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Bazylev V.V.

Federal Center for Cardiovascular Surgery;
Penza State University

Shikhranov A.A.

Federal Center for Cardiovascular Surgery

Bofanov D.A.

Federal Center for Cardiovascular Surgery;
Penza State University

Adelgildina Z.Z.

Federal Center for Cardiovascular Surgery

Shcheglova K.T.

Federal Center for Cardiovascular Surgery

Bofanova N.S.

Penza State University

Correction of aortic coarctation in newborns and infants

Authors:

Bazylev V.V., Shikhranov A.A., Bofanov D.A., Adelgildina Z.Z., Shcheglova K.T., Bofanova N.S.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(2): 135‑141

DOI: 10.17116/kardio202518021135

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Table of contents

CORRECTION OF AORTIC COARCTATION IN NEWBORNS AND INFANTS
CORRECTION OF AORTIC COARCTATION IN NEWBORNS AND INFANTS

To cite this article:

Bazylev VV, Shikhranov AA, Bofanov DA, Adelgildina ZZ, Shcheglova KT, Bofanova NS. Correction of aortic coarctation in newborns and infants. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(2):135‑141. (In Russ.)
https://doi.org/10.17116/kardio202518021135

 
ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
Recommended articles:
Diagnosis and treatment of aortic coarctation in adults and adolescents: are all the issues reso­lved?. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):384-391
Abstract:

OBJECTIVE

To analyze the results of correction of aortic coarctation in newborns and infants.

MATERIAL AND METHODS

There were 249 surgical interventions for aortic coarctation in newborns and infants between 2008 and 2023. All patients were divided into 2 groups depending on surgical technique: group 1 — end-to-end anastomosis (n=135), group 2 — extended end-to-end anastomosis (n=114). Both groups were comparable in clinical and demographic indicators (median body weight 5.9 kg (range 1.7—15.2 kg) with body surface area 0.34 m2 (range 0.13—0.41 m2). Median age before surgery was 89 days (range 1—341).

RESULTS

There was no intraoperative mortality. Early postoperative mortality was 1.2% (3 patients). We studied 239 (97.1%) cases in long-term period. Mean follow-up was 10.2 years (range 8—14 years). Aortic recoarctation was observed in 19 (7.8%) patients (9 (6.7%) and 10 (9.2%) patients, respectively, p=0.12). Predictors of recoarctation in long-term period were low body weight before surgery (≤2900g) (OR 8.2; p=0.013) and aortic arch hypoplasia (OR 17.1; p=0.025).

CONCLUSION

End-to-end anastomosis and extended anastomosis are effective for aortic coarctation in newborns and infants good postoperative and long-term outcomes. However, low body weight and aortic arch hypoplasia increase the risk of redo surgery.

Keywords:

coarctation
aortic arch hypoplasia
factors of redo surgery

Authors:

Bazylev V.V.

Federal Center for Cardiovascular Surgery;
Penza State University

Shikhranov A.A.

Federal Center for Cardiovascular Surgery

Bofanov D.A.

Federal Center for Cardiovascular Surgery;
Penza State University

Adelgildina Z.Z.

Federal Center for Cardiovascular Surgery

Shcheglova K.T.

Federal Center for Cardiovascular Surgery

Bofanova N.S.

Penza State University

Received:

21.12.2023

Accepted:

19.02.2024

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