Outcome of Surgical Repair of Coarctation in Neonate

Abstract

oarctation of aorta (CoA) can be simply defined as cardiac abnormality resulting in obstruction to the blood flow in the aorta. CoA can occur at any region in the thoracic and abdominal aorta. Most common location for CoA is just distal to the left subclavian artery at the point where ductus arteriosus connects to the aorta. Typically there is presence of medial thickening with “shelf like” tissue protruding in the lumen of aorta from the posterior aortic wall. Aim of study to evaluate outcome of surgical repair of coarctation in neonate. The review included retrospective, prospective, randomized, or non-randomized controlled trials that study the of outcome of coarctation surgical repair in neonate. Types of participants: Neonate with Coarctation surgical repair. Types of interventions: Coarctation surgical repair In our analysis surgical repair of coarctation was significantly associated with a lower incidence of re-CoA, fewer repeat interventions due to re-CoA and lower residual transcoarctation gradient in the mid to long term follow up. However, the results of the meta-analysis for incidence of aneurysm formation was in conclusive due to fluctuating results in the sensitivity analysis.