Abstract:
:Complications, such as recoarctation or secondary hypertension, probably related to the loss of arterial elasticity, frequently occur after aortic coarctation surgery. This study aimed to investigate arterial compliance as evaluated by automated recording of the QKd interval in patients who underwent repair of coarctation by construction of a subclavian flap compared with those who underwent resection of the narrowed aortic segment with end-to-end anastomosis. Thirty-nine children who underwent surgical repair of aortic coarctation by subclavian flap (n = 19) and by end-to-end anastomosis (n = 20) were enrolled. Arterial stiffness was measured by the noninvasive QKd 100-60 method. Twenty-four-hour ambulatory blood pressure monitoring and a transthoracic echocardiography were also performed. The group of patients who had an end-to-end anastomosis showed better results regarding 24-hour blood pressure profile and QKD 100-60 value compared with those underwent construction of a subclavian flap. Surgical repair of aortic obstruction by end-to-end anastomosis demonstrates better preservation of arterial distensibility than those repaired by subclavian flap. Therefore, it appears to be advantageous, whenever possible, to use the end-end anastomosis approach, which appears to lessen the incidence of the most common complications after aortic arch surgery.
journal_name
Pediatr Cardioljournal_title
Pediatric cardiologyauthors
Bassareo PP,Marras AR,Manai ME,Mercuro Gdoi
10.1007/s00246-008-9381-2subject
Has Abstractpub_date
2009-05-01 00:00:00pages
414-8issue
4eissn
0172-0643issn
1432-1971journal_volume
30pub_type
杂志文章abstract::Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare condition. The majority of cases present with impaired left ventricular function. We report on a premature infant who was diagnosed at a gestational age near term with ALCAPA during routine cardiac examination. The patient showed...
journal_title:Pediatric cardiology
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abstract::Surgical closure of the secundum type of atrial septal defect (ASD) in childhood leads to excellent survival. However, relevant morbidity has been reported. Transcatheter closure of these defects has now become an alternative approach. To compare the results of the two different interventions, reliable data are needed...
journal_title:Pediatric cardiology
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abstract::Magnesium sulfate was given to pediatric cardiac surgical patients during cardiopulmonary bypass period in an attempt to reduce the occurrence of postoperative junctional ectopic tachycardia (PO JET). We reviewed our data to evaluate the effect of magnesium on the occurrence of JET and assess a possible relationship b...
journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
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更新日期:1988-01-01 00:00:00
abstract::Killian-Pallister syndrome is a rare dysmorphic condition characterized by specific clinical manifestations and tetrasomy 12p. Although the association of this condition with congenital heart disease has been previously documented, no cases have been reported in association with Fallot's tetralogy. We report one such ...
journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/BF02240456
更新日期:1982-01-01 00:00:00
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journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
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更新日期:1998-11-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/s00246-006-1265-8
更新日期:2006-07-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章,评审
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journal_title:Pediatric cardiology
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doi:
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journal_title:Pediatric cardiology
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abstract::The hypothesis that mild recurrent aortic obstruction produces subtle changes in ambulatory blood pressure was investigated by performing 24-hour monitoring on 11 postoperative coarctation patients. Patients (age 16.1 +/- 2.7 years) were compared with normal controls (age 15.7 +/- 2.5 years, n = 15). Surgery (end-to-e...
journal_title:Pediatric cardiology
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更新日期:2011-06-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/BF02424960
更新日期:1984-04-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/s00246-008-9289-x
更新日期:2009-02-01 00:00:00
abstract::Identification of heart transplant recipients at highest risk for a poor outcome could lead to improved posttransplantation survival. A chart review of primary heart transplantations from 1993 to 2006 was performed. Analysis was performed to evaluate the risk of graft loss for those with a transplantation age less tha...
journal_title:Pediatric cardiology
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doi:10.1007/s00246-011-0077-7
更新日期:2012-01-01 00:00:00
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journal_title:Pediatric cardiology
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journal_title:Pediatric cardiology
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doi:10.1007/s00246-004-0765-7
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更新日期:2013-02-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/s00246-014-0880-z
更新日期:2014-08-01 00:00:00
abstract::We report a rare case of tetralogy of Fallot with total anomalous pulmonary venous return, left heart hypoplasia, right lung hypoplasia, and left ocular-mandibular synchinesia (Marcus-Gunn phenomenon), correctly diagnosed by cardiovascular magnetic resonance imaging and successfully operated by modified Glenn anastomo...
journal_title:Pediatric cardiology
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abstract::Circulating progenitor cells have been extensively studied in the context of heart disease in adults. In these patients, they have been demonstrated to be markers of myocardial injury and recovery as well as potential therapeutic agents. However, studies in children are much more limited. Here we review current knowle...
journal_title:Pediatric cardiology
pub_type: 杂志文章,评审
doi:10.1007/s00246-015-1300-8
更新日期:2016-02-01 00:00:00
abstract::We report the case of a fetus diagnosed at 24 weeks' gestation with complete heart block associated with maternal collagen vascular disease and Sjögren's antibody. Serial fetal echocardiograms noted increased echogenicity along the tricuspid and mitral valves without insufficiency. Postnatally, severe tricuspid insuff...
journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/BF00800677
更新日期:1994-07-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/s00246-013-0698-0
更新日期:2013-10-01 00:00:00
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/BF02083301
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journal_title:Pediatric cardiology
pub_type: 杂志文章
doi:10.1007/s00246-018-1957-x
更新日期:2019-01-01 00:00:00