Prosthetic repair of coarctation of the aorta with particular reference to Dacron onlay patch grafts and late aneurysm formation

doi:10.1016/0002-9149(85)90861-6

The American Journal of Cardiology

Volume 56, Issue 4, 1 August 1985, Pages 342-346

https://doi.org/10.1016/0002-9149(85)90861-6 Get rights and content

Abstract

Prosthetic material was used in the repair of coarctation of the aorta in 72 patients followed for 8 months to 24 years after operation. False aneurysms occurred late postoperatively in 1 of 17 instances when a tube graft was used to replace the resected aorta and in 1 of 2 patients when the graft bypassed the obstructed area. A Dacron® onlay patch graft (DOPG) was used in 52 patients as the primary method of repair, to revise a previous repair or as an adjunct to another procedure at the time of initial operation. True of false late aneurysm occurred between 6 and 18 years postoperatively in 5 of the 38 patients in whom a DOPG was used for primary repair of the coarctation or to revise an earlier repair, an actuarial incidence of 38% at 14 years. Diagnosis of aneurysm formation late post-operatively depends on awareness of this complication and careful assessment of lateral as well as posteroanterior chest radiographs. DOPG should be avoided whenever possible.

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^☆: This study was supported in part by a grant from the Medical Research Council of New Zealand, Auckland, New Zealand.

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Prosthetic repair of coarctation of the aorta with particular reference to Dacron onlay patch grafts and late aneurysm formation☆

Abstract

J Thorac Cardiovasc Surg

Am J Cardiol

J Thorac Cardiovasc Surg

Chest

Ann Thorac Surg

J Thorac Cardiovasc Surg

Am J Cardiol

Ann Thorac Surg

Critical review of experience with surgical repair of coarctation of the aorta

J Thorac Cardiovasc Surg

Early and late complications due to direct and indirect aortic-isthmus-plastic

Thoraxchirurgie

Late aneurysms after patch aortoplasty for coarctation of the aorta in adults

Thorac Cardiovasc Surg

Coarctation of the aorta

Thorax

Patch grafts or tubular grafts in the repair of coarctation of the aorta

Scand J Thorac Cardiovasc Surg

Postoperative aneurysm following surgery for coarctation of the aorta

Surg Gynecol Obstet