Original articleCardiovascularComparison of Angioplasty and Surgery for Neonatal Aortic Coarctation
Section snippets
Patients and Methods
The intent of the study was to compare balloon angioplasty with surgery as initial treatment in neonates with hemodynamically significant coarctation of the aorta. Patients excluded from the analysis included those with other complex anomalies such as univentricular heart, transposition of the great vessels, Taussig-Bing anomaly, and any patient suspected of having bacterial endocarditis or connective tissue disorder. Neonates with associated cardiac lesions were included so long as coarctation
Patient Characteristics
The clinical profile of the 23 patients undergoing balloon angioplasty (group A) was compared with 34 patients undergoing surgical intervention (group S) in Table 1. Both cohorts were similar with respect to age, sex, weight, right upper extremity systolic blood pressure, pretreatment echocardiographic gradient, and the degree of distal aortic arch hypoplasia. Associated conditions of bicuspid aortic valve, ventricular septal defect, and Turners’ and Shone’s syndrome were not significantly
Comment
This retrospective study compared angioplasty and surgery as the initial treatment of NAC. Surgical therapy for this congenital condition has been standard treatment for many years. The role of balloon dilatation is controversial because of early restenosis, the need for multiple interventions, potential limb ischemia, and the increased risk of aneurysm formation [6].
In this report, among 23 patients initially treated with angioplasty, only 4 patients (17%) required no further intervention.
Requirements for Recertification/Maintenance of Certification in 2006
Diplomates of the American Board of Thoracic Surgery who plan to participate in the Recertification/Maintenance of Certification process in 2006 must hold an active medical license and must hold clinical privileges in thoracic surgery. In addition, a valid certificate is an absolute requirement for entrance into the recertification/maintenance of certification process. if your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the
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