Surgical Treatment of Aortic Coarctation: Comparative Analysis of Different Methods and Their Effectiveness Depending on Patient Age

The aim of this study was to evaluate the effectiveness and safety of various surgical methods for the treatment of coarctation of the aorta (CoA) considering the age characteristics of patients. The retrospective cohort study included 120 patients, divided into four age groups and subjected to one of four types of operations: resection with end-to-end anastomosis (EEA), aortoplasty with a prosthetic patch (APP), extended end-to-end anastomosis (EEEA), or installation of an intermediate prosthetic graft (IPG). The results showed that infants and young children achieved the best outcomes with the use of extended anastomosis, while APP demonstrated universality and effectiveness for all age groups. The frequency of reinterventions remained high in patients with hypoplastic aortic arch and severe coarctation. The findings of this study underscore the importance of an individualized approach to choosing the surgical method for treating CoA, especially for high-risk patients.

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