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Introduction Successful surgical repair of coarctation of the thoracic aorta has been carried out for almost half a century. Two studies on the long-term cardiovascular status, up to 25 years after surgical reair,^.^ revealed a high incidence of cardiovascular morbidity and mortality caused by concomitant cardiovascular anomalies, in particular aortic or mitral valve disease or vascular aneurysms leading to fatal hemorrhage. Postoperative hypertension was found to be common especially in patients operated at a more advanced age. Moreover, it became evident that mortality was high in symptomatic infants presenting with coarctation, whether they were operated on or not, because this patient group presented complex associated cardiovascular anomalies. Balloon angioplasty of coarctation became feasible in the early 1980s5and has to be considered as an alternative treatment of this lesion.6 It is desirable, therefore, to review the present surgical experience with regard to risk of operation, early postoperative complications, success of the intervention, and late postoperative course. Better knowledge of possible complications during long-term follow-up allows recommendations for postoperative management of patients after coarctation repair. âx2 Risk of Operation Assessment of the operative risk is difficult because reported data in the literature comprise surgical experience over 20 or more years.
Journal of Interventional Cardiology – Wiley
Published: Sep 1, 1992
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