Late results of the subclavian flap repair of XXXX in infancy.

@entity1 @entity8521 @entity712 @entity75 @entity7502 @entity1757 @entity2461 @entity260 @entity1498 @entity6554 @entity850 @entity4820 @entity3526
From June 1979 through January 1985, 22 @entity1 under 20 months of age (mean 8 months and 4 kg) underwent @entity1498 repair with a left subclavian aortoplasty. The most commonly associated lesions were @entity1757 (50%), @entity8521 (45%), @entity2461 (41%), transposition of great arteries (22.7%) and other @entity75 comprised 30%. Indication for surgery was congestive @entity712 refractory to medical management. All @entity1 were on inotropic support. Two @entity1 required mechanical ventilation preoperatively. Subclavian flap angioplasty was performed with 7.0 continuous @entity7502 suture. Ligation of a @entity2461 was simultaneously done in 8 @entity1 and pulmonary artery banding in 8 others. Four @entity1 (18%) died within 30 days after operation; 3 of them had severe @entity6554 of the aortic arch. Three transient @entity260 were encountered; chylothorax, @entity3526 and @entity4820 . No hospital deaths occurred in @entity1 with isolated @entity1498 . All survivors were followed for a period varying from 3 to 6.5 years (mean, 2 years). There were 3 late deaths (13.6%). Non invasive studies have shown a satisfactory result in 14 @entity1 with a residual gradient less than 20 mmHg and in 10 of them, cardiac catheterization and cineangiography showed no evidence of significant @entity850 . In one @entity1 only, femoral pulses were absent 4 months postoperatively. These results and reports of others indicate, contrary to the age, that the presence of associated disease affects mortality. Prompt repair of @entity1498 in all @entity1 with or without symptoms is recommended and the subclavian flap procedure appears to be a simple and safe method for relief of @entity1498 in critically ill @entity1 .
