Objective: To report treatment outcomes in patients with congenital aortic arch disease.
Material And Methods: There were 65 patients (45 boys and 20 girls) for the period from 2005 to 2019. Mean age of patients was 53±12 days (range 1-98), weight - 3,3±1,3 kg (range 2.2-4.6). All patients were divided into 2 groups depending on the method of surgical repair. The 1 group included 33 patients who underwent patch repair, the 2 group (=32) - anastomosis in end-to-side fashion.
Results: In group I, recurrent aortic arch coarctation was observed in 16.8% of cases, in group II - only in 4% of cases (=0.02). Analysis of systolic pressure in both groups revealed that arterial hypertension was detected in 39% of cases in group I and only in 9,1% of cases in group II (=0,0025).
Conclusion: Surgical treatment of aortic arch disease using anastomosis in end-to-side fashion is associated with reduced risk of recurrent aortic arch coarctation and residual arterial hypertension in long-term postoperative period.
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