Coarctation of the Aorta: a 10-year follow-up study of patients treated at the Department of Peadiatric Cardiology, Universitas Academic Hospital

Abstract

Background: Coarctation of the aorta accounts for 6-8% of all congenital cardiac lesions. It can be treated surgically or percutaneously depending on the age and weight at presentation and associated cardiac lesions. Objectives: To describe the outcomes of management in patients with native coarctation of aorta with regard to re-intervention and mortality rate. Methods: A retrospective, descriptive review of patients with native coarctation of aorta was done at Universitas Academic Hospital using an electronic database. Included were patients who presented from 01 Jan 2007 – 31 Dec 2016, from birth to 19yrs. Results: The study comprised of 107 patients, median age of 33 days (1 – 4940) with a median weight of 3.9kg (1 – 53.5kg).Common associated cardiac lesions included PDA (n=61; 57%), bicuspid valves (n=41; 38.3%) and VSD (n=31; 29%). A total of 82 patients (75.7%) required an intervention in which 71(86.6%) had surgery with 12(14.6%) requiring a second intervention, while 11(13.6%) had percutaneous procedures with 7(63.6%) requiring a second intervention. Overall mortality was 17(15.9%), the cause of death in 14(82.4%) was cardiac related. Conclusion: From the results of this review surgery remains the preferred treatment for coarctation of the aorta and are associated with a lower recoarctation rate compared to percutaneous interventions.