Árangur skurðaðgerða við meðfæddri ósæðarþrengingu hjá börnum á Íslandi 1990-2006

• Main Authors: Sverrir I.Gunnarsson, Bjarni Torfason, Gunnlaugur Sigfússon, Hróðmar Helgason, Tómas Guðbjartsson
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2009
• Subjects: Hjarta- og æðasjúkdómar; Börn; Anastomosis; Surgical; Angioplasty; Balloon; Aortic Coarctation; Aortography; Child; Preschool; Female; Heart Failure; Humans; Hypertension; Iceland; Incidental Findings; Infant; Male; Recurrence; Surgical Flaps; Time Factors; Tomography; X-Ray Computed; Treatment Outcome; Vascular Surgical Procedures; Hjarta; Smella
• Online Access: http://hdl.handle.net/2336/86299

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open BACKGROUND AND AIMS: Coarctation of the aorta (CoA) is a congenital narrowing of the aorta, distal to the origin of the left subclavian artery. Treatment consists of surgical excision but balloon angioplasty is also a treatment option for selected patients. The aim of this study was to evaluate surgical outcome in children operated for CoA in Iceland. MATERIAL AND METHODS: All Icelandic children (<18 yrs.) operated for CoA in Iceland between 1990 and 2006. Patients operated abroad (n=17) or managed conservatively (n=12) were excluded. Mean follow up period was 8.5 +/- 4.3 years. RESULTS: Of 67 children diagnosed with CoA, 38 were operated on in Iceland (mean age 36 +/- 58 months, and 22 male and 16 female patients), 10 required immediate surgery for cardiac failure and eight were diagnosed incidentally. Extended end-to-end anastomosis was the most common procedure (n=31). Subclavian-flap aortoplasty was performed in seven patients. Average operation time was 134 min. and mean aortic closure time was 21 +/- 9 min. Hypertension (58%) and heart failure (11%) were the most common postoperative complications. Recoarctation developed 35 +/- 56 months after surgery in seven patients (18%) and was successfully treated with balloon angioplasty. There were no operative deaths and no patients developed paraplegia. One patient suffered an ischemic injury to the brachial plexus. Today all of the patients are alive, except for one patient that died four months after surgery from heart failure. CONCLUSION: Majority of Icelandic patients with CoA are operated on in Iceland with excellent outcome, both regarding short term complications and long term survival. Tilgangur: Að kanna árangur skurðaðgerða við meðfæddri ósæðarþrengingu hér á landi. Efniviður og aðferðir: Afturskyggn rannsókn sem tekur til allra barna (<18 ára) sem gengust undir skurðaðgerð við meðfæddri ósæðarþrengingu á Íslandi frá 1990 til 2006. Börnum sem ekki ...