John W. Brown, MD, Mark Ruzmetov, MD, PhD, Mark H. Hoyer, MD, Mark D

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Presentation transcript:

Recurrent Coarctation: Is Surgical Repair of Recurrent Coarctation of the Aorta Safe and Effective? John W. Brown, MD, Mark Ruzmetov, MD, PhD, Mark H. Hoyer, MD, Mark D. Rodefeld, MD, Mark W. Turrentine, MD The Annals of Thoracic Surgery Volume 88, Issue 6, Pages 1923-1931 (December 2009) DOI: 10.1016/j.athoracsur.2009.07.024 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diagram of all patients undergoing primary repair of coarctation of the aorta (CoA) over a 45-year period (n = 1,012). (EE = end-to-end; SF = subclavian flap.) The Annals of Thoracic Surgery 2009 88, 1923-1931DOI: (10.1016/j.athoracsur.2009.07.024) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Numbers and time of surgical reintervention (open bars) or balloon aortoplasty reintervention (patterned bars) in patients with redo recoarctation. The Annals of Thoracic Surgery 2009 88, 1923-1931DOI: (10.1016/j.athoracsur.2009.07.024) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Follow-up information of patients (pts) with redo coarctation of the aorta who underwent surgical or balloon aortoplasty reintervention. The Annals of Thoracic Surgery 2009 88, 1923-1931DOI: (10.1016/j.athoracsur.2009.07.024) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Kaplan-Meier survival curve and (B) freedom from reintervention curve for patients with redo coarctation of the aorta (CoA) who underwent surgical or balloon aortoplasty reintervention. (Diamonds = surgical group; squares = balloon/stent group; triangles = entire group.) The Annals of Thoracic Surgery 2009 88, 1923-1931DOI: (10.1016/j.athoracsur.2009.07.024) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Comparison of preoperative (preop), postoperative (postop), and follow-up (f-u) gradients after surgical (triangles) and balloon aortoplasty (squares) for recurrent coarctation of the aorta (CoA). *Follow-up for patients with surgical re-CoA treatment is 40 years; follow-up for patients with balloon/stent is 15 years. The Annals of Thoracic Surgery 2009 88, 1923-1931DOI: (10.1016/j.athoracsur.2009.07.024) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions