Intermediate-term follow-up after end-to-end operation for coarctationof the aorta - one centre experience

  • Dorota Jagiellowicz, Poland
  • Grazyna Brzezinska-Rajszys, Heart Catheterization Laboratory,The Children's Memorial Health Institute, Warsaw, Poland, Poland
  • Wanda Kawalec, Cardiology Clinic,The Children's Memorial Health Institute, Warsaw, Poland, Poland
  • Mieczyslaw Litwin, Nephrology Clinic,The Children's Memorial Health Institute, Warsaw, Poland, Poland
  • Anna Niemirska, Nephrology Clinic, The Children's Memorial Health Institute, Warsaw, Poland, Poland

    • Introduction:
    The aim of the study was to evaluate the 6-12yrs follow-up after end-to-end anastomosis in children with coarctation of the aorta.
    Material/methods:
    In 50pts operated between 1995-2000 ABPM, IMT measurements and echocardiography (TDI) were performed. Patients were divided into two groups. Group I-15pts operated below 3mths of age (1.2±0.766), the current age 6.4-11.2yrs(mean 7.9yrs), the follow-up 7.8±1.28yrs. Group II-35pts operated after 3mths of age(30.1±29.6), the current age 6.65-18yrs (mean 11.9 yrs), the follow-up 9.3±2yrs.
    Results:
    No significant differences were found with respect to parameters in ABPM, left ventricle function and IMT between two groups. Age at surgery influence on index mass.
    Conclusion:
    There is a substantial incidence of arterial hypertension in mid-term follow-up in patients after end-to-end operation.
    Age of children operated for coarctation of the aorta by end-to-end anastomosis has no significant influence on the IMT and left ventricle function.