G.E. SUKHAREVA

Crimean Federal University named after V.I. Vernadskiy, Medical Academy named after S.I. Georgiyevskiy, Simferopol

  Contact details:

Sukhareva G.E. ― D. Sc. (medicine), Professor of the Department of Pediatrics with a course of Children Infectious Diseases

Address: 5/7 Lenin Boulevard, Simferopol, Republic of Crimea, 295051, e-mail: suchareva@mail.ru

 Taking into account that coarctation of aorta is a life-threatening condition often causing a lethal outcome, the aim of our work was to study peculiarities of the course of aorta coarctation in infants, children and adolescents, to compare the results of balloon dilatation and surgical treatment for the defect and, based on the findings received, to develop, test and put into practice an algorithm for follow-up of children with CoA in the Republic of the Crimea.

Material and methods. The article presents the results of clinical examination of 100 infants and children with coarctation of the aorta aged 0 to 18 years before and at different time after the surgical correction.

Results. It has been established that balloon dilatation is preferable in infants with critical coarctation of aorta, providing good and satisfactory results. An algorithm for follow-up of children with CoA has been developed, tested and put into practice in the Crimea.

Conclusion. The introduced algorithm has contributed to higher efficiency of follow-ups and better diagnosis of congenital heart defects, prenatal diagnosis in particular, which made it possible to operate on children at the most appropriate time. Incidence of disability and mortality has decreased; percentage of post-operative complications has reduced; the quality of life of children has improved.

Key words: children, coarctation of aorta, follow-ups, algorithm.

REFERENCES

1. Sharykin A.S. Vrozhdennye poroki serdtsa: Rukovodstvo dlya pediatrov, kardiologov, neonatologov [Congenital heart defects: A guide for pediatricians, cardiologists, neonatologists]. Moscow: Teremok, 2005. 384 p.
2. Backer C.L., Mavroudis C. Congenital Heart Surgery Nomenclature and Database Project: Patent Ductus Arteriosus, Coarctation of the Aorta, Interrupted Aortic Arch. Ann. Thorac. Surg, 2000, vol. 69, pp. 298-307.
3. Sinel’nikov Yu.S., Gorbatykh A.V., Kshanovskaya M.S., Ivantsov S.M. Aortic arch hypoplasia. Patologiya krovoobrashcheniya i kardiokhirurgiya, 2013, no. 3, pp. 68-72 (in Russ.).
4. Boriskov M.V., Petshakovskiy P.Yu., Serova T.V. Coarctation of the aorta in newborns. The current state of the problem. Innovatsionnaya meditsina Kubani, 2016, no. 3, pp. 66-72 (in Russ.).
5. Belov Yu.V., Bogopol’skaya O.M., Gens A.P. Aneurysm of the ascending aorta during its coarctation. Khirurgiya, 2004, no. 2, pp. 37-42 (in Russ.).
6. Sukhareva G.E., Lebed’ I.G., Odayskiy A.N. The combination of coarctation of the aorta with other congenital anomalies of the cardiovascular system. Proceedings of the VII All-Ukrainian Scientific and Practical Conference «Actual Issues of Pediatric Cardiorevmatology» (April 17-19, 2008, Yevpatoria). Tavricheskiy mediko-biologicheskiy vestnik, 2008, vol. 11, no. 2, p. 99 (in Russ.).
7. Boriskov M.V., Petshakovskiy P.Yu., Serova T.V., Karakhalis N.B. Coarctation of the aorta in newborns. Khirurgiya, 2010, no. 10, pp. 89-94 (in Russ.).
8. Sukhareva G.E., Sadovoy V.I., Lebed’ I.G. Algoritmy vedeniya detey so slozhnoy vrozhdennoy patologiey serdechno-sosudistoy sistemy na razlichnykh etapakh dispanserizatsii. Uchebno-metodicheskoe posobie [Algorithms for the management of children with a complex congenital pathology of the cardiovascular system at various stages of clinical examination. Teaching manual]. Simferopol, 2015. 40 p.
9. Gorbatykh Yu.N., Gorbatykh A.V., Ivantsov S.M. et al. Surgical treatment of coarctation with hypoplasia of the distal aortic arch in young patients. Patologiya krovoobrashcheniya, 2011, no. 3, pp. 4-9 (in Russ.).
10. Prokhorova D.S., Nartsissova G.P., Gorbatykh Yu.N. et al. Dynamics of left ventricular adaptation processes in young patients with aortic coarctation before and after surgical correction. Patologiya krovoobrashcheniya, 2012, no. 1, p. 11 (in Russ.).
11. Sinel’nikov Yu.S., Kshanovskaya M.S., Gorbatykh A.V., Ivantsov S.M. Surgical treatment of aortic coarctation: are the expectations always justified? Sibirskiy meditsinskiy zhurnal, 2014, no. 48, pp. 55-58 (in Russ.).
12. Quaegebeur J.M., Jonas R.A., Weinberg A.D., et al. Congenital Heart Surgeons Society: outcomes in seriously ill neonates with coarctation of the aorta: a multiinstitutional study. J. Thorac. Cardiovasc. Surg, 1994, no. 108, rr. 841-854.
13. Kurochkin S.V., Zidikhanov D.I. Computed tomographic angiography in the diagnosis of aortic coarctation. Kompleksnye problemy serdechno-sosudistykh zabolevaniy, 2017, no. 4, pp. 169-175 (in Russ.).
14. Shakhov B.E., Sharabrin E.G., Rybinskiy A.D. Modern principles of assessing the angiomorphology of aortic coarctation. Khirurgiya serdtsa i sosudov, 2004, no. 2, pp. 41-44 (in Russ.).