CHOICE OF METHOD TREATMENT COARCTATION OF THE AORTA IN INFANTS

Truba Y. P., Imanov E., Plyska O. I., Ditkivsky I. O., Lazoryshynets V. V.

METHODS AND METHODOLOGIES

Scentific article

Coarctation of the aorta is a discrete stenosis of the proximal thoracic aorta. Treatment methods include balloon angioplasty (BA) and surgical repair in this age group. Percutaneous balloon angioplasty is a less invasive method for the repair of discrete coarctation but remains controversial as a primary treatment strategy for a native coarctation. The purpose of our work. This study aimed to compare the effectiveness and outcome of balloon angioplasty and surgical repair in infants with coarctation of the aorta. Objeсt and methods of research. Between January 2007 and December 2017, 139 patients with native aortic coarctation were treated in National Amosov Institute of Cardiovascular Surgery. The patients were divide on two group. Group 1 included 69 patients who accepted balloon dilatation for discrete coarctation. Group 2 included 70 patients who underwent surgical resection with end-to-end anastomosis. Patients with complex cardiac anomalies were not included in this study. Research results and their discussion. Immediate results revealed no significant difference in the effectiveness of the two methods (p value = 0.06). While the rate of recurrent coarctation was significantly lower in the surgery group something of group balloon dilatation [1 (2,4%) vs. 13 (72,2%), p value = 0.0017]). The mean hospital stay was 7,3±3,4 days in the balloon angioplasty group and 21,5±9,3 days in the surgery group, which constitutes a significant statistical difference (p value < 0.05). Aneurysm formation was not encountered. Conclusions. Both surgical repair and balloon angioplasty for native coarctation of the aorta in infants were effective and beneficial direct result. These data suggest that balloon angioplasty can be acceptable alternative to surgical treatment. But due to the high level of recoarctation this method may be considered in critically ill infants with congestive heart failure as a primary palliative procedure.

aortic coarctation, ballon angioplasty, infants

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«Bulletin of problems biology and medicine» Issue 1 Part 1 (148), 2019 year, 240-244 pages, index UDK 616.12-007.2

10.29254/2077-4214-2019-1-1-148-240-244