Neonatal (and Infant) Coarctation of the Aorta: Management Challenges

IF 0.6 Q4 PEDIATRICS Research and reports in neonatology Pub Date : 2020-02-01 DOI:10.2147/rrn.s189545
P. Rao
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引用次数: 11

Abstract

: Surgical correction of coarctation of the aorta was described in the mid-1940s and balloon angioplasty was introduced in the early 1980s. Several types of surgical methods were devised to treat native coarctation, but eventually, resection and end-to-end anastomosis became a standard approach with the use of extended end-to-end anastomosis for babies with hypoplasia of the isthmus and/or transverse aortic arch. Balloon angioplasty was considered as a substitute for surgical correction and was so used for some time, but because of high rate of recurrence in the neonate and young infant, most centers have reverted back to surgical correction as a primary mode of treatment of aortic coarctation in the neonate. Further research into feasibility of using stents in the management of coarctation in neonates and young infants are necessary. It is generally agreed that balloon angioplasty is the treatment of choice for post-surgical aortic recoarctations.
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新生儿(和婴儿)主动脉缩窄:管理挑战
:20世纪40年代中期描述了主动脉缩窄的外科矫正,20世纪80年代初引入了球囊血管成形术。设计了几种类型的手术方法来治疗先天性缩窄,但最终,切除和端对端吻合成为了一种标准方法,对峡部和/或横主动脉弓发育不全的婴儿使用扩展端对端吻合术。球囊血管成形术被认为是外科矫正的替代品,并且已经使用了一段时间,但由于新生儿和婴幼儿的高复发率,大多数中心已经恢复将外科矫正作为新生儿主动脉缩窄的主要治疗模式。有必要进一步研究使用支架治疗新生儿和婴幼儿缩窄的可行性。人们普遍认为球囊血管成形术是术后主动脉重建的首选治疗方法。
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