Technique of single-stage repair of coarctation of the aorta with ventricular septal defect.

Technique of single-stage repair of coarctation of the aorta with ventricular septal defect. Research Abstract Details 

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Technique of single-stage repair of coarctation of the aorta with ventricular septal defect. Abstract Text:

The results of single-stage and two-stage repair of coarctation of the aorta (CoA) with ventricular septal defect (VSD) have improved, but the optimal treatment strategy remains controversial. This article emphasizes the technical details for performing the single-stage repair of CoA with VSD and compares the results of this technique with the two-stage approach. A retrospective analysis of 46 patients who underwent completed surgical repair of CoA with VSD at Children's Hospital of Michigan, either using the single-stage (N = 23) or the two-stage (N = 23) techniques, was performed. The postoperative complications, hospital mortality, freedom from cardiac re-interventions, and actuarial survival were the same in both groups. The advantages of single-stage over two-stage repair include an earlier age at completion of repair, fewer operations, and fewer incisions. The one disadvantage of a single-stage repair was the increased need for delayed sternal closure compared with the two-stage approach, but this disadvantage has been neutralized in the recent era.

Technique of single-stage repair of coarctation of the aorta with ventricular septal defect. Publishing Authors By Initials

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Technique of single-stage repair of coarctation of the aorta with ventricular septal defect. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Seminars in thoracic and cardiovascular surgery. P

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Page Numbers: 22-30

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ISSN: 1092-9126

DAY: 8

MONTH: 04

YEAR: 2008

Technique of single-stage repair of coarctation of the aorta with ventricular septal defect. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Technique of single-stage repair of coarctation of the aorta with ventricular septal defect.

AFFILIATION: Chief, Department of Cardiovascular Surgery, Children's Hospital of Michigan; Professor of Surgery, Wayne State University School of Medicine, Detroit, MI.

Country: United States

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MEDLINETA: Semin Thorac Cardiovasc Surg P

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