Rate of reinterventions and restenosis after aortic arch repair in infants

AJBM crossMark

 

Volume 10, Issue 3, July 20 2022, Pages 92-99

Abdullaiev WM 1, Romanenko GH 1, Zhaloba SF 2*

 

Abstract

Restenosis after aortic arch repair is well known complication in infants. The purpose of this study is to identify the reintervention rate in infants with aortic arch repair. Cohort retrospective study of 200 infants with aortic arch hypoplasia who did aortic arch reconstruction between 2010 and 2021. The procedures for primary repair included extended end-to-end anastomosis (n = 175) and autologous pericardial patch repair (n = 25). The overall mortality in the entire study group was 4.7 %. Follow-up period ranged from 5 month to 10 years (mean 2.2 ± 2.3 years). Restenosis at the site of aortic arch repair was identified in 60 (14.3 %) patients. Furthermore 15 patients underwent surgical reconstruction of the aortic arch, 30 patients underwent balloon angioplasty, and in 4 patients both methods were used. In conclusions surgical treatment of aortic arch hypoplasia in infants is effective and shows good immediate and long-term results.

Keywords: Restenosis; Aortic arch; Infants; Reintervention rate

Copyright © 2022 Zhaloba SF et al. This article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article citationReferencesFull-Text/PDFBecome reviewer
The citation data is computed by the following citation measuring services:

Cited by (CrossRef)
Google Scholar

1. Bell D, Betts K, Justo R, et al. Multicenter experience with 500 cardiocel implants used for the repair of congenital heart defects. Ann Thorac Surg. 2019;108(6):1883-1888.
https://doi.org/10.1016/j.athoracsur.2019.04.085

