{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T01:18:30Z","timestamp":1775611110389,"version":"3.50.1"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T00:00:00Z","timestamp":1631664000000},"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":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951121003747_as1\"><jats:title>Objectives:<\/jats:title><jats:p>There are several studies reporting the outcomes of hypoplastic aortic arch and aortic coarctation repair with combination of techniques. However, only few studies reported of aortic arch and coarctation repair using a homograft patch through sternotomy and circulatory arrest with antegrade cerebral perfusion. We report our experience and outcomes of this cohort of neonates and infants.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951121003747_as2\"><jats:title>Methods:<\/jats:title><jats:p>We performed retrospective data collection for all neonates and infants who underwent aortic arch reconstruction between 2015 and 2020 at our institute. Data are presented as median and inter-quartile range (IQR).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951121003747_as3\"><jats:title>Results:<\/jats:title><jats:p>The cohort included 76 patients: 49 were males (64.5%). Median age at operation was 16 days (IQR 9\u201343.25 days). Median weight was 3.5 kg (IQR 3.10\u20134 kg). There was no 30 days mortality. Three patients died in hospital after 30 days (3.95%), neurological adverse events occurred in only one patient (1.32%) and recurrent laryngeal nerve injury was noted in four patients (5.26%). Only three patients required the support of extracorporeal membrane oxygenation (ECMO) with a median ECMO run of 4 days. Median follow-up was 35 months (IQR 18.9\u201346.4 months); 5 years survival was 93.42% (n = 71). The rate of re-intervention on the aortic arch was 9.21% (n = 7).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951121003747_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Our experience shows excellent outcomes in repairing aortic arch hypoplasia with homograft patch under moderate to deep hypothermia with low in-hospital and 5 years mortality rates.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951121003747","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T01:53:33Z","timestamp":1631670813000},"page":"1098-1103","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Contemporary outcomes of aortic arch hypoplasia and coarctation repair in a tertiary paediatric cardiac surgery centre"],"prefix":"10.1017","volume":"32","author":[{"given":"Amr","family":"Ashry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5507-5841","authenticated-orcid":false,"given":"Amer","family":"Harky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulla","family":"Tarmahomed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Ugwu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heba M.","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh","family":"Kutty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attilio","family":"Lotto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Guerrero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramana","family":"Dhannapuneni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"S1047951121003747_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.14494"},{"key":"S1047951121003747_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2011.00575.x"},{"key":"S1047951121003747_ref12","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs510"},{"key":"S1047951121003747_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.04.025"},{"key":"S1047951121003747_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.15212"},{"key":"S1047951121003747_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs301"},{"key":"S1047951121003747_ref8","doi-asserted-by":"publisher","DOI":"10.4103\/0366-6999.215279"},{"key":"S1047951121003747_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.09.053"},{"key":"S1047951121003747_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.08.029"},{"key":"S1047951121003747_ref7","volume-title":"IBM SPSS Statistics for Windows, Version 26.0","year":"2019"},{"key":"S1047951121003747_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.04.027"},{"key":"S1047951121003747_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01144-3"}],"updated-by":[{"DOI":"10.1017\/s1047951123003888","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T00:00:00Z","timestamp":1631664000000}}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951121003747","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T12:45:06Z","timestamp":1699533906000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951121003747\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,15]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["S1047951121003747"],"URL":"https:\/\/doi.org\/10.1017\/s1047951121003747","relation":{"correction":[{"id-type":"doi","id":"10.1017\/S1047951123003888","asserted-by":"object"}]},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,15]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. 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