Repair of XXXX in the first three months of life: immediate and long-term results.

@entity1 @entity154 @entity473 @entity1757 @entity2461 @entity1498 @entity299 @entity204
The optimum surgical procedure for treatment of @entity1498 in the neonatal period remains controversial. To assess immediate and long-term results of using primarily the subclavian flap angioplasty procedure (SFA), we reviewed our initial 5-year experience. The average follow-up was 6 years. From 1977 to 1981, 25 @entity1 under 3 months of age (1 to 86 days, mean 21) required emergency surgery for repair of @entity1498 . Three groups of @entity1 were identified. Group I consisted of 10 @entity1 with or without @entity2461 . In group II, 10 @entity1 had @entity1498 association with one or multiple @entity1757 ( @entity1757 ) without other @entity154 . In group III, 5 @entity1 had @entity1498 associated with more complex congenital @entity299 . Twenty-three SFAs and two patch aortoplasties were performed. No @entity1 with isolated @entity1757 was banded. All @entity1 except one in group III with an associated @entity473 survived initial hospitalizations. Four late @entity204 occurred, all in @entity1 with associated complex @entity299 . There were three recurrent coarctations requiring surgery or balloon angioplasty (12%)--one in each group, with a total rate of 0.77 recurrences per 100 @entity1 -months. SFA for @entity1498 in the neonatal period is a safe and effective operation with a low initial mortality (4%, 0-19%, 70% confidence limits) well tolerated in this group of ill @entity1 . Long-term outcome is primarily related to the presence of associated complex @entity154 . @entity1 with @entity1757 associated with @entity1498 did not require pulmonary artery banding unless primary intracardiac repair was not feasible.(ABSTRACT TRUNCATED AT 250 WORDS)