2. Konstantinidou MK, Moat N. Repair of tricuspid valve leaflet with cardiocel patch after traumatic tricuspid regurgitation. Ann Thorac Surg. 2017; 104(3):e221-e223.
https://doi.org/10.1016/j.athoracsur.2017.04.022
3. Porras D, Brown DW, Marshall AC, Del Nido P, Bacha EA, McElhinney DB. Factors associated with subsequent arch reintervention after initial balloon aortoplasty in patients with Norwood procedure and arch obstruction. J Am Coll Cardiol. 2011; 58:868-876.
https://doi.org/10.1016/j.jacc.2010.12.050
4. Neethling WM, Strange G, Firth L, Smit FE. Evaluation of a tissue-engineered bovine pericardial patch in paediatric patients with congenital cardiac anomalies: initial experience with the ADAPT-treated CardioCel(R) patch. Interact Cardiovasc Thorac Surg. 2013;17(4):698-702.
https://doi.org/10.1093/icvts/ivt268
5. Bautista-Hernandez V, Marx GR, Gauvreau K, Pigula FA, Bacha EA, Mayer JE, Jr, del Nido PJ. Coarctectomy reduces neoaortic arch obstruction in hypoplastic left heart syndrome. J Thorac Cardiovasc Surg. 2007; 133:1540-1546.
https://doi.org/10.1016/j.jtcvs.2006.12.067
6. Us MH, Sungun M, Sanioglu S, Pocan S, Cebeci BS, Ogus T, et al. A retrospective comparison of bovine pericardium and polytetrafluoroethylene patch for closure of ventricular septal defects. J Int Med Res. 2004; 32:218-21.
https://doi.org/10.1177/147323000403200216
7. Aupecle B, Serraf A, Belli E, Mohammadi S, Lacour-Gayet F, Fornes P, et al. Intermediate follow-up of a composite stentless porcine valved conduit of bovine pericardium in the pulmonary circulation. Ann Thorac Surg. 2002; 74:127-32.
https://doi.org/10.1016/S0003-4975(02)03639-1
8. Bennink GB, Hitchcock FJ, Molenschot M, Hutter P, Sreeram N. Aneurysmal pericardial patch producing right ventricular inflow obstruction. Ann Thorac Surg. 2001; 71:1346-7.
https://doi.org/10.1016/S0003-4975(00)02270-0
9. Li J, Ao L, Jin C, et al. Expression of Human Interleukine-37 Protects Mouse Heart Against Ischemic Injury Through Suppression of Monocyte Chemoattractant Protein-1-Mediated Mononuclear Cell Accumulation. Circulation. 2011;124:A8603.
10. Marelli AJ, Gurvitz M. From numbers to guidelines. Prog Cardiovasc Dis. 2011; 53:239-46.
https://doi.org/10.1016/j.pcad.2010.10.001
11. Marelli AJ, Mackie AS, Ionescu-Ittu R, Rahme E, Pilote L. Congenital heart disease in the general population: changing prevalence and age distribution. Circulation. 2007; 115:163-72.
https://doi.org/10.1161/CIRCULATIONAHA.106.627224
12. Vitanova K, Cleuziou J, Pabst von Ohain J, Burri M, Eicken A, Lange R. Recoarctation after Norwood I procedure for hypoplastic left heart syndrome: impact of patch material. Ann Thorac Surg. 2017;103(2):617-621.
https://doi.org/10.1016/j.athoracsur.2016.10.030
13. Larrazabal LA, Selamet Tierney ES, Brown DW, Gauvreau K, Vida VL, Bergersen L, Pigula FA, del Nido PJ, Bacha EA. Ventricular function deteriorates with recurrent coarctation in hypoplastic left heart syndrome. Ann Thorac Surg. 2008; 86:869-874. discussion 869-874.
https://doi.org/10.1016/j.athoracsur.2008.04.074
14. Pok S, Jacot JG. Biomaterials advances in patches for congenital heart defect repair. J Cardiovasc Transl Res. 2011; 4(5):646-654.
https://doi.org/10.1007/s12265-011-9289-8
15. Neethling WM, Strange G, Firth L, Smit FE. Evaluation of a tissue-engineered bovine pericardial patch in paediatric patients with congenital cardiac anomalies: initial experience with the ADAPT-treated CardioCel(R) patch. Interact Cardiovasc Thorac Surg. 2013;17(4):698-702.
https://doi.org/10.1093/icvts/ivt268
16. Fixler DE, Nembhard WN, Salemi JL, Ethen MK, Canfield MA. Mortality in first 5 years in infants with functional single ventricle born in Texas, 1996 to 2003. Circulation. 2010; 121:644-650.
https://doi.org/10.1161/CIRCULATIONAHA.109.881904
17. Austin EW, Ao L, Cleveland JC, et al. Ghrelin reduces myocardial injury following global ischemia and reperfusion via suppression of myocardial inflammatory response. American journal of BioMedicine. 2013; 1(2):38-48.
https://doi.org/10.18081/ajbm/2333-5106-013-12/38-48
18. Burkhart HM, Ashburn DA, Konstantinov IE, De Oliveira NC, Benson L, Williams WG, Van Arsdell GS. Interdigitating arch reconstruction eliminates recurrent coarctation after the Norwood procedure. J Thorac Cardiovasc Surg. 2005; 130:61-65.
https://doi.org/10.1016/j.jtcvs.2005.02.060
19. Pavy C, Michielon G, Robertus JL, Lacour-Gayet F, Ghez O. Initial 2-year results of CardioCel® patch implantation in children. Interact Cardiovasc Thorac Surg. 2018;26(3):448-453.
https://doi.org/10.1093/icvts/ivx295
20. Burkhart HM, Ashburn DA, Konstantinov IE, et al. Interdigitating arch reconstruction eliminates recurrent coarctation after the Norwood procedure. J Thorac Cardiovasc Surg. 2005;130(1):61-65.
https://doi.org/10.1016/j.jtcvs.2005.02.060
21. Ghanayem NS, Cava JR, Jaquiss RD, Tweddell JS. Home monitoring of infants after stage one palliation for hypoplastic left heart syndrome. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004; 7:32-38.
https://doi.org/10.1053/j.pcsu.2004.02.017
22. Ghanayem NS, Hoffman GM, Mussatto KA, Cava JR, Frommelt PC, Rudd NA, Steltzer MM, Bevandic SM, Frisbee SS, Jaquiss RD, Litwin SB, Tweddell JS. Home surveillance program prevents interstage mortality after the Norwood procedure. J Thorac Cardiovasc Surg. 2003; 126:1367-1377.
https://doi.org/10.1016/S0022-5223(03)00071-0
23. Yousif NG, Al-Amran FG. Novel Toll-like receptor-4 deficiency attenuates trastuzumab (Herceptin) induced cardiac injury in mice. BMC cardiovascular disorders. 2011; 11:1-7.
https://doi.org/10.1186/1471-2261-11-62
24. Ashcraft TM, Jones K, Border WL, et al. Factors affecting long-term risk of aortic arch recoarctation after the Norwood procedure. Ann Thorac Surg. 2008; 85(4):1397-1401.
https://doi.org/10.1016/j.athoracsur.2007.11.054
25. Chessa M, Dindar A, Vettukattil JJ, et al. Balloon angioplasty in infants with aortic obstruction after the modified stage I Norwood procedure. Am Heart J. 2000; 140(2):227-231.
https://doi.org/10.1067/mhj.2000.108238
26. Poirier NC, Drummond-Webb JJ, Hisamochi K, et al. Modified Norwood procedure with a high-flow cardiopulmonary bypass strategy results in low mortality without late arch obstruction. J Thorac Cardiovasc Surg. 2000; 120(5):875-884.
https://doi.org/10.1067/mtc.2000.109540
27. Ao L, Li J, Aly A, et al. Myocardial tissue TLR4 plays a major role in mediating myocardial injury following cold ischemia and reperfusion through up-regulation of MCP-1. Journal of Surgical Research. 2011; 2(165):181.
https://doi.org/10.1016/j.jss.2010.11.695


1. Access through OpenAthens 2. Credentials/SubscriptionFor any technique error please contact us.
Who Can Become a Reviewer?
Any expert in the article's research field can become a reviewer with American Journal of Biomedicine. Editors might ask you to look at a specific aspect of an article,... Find out more
  • Research Article
    http://dx.doi.org/10.18081/2333-5106/2022.10/92
    American Journal of BioMedicine Volume 10, Issue 3, pages 92-99
    Received February 22, 2022; revised April 14, 2022; accepted June 11, 2022; published July 20, 2022.

    PDF

    How to cite this article
    Abdullaiev WM, Romanenko GH, Zhaloba SF. Rate of reinterventions and restenosis after aortic arch repair in Infants. American Journal of BioMedicine. 2022; 10(2): 92-99
    Research Article
    1. Abstract
    2. Introduction
    3. Discussion
    4. References

    Article metric