Surgical treatment of isolated XXXX : 18 years' experience.

@entity1 @entity101 @entity254 @entity1498 @entity1566 @entity850
From March 1967 to February 1985 91 @entity1 aged from 11 months to 53 years underwent surgical treatment of isolated @entity1498 . The surgical procedures in descending order of frequency, were: resection with end to end @entity254 , resection with replacement by a tube graft, patch aortoplasty, and bypass graft. Resection with end to end @entity254 was achieved mainly in younger @entity1 . The number of @entity1 needing other procedures increased with advancing age. Eighty six @entity1 have been followed up (mean 10 years). There were no hospital or late deaths and none of the @entity1 suffered from @entity1566 . There were three recurrences of the @entity1498 , all in @entity1 who had had primary reconstruction below the age of one year. The @entity1 were divided into three groups by age: group 1, 0-5 years; group 2, 6-15 years; and group 3, over 15 years. It was found that there was no late @entity101 in group 1 while @entity101 persisted in 7% of group 2 and in 28% of group 3. Fifty per cent of the @entity1 with persistent @entity101 were above the age of 20 years at the time of operation and had resection with replacement by a tube graft. It is recommended that elective surgery for @entity1498 should be performed at the age of 3-5 years to avoid both recurrence of @entity850 and persistent @entity101 .
