Aortic coarctation in newborns. Modern state of the problem
Abstract
Coarctation is found in 8% of all congenital heart diseases. Clinical course of this defect varies from cardiogenic shock while closing an arterial duct in newborns to an asymptomatic hypertonia. Infants with this pathology are often in a critical condition requiring an urgent intervention. Sometimes atypical clinical course of this defect causes difficulties for a cardiologist to make an exact diagnosis. There is no doubt in indications for surgery in cases with this anomaly. From the beginning of an era of E1 prostaglandin patients with ductal-dependent blood circulation began referring to specialized clinic in a stable state that affected significant decrease in a hospital mortality. However in this problem there is a number of topical issues. They are surgical methods of correction, their longterm results, recurrence rates, methods of correction for the accompanying arch hypoplasia, correction though one or two accesses in a case with arch obstruction combined with other intracardiac anomalies. In what terms it is necessary to carry out re-interventions and a role of balloon dilatation at recoarctation. The review sets the task to generalize the accumulated knowledge and to present treatment results of the most succeeded researchers on this problem.
About the Authors
M. V. Boriskov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
P. J. Petshakovsky
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
T. V. Serova
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation
Russian Federation
References
1. Keith J.D.: Coarctation of the aorta. In Keith J.D., Rowe R.D., Vlad P., eds: Heart disease in infancy and childhood, ed 3, New York, 1978, Macmillan.
2. Rudolph A.M.: Congenital diseases of the heart, Chicago, 1974, Year Book.
3. Tawes R.L. Jr, Aberdeen E., Waterston D.J., et al: Coarctation of the aorta in infants and children. A review of 333 operative cases, including 179 infants, Circulation 39(5 Suppl 1): I173, 1969
4. Bonnet L.M.: Stenose congenitale de aorte, Rev Med Paris 23: 108, 1903.
5. Van Praagh.R, O’Connor B., Chacko K.A.: Aortic coarctation. Pathology of the malformation. First World Congress of Pediatric Cardiac Surgery, Bergamo, June 1988.
6. Backer C.L., Mavroudis C.: Congenital Heart Surgery Nomenclature and Database Project: patent ductus arteriosus, coarctation of the aorta, interrupted aortic arch, Ann Thorac Surg 69(4 Suppl): S298, 2000.
7. Rudolph A.M., Heymann M.A., Spitznas L.I.: Hemodynamic considerations in the development of narrowing of the aorta, Am J Cardiol 30: 514, 1972.
8. Venugopalan P., Bu’Lock F.A., Joffe H.S.: Mitral valve hypoplasia in children with isolated coarctation of the aorta, Br Heart I 71: 358, 1994.
9. Muster A.J.: Angiographic anatomy of aortic coarctation: A classification based on the associated morphology of the aortic arch. In Mavroudis C., Backer C.L., eds: Coarctation and interrupted aortic arch, Cardiac Surgery: State of the An Reviews 7: 23, Philadelphia, 1993, Hanley & Belfus.
10. Shone J.D., Sellers R.D., Anderson R.C., et al: The developmental complex of «parachute mitral valve,» supravalvular ring of left atrium, subaortic stenosis, and coarctation of aorta, Am J Cardiol 11: 714, 1963.
11. Skoda J.: Demonstrationeines Falles von Obliteration der Aorta. Wochenblatt der Zeitschrift der Kaiserlichen-Konigliche Gesellschaftder Aertze zur Wein 1: 710, 1855.
12. Elzenga N.J., Gittenberger-de Groot A.C., Oppenheimer-Dekker A.: Coarctation and other obstructive aortic arch anomalies: their relationship to the ductus arteriosus, Int I Cardiol 13: 289, 1986.
13. Kappetein A.P., Gittenberger-de Groot A.C., Zwinderman A.H., et al: The neural crest as a possible pathogenic factor in coarctation of the aorta and bicuspid aortic valve, / Thorac Cardiovasc Surg 102: 830, 1991.
14. Sybert V.P.: Cardiovascular malformations and complications in Turner syndrome, Pediatrics 101: 100, 1998.
15. Shaddy R.E., Snider A.R., Silverman N.H., et al: Pulsed Doppler findings in patients with coarctation of the aorta, Circulation 73: 82, 1986.
