Surgical treatment of @entity1498 in adults: Beneficial effect on arterial XXXX .

@entity1 @entity712 @entity101 @entity254 @entity1498
BACKGROUND: The aim of this study was to determine the outcome after surgical repair of @entity1498 in adults, analysing its effect on arterial blood pressure. METHODS: Twenty-five adults (9 @entity1 , 16 @entity1 ), mean age 43.4 years (19 to 70 years), underwent @entity1498 surgical repair. All @entity1 suffered from preoperative @entity101 . Mean blood pressure was 182/97 mm Hg. Sixteen (64%) @entity1 demonstrated reduced load capacity. Operative technique was resection and end-to-end @entity254 for 5 @entity1 (20%), interposition of a Dacron-tube graft for 3 @entity1 (12%), Dacron-patch dilatation was performed in 7 (28%) @entity1 , and in 10 (40%) @entity1 we performed an extra-anatomical bypass graft. RESULTS: Early mortality occurred in 1 @entity1 (4%). The mean blood pressure was reduced [systolic 182 mm Hg vs. 139 mm Hg (p < 0.001), diastolic 97 mm Hg vs. 83 mm Hg (p < 0.001)] in all @entity1 . In 12 @entity1 , blood pressure normalized immediately after surgery, in 7 @entity1 it remained slightly elevated (systolic blood pressure between 140-160 mm Hg), and 1 @entity1 suffered from prolonged arterial @entity101 . Preoperatively, all @entity1 were treated with antihypertensive drugs. Eleven of 20 @entity1 received long-term medication during follow- up. In the remaining 4 @entity1 , medication lists were unobtainable in retrospect. The mean follow-up was 7.1 years (min. 1.0 years; max. 16.6 years). One @entity1 (5%) died from @entity712 12.4 years after the operation. On average, the New York Heart Association (NYHA) class was improved by 0.92. CONCLUSIONS: The surgical repair of @entity1498 in adults can be performed with low surgical risk. Surgery reduces @entity101 and permits more effective medical treatment.
