{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:58:39Z","timestamp":1747173519380,"version":"3.40.5"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T00:00:00Z","timestamp":1560988800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951119000386_as1\"><jats:title>Objectives:<\/jats:title><jats:p>Concerns exist over the long-term consequences of subclavian artery ligation in subclavian flap repair for coarctation of the aorta. We sought to analyse upper limb structural and functional performance in adults who have had surgery in childhood for coarctation of the aorta, using either subclavian flap repair or end to end aortic anastomosis.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119000386_as2\"><jats:title>Methods:<\/jats:title><jats:p>Two-group observational design using anatomical and upper limb functional performance measures. Purposive sampling from our specialist adult congenital heart disease database of patients who received subclavian flap repair or end to end anastomosis for coarctation of the aorta as children. Upper limb measurements were completed using MRI and blood flow velocity with ultrasound imaging. Bilateral standardised upper limb functional testing of assessment of strength, dexterity and a standardised self-report of upper limb disability was completed.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119000386_as3\"><jats:title>Results:<\/jats:title><jats:p>Eighteen right-handed patients, 9 with subclavian repair, (38 \u00b1 12 years, 78% males) were studied. Age at repair was 4.7 \u00b1 5.9 years; mean time from initial repair 32 \u00b1 9 years. The subclavian group had a larger difference between right and left when compared the end to end anastomosis group in: lower arm muscle mass (94.5 \u00b1 42.3 mls versus 37.8 \u00b1 94.5 mls, p = 0.008), lower arm maximal cross-sectional area, (5.9 \u00b1 2.8 cm<jats:sup>2<\/jats:sup> versus 2.9 \u00b1 2.6 cm<jats:sup>2<\/jats:sup>, p = 0.038) and grip strength (14.7 \u00b1 8.3 lbs versus 5.9 \u00b1 5.3 lbs, p = 0.016) There were no significant functional differences between groups.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119000386_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>In adults with repaired coarctation of the aorta, those with subclavian flap repair had a greater right to left arm muscle mass and grip strength differential when compared to those with end to end anastomosis repair.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951119000386","type":"journal-article","created":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T11:23:29Z","timestamp":1561029809000},"page":"856-861","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Left arm structure and function late after subclavian flap repair of aortic coarctation in childhood"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1281-1324","authenticated-orcid":false,"given":"Mark R.","family":"Dennis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Cusick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacinta","family":"Borilovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Calum","family":"Nicholson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya","family":"Derwin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Puranik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S.","family":"Celermajer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,6,20]]},"reference":[{"key":"S1047951119000386_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(89)90472-5"},{"key":"S1047951119000386_ref9","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.81.3.996"},{"key":"S1047951119000386_ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1739-x"},{"key":"S1047951119000386_ref10","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.2147"},{"key":"S1047951119000386_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0362-4"},{"key":"S1047951119000386_ref15","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.57.5.570"},{"key":"S1047951119000386_ref4","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.80.4.840"},{"key":"S1047951119000386_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01746-6"},{"key":"S1047951119000386_ref5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196611032751803"},{"key":"S1047951119000386_ref24","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.26.2.266"},{"key":"S1047951119000386_ref18","doi-asserted-by":"publisher","DOI":"10.1037\/h0061266"},{"key":"S1047951119000386_ref21","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1159\/000169754","article-title":"Changes in muscle blood flow and development of the arm following the Blalock-Taussig anastomosis","volume":"61","author":"Skovranek","year":"1976","journal-title":"Cardiology"},{"key":"S1047951119000386_ref8","first-page":"131","article-title":"Revisiting subclavian flap repair for neonates and small infants","volume":"31","author":"Kir","year":"2015","journal-title":"Pak J Med Sci"},{"key":"S1047951119000386_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.12.038"},{"key":"S1047951119000386_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39204-9"},{"key":"S1047951119000386_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.09.084"},{"key":"S1047951119000386_ref11","doi-asserted-by":"publisher","DOI":"10.1086\/419244"},{"key":"S1047951119000386_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr051"},{"key":"S1047951119000386_ref16","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.39.6.386"},{"key":"S1047951119000386_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.08.070"},{"key":"S1047951119000386_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/2150135115590458"},{"key":"S1047951119000386_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(65)80370-5"},{"key":"S1047951119000386_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37501-4"},{"key":"S1047951119000386_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/2150135112466878"},{"key":"S1047951119000386_ref17","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177965"},{"key":"S1047951119000386_ref14","first-page":"77","article-title":"Hand strength and dexterity","volume":"25","author":"Kellor","year":"1971","journal-title":"Am J Occup Ther"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951119000386","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T15:16:12Z","timestamp":1629299772000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951119000386\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,20]]},"references-count":26,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["S1047951119000386"],"URL":"https:\/\/doi.org\/10.1017\/s1047951119000386","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2019,6,20]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2019\u00a0","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}