16. Simpson I.A., Sahn D.J., Valdes-Cruz L.M., et al: Color Doppler flowapping in patients with coarctation of the aorta: new observations and improved evaluation with color flow diameter and proximal acceleration as predictors of severity, Circulation 77: 736, 1988.
17. Heymann M.A., Berman W. Jr, Rudolph A.M., et al: Dilatation of the ductus arteriosus by prostaglandin E1 in aortic arch abnormalities, Circulation 59: 169, 1979.
18. Stern H.C., Locher D., Wallnofer K., et al: Noninvasive assessment of coarctation of the aorta: comparative measurements by two dimensional echocardiography, magnetic resonance, and angiography, Pediatr Cardiol 12: 1, 1991.
19. Simpson I.A., Chung Kf., Glass R.F., et al: Cine magnetic resonance imaging for evaluation of anatomy and flow relations in infants and children with coarctation of the aorta, Circulation 78: 142, 1988.
20. Crafoord C., Nylin G. Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 1945; 14: 347 - 361.
21. Mustard W.T., Rower R.D., Keith J.D., et al. Coarctation of the aorta with special reference to the first year of life. Ann Surg 1955; 141: 249 - 252.
22. von Rueden T.J., Knight L., Moller J.H., et al. Coarctation of the aorta associated with aortic valvular atresia. Circulation 1975; 52: 951 - 954.
23. Waldhausen J.A., Nahrwold D.L. Repair of coarctation of the aorta with a subclavian flap. J Thorac Cardiovasc Surg 1966; 51: 532 - 533.
24. Jonas R.A. Coarctation: Do we need to resect ductal tissue? Ann Thorac Surg 1991; 52: 504 - 607.
25. Amato J., Rheinlander H., Cleveland R. A method of enlarging the distal transverse arch in infants with hypoplasia and coarctation of the aorta Ann Thorac Surg 1977; 23: 261 - 263.
26. Elliott M.J. Coarctation of the aorta with arch hypoplasia: improvements on a new technique. Ann Thorac Surg 1987; 44: 321 - 323.
27. Meier M.A., Lucchese F.A., Jazbik W., et al. A new technique for repair of aortic coarctation. Subclavian flap aortoplasty with preservation of arterial blood flow to the left arm. J Thorac Cardiovasc Surg 1986; 92: 1005 - 1012.
28. de Mendonca J.T., Carvalho M.R., Costa R.K., et al. Coarctation of the aorta: a new surgical technique. J Thorac Cardiovasc Surg 1985; 90: 445 - 447.
29. Hart J.C., Waldhausen J.A. Reversed subclavian flap angioplasty for arch coarctation of the aorta. Ann Thorac Surg 1983; 36: 715 - 717.
30. Conte S., Lacour-Gayet F., Serraf A., et al. Surgical management of neonatal coarctation. J Thorac Cardiovasc Surg 1995; 109: 663 - 675.
31. Mariko Kobayashi, Makoto Ando, Naoki Wada, et al. Outcomes following surgical repair of aortic arch obstructions with associated cardiac anomalies. Eur J Cardiothorac Surg 2009; 35: 565 - 568.
32. Pankaj Kumar Mishra. Management strategies for interrupted aortic arch with associated anomalies Eur J Cardiothorac Surg 2009; 35: 569 - 576.
33. Vouhe P.R., Trinquet F., Lecompte Y., et al: Aortic coarctation with hypoplastic aortic arch. Results of extended end-to-end aortic arch anastomosis, / Thorac Cardiovasc Surg 96: 557, 1988.
34. Karl T.R., Sano S., Brawn W., Mee R.B.B. Repair of hypoplastic or interrupted aortic arch via sternotomy. J Thorac Cardiovasc Surg 1992; 104: 688 - 695.
35. Brouwer M.H.J., Cromme-Dijkhuis A.H., Ebels T., et al. Growth of the hypoplastic aortic arch after simple coarctation resection and end-to-end anastomosis. J Thorac Cardiovasc Surg 1992; 104: 426 - 433
36. Poirier N.C., Van Arsdell G.S., Brindle M., et al. Surgical treatment of aortic hypoplasia in infants and children with biventricular hearts. Ann Thorac Surg 1999; 68: 2293 - 2297.
