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The Journal of Thoracic and Cardiovascular Surgery, Vol 91, 79-85, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
S Bharati and M Lev
Two hundred nineteen hearts with preductal coarctation (tubular hypoplasia)
were analyzed in the laboratory to aid in surgical correction. One hundred
fourteen were without and 105 were with ventricular septal defect. We
believe the following anatomic findings may be responsible for the
mortality and morbidity in surgical repair. The smallness and thinness of
the left atrium (40% in those hearts without and 24% in those with
ventricular septal defect); the smallness and thinness of the left
ventricle (46% in those without and 32% in those with ventricular septal
defect); the presence of mitral stenosis (35% in those without and 24% in
those with ventricular septal defect); the presence of unicuspid or
bicuspid dysplastic aortic valve (49% in those without and 50% in those
with ventricular septal defect); the presence of a combination of aortic
and mitral stenosis (22% in those without and 9% in those with ventricular
septal defect); the location of the ventricular septal defect when present;
and the possibility of stenosis or insufficiency of the dysplastic aortic
valve in the late postoperative period.
ARTICLES
The surgical anatomy of the heart in tubular hypoplasia of the transverse aorta (preductal coarctation)
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S. Sano and R. B. B. Mee Isolated myocardial perfusion during arch repair Ann. Thorac. Surg., June 1, 1990; 49(6): 970 - 972. [Abstract] [PDF]
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