Surgical treatment for coarctation of aorta complicated with intracardiac abnormalities

Objective To study the efficacy of surgical treatment for coarctation of aorta(COA) complicated with intracardiac abnormalities.Methods Twelve patients with COA complicated with intracardiac abnormalities who underwent surgical treatment from April 2008 to April 2011 were included in the study.Two patients were accompanied by VSD,three associated with PDA,seven with VSD and PDA and two patients with diffuse hypoplasia of aortic arch.All patients underwent one-stage repair.One patient received left posterolateral thoracotomy combined with median sternotomy.Eleven patients received single median sternotomy and excision of coarctation.End to side or end to end anastomoses was used in 8 patients,aortoplasty with patch graft was used in 3 patients,and a bypass with artificial graft was used in 1 patient.Results There was no death in all patients.All patients were followed up from 3 to 48 months.The results of all patients were satisfactory.The follow-up echocardiography showed that there was no coarctation and false aneurysm.Conclusion The appropriate surgical management according to the age of patients has satisfactory effect on coa and associated intracardiac abnormalities.The surgical methods should be selected according to the disease course,presence of complications and measures should be taken to avoid complication such as recurrence and formation of aneurysm.