Immediate and Long-Term Results of Surgical Treatment of Postcoarctation Aneurysms of Aorta

Postcoarctation aneurysm is one of the most dangerous complications in long-term period after surgery for coarctation aorta (CoA). formation associated with high risk rupture, and, therefore, patient death. Considering this pathology, it necessary to study thoroughly results surgical treatment and quality life correction develop measures prevent aneurysms formation.
 The aim. To present analyze immediate effects postcoarctation aorta.
 Materials methods. We analyzed 25 years follow-up (1995–2020). performed comparative analysis correction. Ninety-one patients were included study. All divided into two groups. Group I 69 (75.8%) who underwent open intervention. II 16 (17.6%) who, turn, subgroups: group ІІ-A (5 patients) endovascular intervention, ІІ-B (11 received hybrid discussed pathology. studied summarized assessment operated a using SF-36 questionnaire.
 Results. showed that often developed CoA by indirect isthmoplasty procedure (53.5%, n=31). Aneurysms frequently due tear lower edge patch. Better reported ІІ. Average from till was 22 years. postoperative 30-day mortality all (n=85) 8.2%. causes death as follows: infectious 4 (57.1%), hemorrhage 3 (42.9%). Long-term observed 93.5% (n= 79). Treatment good 54 (68.3%), satisfactory (20.2%), unsatisfactory 7 (8.9%). Two (2.5%) died period.
 Conclusions. It established isthmoplasty, cause mostly interesting note younger time correction, longer aneurysm. interventions proved be highly effective long term, non-operated their necessity. significant improvement. There improvement parameter physical functioning 26.2%, general health 40.7%, everyday activities 36.0%.