37. Mohamed-Adel Elgamal, E. Dean McKenzie, Charles D. Fraser, Jr. Aortic arch advancement: the optimal one-stage approach for surgical management of neonatal coarctation with arch hypoplasia Ann Thorac Surg 2002; 73: 1267 - 1273.
38. Levine J.C., Sanders S.P., Colan S.D., et al. The risk of having additional obstructive lesions in neonatal coarctation of the aorta. Cardiol Young. 2001; 11: 44 - 53
39. Tani L.Y., Minich L.L., Hawkins J.A., et al. Spectrum and influence of hypoplasia of the left heart in neonatal aortic coarctation. Cardiol Young. 2000; 10: 90 - 97
40. Tchervenkov C.I., Tahta S.A., Jutras L.C., et al. Biventricular repair in neonates with hypoplastic left heart complex. Ann Thoracic Surg. 1998; 66: 1350 -1357)
41. Michael D. Puchalski, Richard V. Williams, et al. Follow-up of aortic coarctation repair in neonates J Am Coll Cardiol, 2004; 44: 188 - 191.
42. Kappetein A.P., Zwinderman A.H., Bogers A.J.J.C., et al. More than thirty-five years of coarctation repair: An unexpected high relapse rate. J Thorac Cardiovasc Surg 1994; 107: 87 - 95.
43. Quaegebeur J.M., Jonas R.A., Weinberg A.D., et al. Congenital Heart Surgeons Society: outcomes in seriously ill neonates with coarctation of the aorta: a multiinstitutional study. J Thorac Cardiovasc Surg 1994; 108: 841 - 854
44. Geiss D., Williams W.G., Lindsey W.K., et al. Upper extremity gangrene: A complication of subclavian artery division. Ann Thorac Surg 1980; 30: 487 - 489
45. Cobanoglu A., Teply J.F., Grunkemeier G.L., 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.
46. L. W. E. van Heurn, C.M. Wong, D.J. Spiegelhalter, et al. Surgical treatment of aortic coarctation in infants younger than three months: 1985 to 1990 Success of extended end-to-end arch aortoplasty. J Thorac Cardiovasc Surg 1994; 107: 74 - 86.
47. Zehr K.J., Gillinov A.M., Redmond J.M., et al. Repair of coarctation of the aorta in neonates and infants: a thirty-year experience. Ann Thorac Surg 1995; 59: 33 - 41.
48. Bacha E.A., Almondovar M., Wessel D.L., et al. Surgery for coarctation of the aorta in infants weighing less than 2 kg Ann Thorac Surg 2001; 71: 1260 - 1264.
49. Russell G.A., Berry P.J., Watterson K., et al. Patterns of ductal tissue in coarctation of the aorta in the first three months of life J Thorac Cardiovasc Surg 1991; 102: 596 -601.
50. Gail E. Wright, Cheryl A. Nowak, Caren S. et al. Extended Resection and End-to-End Anastomosis for Aortic Coarctation in Infants: Results of a Tailored Surgical Approach. Ann Thorac Surg 2005; 80: 1453 -1459.
51. Rajasinghe H.A., Reddy V.M., van Son J.A., Black M.D., McElhinney D.B., Brook M.M., et al. Coarctation repair using end-to-side anastomosis of descendingaorta to proximal aortic arch. Ann Thorac Surg 1996; 61: 840 - 4.
52. McKenzie E.D., Klysik M., Morales D.L., Heinle J.S., Fraser C.D. Jr, Kovalchin J. Ascending sliding arch aortoplasty: a novel technique for repair of arch hypoplasia. Ann Thorac Surg. 2011 Mar; 91(3): 805 - 10.
Review
For citations:
Boriskov M.V., Petshakovsky P.J., Serova T.V. Aortic coarctation in newborns. Modern state of the problem. Innovative Medicine of Kuban. 2016;(3):66-72. (In Russ.)
Views:
319
Email this article 
