Margarint Irina-Maria, Youssef Tammam, Robu Mircea, Rotaru Iulian, Popescu Alexandru, Untaru Olguta, Filip Cristina, Stiru Ovidiu, Iliescu Vlad Anton, Vladareanu Radu
Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Department of Cardiac Surgery, Emergency Clinical Hospital for Children "Maria Skłodowska Curie", 077120 Bucharest, Romania.
J Pers Med. 2024 Jul 6;14(7):732. doi: 10.3390/jpm14070732.
The surgical management of aortic coarctation in newborns needs to ensure postoperative evolution and long-term results as much as possible. Patients with a Gothic arch have a higher rate of postoperative hypertension, while newborns with a bovine arch have higher rates of restenosis and, thus, an additional risk of mortality. Late hypertension, even in anatomically successfully repaired patients, confers a high risk for cardiovascular events. This review of the literature focuses on the management of aortic coarctations associated with hypoplastic arch and particular arch anatomies, focusing on surgical techniques and their outcomes.
新生儿主动脉缩窄的手术治疗需要尽可能确保术后病情发展及长期疗效。具有哥特式主动脉弓的患者术后高血压发生率较高，而具有牛型主动脉弓的新生儿再狭窄发生率较高，因此存在额外的死亡风险。即使在解剖结构修复成功的患者中，晚期高血压也会带来较高的心血管事件风险。这篇文献综述聚焦于与主动脉弓发育不全及特定主动脉弓解剖结构相关的主动脉缩窄的治疗，重点关注手术技术及其效果。
