart JR, et al. Operative risk factors and durability of repair of coarctation of the aorta in neonate. Ann Thorac Surg. 1994;58:399–403.PubMedCrossRefGoogle Scholar
  46. 46.
    Trinquet F, Vouhe PR, Vernant F, et al. Coarctation of the aorta in infants: which operation? Ann Thorac Surg. 1988;45:186–191.PubMedCrossRefGoogle Scholar
  47. 47.
    Stewart JM, Gewitz MH, Woolf PK, et al. Elevated arginine vasopressin and lowered atrial natriuretic factor associated with hypertension in coarctation of the aorta. J Thorac Cardiovasc Surg. 1995;110:900–908.PubMedCrossRefGoogle Scholar
  48. 48.
    Parker FB Jr., Streeten DH, Farrell B, et al. Preoperative and postoperative renin levels in coarctation of the aorta. Circulation. 1982;66:513–514.PubMedCrossRefGoogle Scholar
  49. 49.
    Sehested J, Kornerup HJ, Pedersen EB, et al. Effects of exercise on plasma renin, aldosterone and catecholamines before and after surgery for aortic coarctation. Eur Heart J. 1983;4:52–58.PubMedGoogle Scholar
  50. 50.
    Leenen FH, Balfe JA, Pelech AN, et al. Postoperative hypertension after repair of coarctation of aorta in children: protective effect of propranolol? Am Heart J. 1987;113:1164–1173.PubMedCrossRefGoogle Scholar
  51. 51.
    Hopkins RA, Kostic I, Klages Armiru U, et al. Correction of of coarctation of the aorta in neonates and young infants. An individualized surgical approach. Eur J Cardiothorac Surg. 1988;2:296–304.PubMedCrossRefGoogle Scholar
  52. 52.
    Brewer III LA, Fosburg RG, Mulder GA, et al. Spinal cord complications following surgery for coarctation of the aorta. J Thorac Cardiovasc Surg. 1972;64:368–381.PubMedGoogle Scholar
  53. 53.
    Crawford FA, Sade RM. Spinal cord injury associated with hyperthermia during aortic coarctation repair. J Thorac Cardiovasc Surg. 1984;87:616–618.PubMedGoogle Scholar
  54. 54.
    del Nido PJ, Williams WG, Wilson GJ, et al. Synthetic patch angioplasty for repair of the coarctation of the aorta: experience with aneurysm formation. Circulation. 1986;74:132–136.Google Scholar
  55. 55.
    Bogeart J, Gewillig M, Rademakers F, et al. Transverse arch hypoplasia predisposes to aneurysm formation at the repair site after patch angioplasty for coarctation of the aorta. J Am Coll Cardiol. 1995;26:521–527.CrossRefGoogle Scholar
  56. 56.
    Leskinen M, Reinita A, Tarkka M, et al. Reversibility of hypertensive vascular changes after coarctation repair in dogs. Pediatr Res. 1992;31:297–299.PubMedCrossRefGoogle Scholar
  57. 57.
    Pelech AN, Kartodihardjo W, Balfe JA, et al. Exercise in children before and after coarctectomy: hemodynamic, echocardiographic, and biochemical assessment. Am Heart J. 1986;112:1263–1270.PubMedCrossRefGoogle Scholar
  58. 58.
    Kimball TR, Reynolds JM, Mays WA, et al. Persistent hyperdynamic cardiovascular state at rest and during exercise in children after successful repair of coarctation of the aorta. J Am Coll Cardiol. 1994;24:194–200.PubMedCrossRefGoogle Scholar
  59. 59.
    Poulias GE, Skoutas B, Doundoulakis N, et al. The midaortic dysplastic syndrome. Surgical consideration with a 2 to 18 year follow-up and selective histopathological study. European Journal of Vascular Surgery. 1990;4:75–82.PubMedCrossRefGoogle Scholar
  60. 60.
    Bergamini TM, Bernard JD, Mavoudis C, et al. Coarctation of the abdominal aorta. Ann Vasc Surg. 1995;9:352–356.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2000

Authors and Affiliations

  • Kazutomo Goh
  • Yoshihiko Kubo
  • Tadahiro Sasajima

There are no affiliations available

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