[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
December 1972

Reversal of Infant Mortality by Early Surgical Correction of Coarctation of the Aorta

Author Affiliations

Columbus, Ohio
From the departments of surgery and pediatrics, the Ohio State University College of Medicine, Columbus.

Arch Surg. 1972;105(6):865-868. doi:10.1001/archsurg.1972.04180120046009

The case records of all children under 2 years of age, treated by medical and/or surgical means for coarctation of the aorta and associated defects at the Columbus Children's Hospital, 1960 through 1971, were reviewed. Forms of the hypoplastic left heart syndrome were excluded, leaving 112 cases. Operative mortality was reduced from 75% (1960 through 1966) to 30% (1967 through 1971) by a combination of earlier surgery, improved patient selection, and adoption of a surgical program based on correction and/or total palliation for all elements of the infants' congenital malformation. A lowering of the mortality in the combined medical-surgical experience from 65% (1960 through 1966) to 35% (1967 through 1971) is documented.

Waldhausen JA, et al:  Management of coarctation in infancy . JAMA 187:270-275, 1964.Article
Tawes RL Jr, et al:  Coarctation of the aorta in infants and children: A review of 333 operative cases, including 179 infants . Circulation , (suppl 39) , pp 173-184, 1969.
Becker AE, et al:  Anomalies associated with coarctation of the aorta: Particular reference to infancy . Circulation 51:1067-1075, 1970.Article
Hallman GL, Cooley DA:  Cardiovascular surgery in newborn infants: Results in 1,050 patients less than 1-year-old Ann Surg 173:1007-1012, 1971.Article
Mustard WT, et al:  Cardiovascular surgery in the first year of life . J Thorac Cardiovasc Surg 59:761-767, 1970.
Stark J, et al:  Cardiac surgery in the first year of life: Experience with 1,049 operations . Surgery 69:483-497, 1971.