36.5 Conclusion
Thoracic aorta abnormalities in the neonate and young child encompass a wide spectrum of congenital defects. Surgical repair can be performed in the neonate and small infant with little mortality or morbidity. Precise anatomic detail of the specific arch abnormality and associated intracardiac lesions must be obtained prior to attempting surgical repair. Most lesions can be repaired in one stage through a thoracotomy or sternotomy. Staged repair is currently reserved for rare circumstances presenting contraindications for cardiopulmonary bypass.
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References
Abbott ME (1936) Atlas of congenital heart disease. American Heart Association, New York.
Amato JJ, Rheinlander HF, Cleveland RJ (1985) A method of enlarging the distal transverse arch in infants with hypoplasia and coarctation of the aorta. Ann Thorac Surg 40:274.
Backer CL, Mavroudis C (2000) Congenital Heart Surgery Nomenclature and Database Project: patent ductus arteriosus, coarctation of the aorta, interrupted aortic arch. Ann Thorac Surg 69(Suppl):298.
Backer CL, Hillman N, Mavroudis C, Holinger LD (2002) Resection of Kommerell’s diverticulum and left subclavian artery transfer for recurrent symptoms after vascular ring division. Eur J Cardiothorac Surg 22:64.
Becker AE, Anderson RH (1981) Pathology of congenital heart disease. Butterworth, London.
Bonnet LM (1903) Sur la lesion dite stenose congénitale de l’aorte dans la région de I’isthme. Rev Med 23:108.
Celoria GC, Patton RP (1959) Congenital absence of the aortic arch. Am Heart J 58:407.
Crafoord C, Nylin G (1945) Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 14:347.
de la Chapelle A, Herva R, Koivisto M, Aula P (1981) A deletion in chromosome 22 can cause DiGeorge syndrome. Hum Genet 57:253.
Fletcher SE, Cheatham JP, Froeming S (1998) Aortic aneurysm following primary balloon angioplasty and secondary endovascular stent placement in the treatment of native coarctation of the aorta. Cathet Cardiovasc Diagn 44:40.
Fyler DC (1980) Report of the New England Regional Infant Cardiac Program. Pediatrics 65(Suppl):375.
Jonas RA, Quaegebeur JM, Kirklin JW, Blackstone EH, Daicoff G (1994) Outcomes in patients with interrupted aortic arch and ventricular septal defect. A multiinstitutional study. Congenital Heart Surgeons Society. J Thorac Cardiovasc Surg 107:1099.
Keith JD (1968) Coarctation of the aorta. In: Watson H (ed) Pediatric cardiology. Lloyd-Luke, London, pp 175–223.
Kouchoukos NT, Blackstone EH, Doty DB, Hanley FL, Karp RB (2003) Coarctation of the aorta and aortic arch interruption. In: Kouchoukos NT, Blackstone EH, Doty DB, Hanley FL, Karp RB (eds) Kirklin/Barratt-Boyes cardiac surgery, 3rd edn. Churchill Livingstone, New York, pp 1315–1376.
Lacour-Gayet F, Bruniaux J, Serraf A, Chambran P, Blaysat G, Losay J, Petit J, Kachaner J, Planche C (1990) Hypoplastic transverse arch and coarctation in neonates. Surgical reconstruction of the aortic arch: a study of sixty-six patients. J Thorac Cardiovasc Surg 100:808.
Ovaert C, Benson LN, Nykanen D, Freedom RM (1988) Transcatheter treatment of coarctation of the aorta: a review (comments by Waldman JD). Pediatr Cardiol 19:27.
Quaegebar JM, Jonas RA, Weinberg AD, Blackstone EH, Kirklin JW (1994) Outcomes in seriously ill neonates with coarctation of the aorta: A multiinstitutional study. J Thorac Cardiovasc Surg 108:841.
Robotin MC, Bruniaux J, Serraf A, Uva MS, Roussin R, Lacour-Gayet F, Planche C (1996) Unusual forms of tracheobronchial compression in infants with congenital heart disease. J Thorac Cardiovasc Surg 112:415.
Roussin R, Belli E, Lacour-Gayet F, Godart F, Rey C, Bruniaux J, Planche C, Serraf A (2002) Aortic arch reconstruction with pulmonary autograft patch aortoplasty. J Thorac Cardiovasc Surg 123:443.
Serraf A, Lacour-Gayet F, Robotin M, Bruniaux J, Sousa-Uva M, Roussin R, Planche C (1996) Repair of interrupted aortic arch: a ten-year experience. J Thorac Cardiovasc Surg 112:1150.
Suematsu Y, del Nido PJ (2004) Robotic pediatric cardiac surgery: present and future perspectives. Am J Surg 188(4A Suppl):S98.
Shim D, Lloyd TR, Moorehead CP, Bove EL, Mosca RS, Beekman RH 3rd (1997) Comparison of hospital charges for balloon angioplasty and surgical repair in children with native coarctation of the aorta. Am J Cardiol 79:1143.
Van Praagh R, Bernhard WF, Rosenthal A, Parisi LF, Fyler DC (1971) Interrupted aortic arch: surgical treatment. Am J Cardiol 27:200.
Van Praagh R, O’Connor B, Chacko KA (1988) Aortic coarctation: pathology of the malformation. Abstract, First World Congress of Pediatric Surgery, Bergamo, Italy, p 5.
Vouhe PR, Trinquet F, Lecompte Y, Vernant F, Roux PM, Touati G, Pome G, Leca F, Neveux JY (1988) Aortic coarctation with hypoplastic aortic arch. Results of extended end-end aortic arch anastomosis. J Thorac Cardiovasc Surg 96:557.
Waldhausen JA, Nahrwold DL (1966) Repair of coarctation of the aorta with a subclavian flap. J Thorac Cardiovasc Surg 51:532.
Zannini L, Lecompte Y, Galli R, Gargiulo G, Musiani A, Ghiselli A, Pierangeli A (1985) (Aortic coarctation with hypoplasia of the arch: description of a new surgical technique). G Ital Cardiol 15:1045.
Zannini L, Gargiulo G, Albanese SB, Santorelli MC, Frascaroli G, Picchio FM, Pierangeli A (1993) Aortic coarctation with hypoplastic arch in neonates: a spectrum of anatomic lesions requiring different surgical options. Ann Thorac Surg 56:288.
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Lacour-Gayet, F.G., Artrip, J.H. (2006). Neonatal and Early Childhood Thoracic Aorta Abnormalities and Their Current Surgical Treatment. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_36
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