[Long-term outcomes of XXXX for @entity1498 ].

@entity1 @entity384 @entity1498 @entity439 @entity661
From 1994 to 2001 @entity661 was fulfilled for 19 @entity1 aged from 4 to 28 (mean 11.0+/-7.0) with @entity1498 . Early outcomes were satisfactory in all cases. Catheterization showed 10 mm Hg decrease in systolic pressure gradient (SPG). Long-term results (from 6 months to 8 years, mean 3.0+/-2.5) were evaluated with transthoracic EchoCG, Doppler ultrasound, duplex scanning of iliofemoral segment and CT-angiography with 3D reconstruction. Surgical outcomes were considered good when SPG did not exceed 20 mm Hg for Doppler ultrasound and 25 mm Hg for Doppler EchoCG. In the study group there was statistically significant decrease in arterial pressure in right upper limb and SPG (measured with both Doppler EchoCG and Doppler ultrasonography) and rise of ankle-brachial index. Beneficial hemodynamic effect was detected in 15 from 19 @entity1 (79%). Recoarctation has developed in 4 (21%) @entity1 , in 1 (5.3%) case it was combined with true posttraumatic aortic @entity439 . Three @entity1 underwent open surgical intervention with uneventful postoperative period. @entity384 of thoracic aorta has developed in 1 @entity1 (5.3%), non-progressive intimal dissection - in another one (5.3%), 2 @entity1 (10.5%) experienced ipsilateral 40-60% stenosis of right external iliac and femoral arteries. Thus good long-term outcomes of @entity661 in @entity1 with @entity1498 were achieved in 79% cases. @entity1 after @entity661 must be assessed regularly with non-invasive diagnostic methods such as Doppler ultrasonography, Doppler EchoCG, CT-angiography.
