Methods of management and results following surgery for XXXX in infancy.

@entity1 @entity154 @entity712 @entity254 @entity2998 @entity1498 @entity299 @entity3526
There were 30 @entity1 , under 1 yr of age, in refractory congestive @entity712 , who underwent surgical correction for @entity1498 . The series was divided into two groups, depending on the type of surgical procedure performed: Group 1, 17 @entity1 end-to-end @entity254 ; Group 2, 13 @entity1 aortic angioplasty. Aortic angioplasty was carried out by three methods. Ten @entity1 had a @entity3526 as described by Waldhausen in 1966. In two @entity1 a carotid artery flap angioplasty was used to enlarge a severely hypoplastic @entity2998 . In one @entity1 an onlay patch of pericardium was used to relieve obstruction across a coarcted segment. Mortality rates in this series and other series from the literature are primarily dependent upon associated @entity299 . Mortality rates approach zero in @entity1 operated on for @entity1498 who have no associated @entity154 . While the mortality rate was slightly lower in those @entity1 treated by some type of angioplasty, the figures are too small to be significant. In this series and other series recoarctation is far less likely to occur after @entity3526 in comparison to those @entity1 undergoing end-to-end @entity254 . We would advise that in @entity1 1 yr of age, a subclavian or carotid flap angioplasty be used as a primary method of repair.
