{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:15:38Z","timestamp":1768342538276,"version":"3.49.0"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S104795112300104X_as1\"><jats:title>Objectives:<\/jats:title><jats:p>To evaluate early- and long-term outcomes of the surgical treatment for coarctation of the aorta based on a new classification system.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112300104X_as2\"><jats:title>Methods:<\/jats:title><jats:p>A retrospective clinical review of 111 patients with coarctation of the aorta who underwent surgery (March 2011 to August 2020) was performed. We categorised coarctation of the aorta into type I, with all three head vessels tightly packed; type II, with the left subclavian artery separated from the two other head vessels; and type III, with all three head vessels separated from one another. Each type included subtype a, with a short isthmic portion, and subtype b, with a long isthmic portion.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112300104X_as3\"><jats:title>Results:<\/jats:title><jats:p>The median patient age and weight at operation were 8 (range, 1\u20131490) days and 3.2 (range, 1.9\u201318.5) kg, respectively. Extended end-to-end anastomosis was performed via sternotomy in 54, via thoracotomy in 12, end-to-side anastomosis in 31, autologous main pulmonary artery patch augmentation in 12, and modified end-to-end anastomosis combined with subclavian artery flap aortoplasty in two patients. There was one (0.9%) case of early mortality and 12 (10.8%) cases of post-operative complications. Two (1.8%) late deaths occurred during follow-up. Five (4.5%) patients underwent balloon dilatation and three (2.7%) underwent reoperation for restenosis of coarctation of the aorta. All patients with type Ia (21 patients, 18.9%) underwent extended end-to-end anastomosis via sternotomy or thoracotomy.<\/jats:p><\/jats:sec><jats:sec id=\"S104795112300104X_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>According to the early and late outcomes observed in this study, surgical treatment of coarctation of the aorta using the new classification system could be safe and low risk.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s104795112300104x","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T03:04:24Z","timestamp":1682996664000},"page":"2644-2648","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of surgery for coarctation of the aorta based on a new classification system"],"prefix":"10.1017","volume":"33","author":[{"given":"Kwang Ho","family":"Choi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3972-456X","authenticated-orcid":false,"given":"Hyungtae","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Si Chan","family":"Sung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyoung Doo","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoon","family":"Ko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joung-Hee","family":"Byun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taehong","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chanyoung","family":"Chung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"S104795112300104X_ref17","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1067\/mtc.2002.120733","article-title":"Aortic arch reconstruction with pulmonary autograft patch aortoplasty","volume":"123","author":"Roussin","year":"2002","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S104795112300104X_ref8","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/0003-4975(91)90960-X","article-title":"Role of extended aortoplasty related to the definition of coarctation of the aorta","volume":"52","author":"Amato","year":"1991","journal-title":"Ann Thorac Surg"},{"key":"S104795112300104X_ref4","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1016\/j.athoracsur.2014.05.007","article-title":"End-to-side repair for aortic arch lesions offers excellent chances to reach adulthood without reoperation","volume":"98","author":"Lee","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"S104795112300104X_ref11","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1186\/s13019-021-01664-y","article-title":"Persistent fifth aortic arch associated with aortic coarctation: a case of surgical correction without artificial material","volume":"16","author":"Kim","year":"2021","journal-title":"J Cardiothorac Surg"},{"key":"S104795112300104X_ref13","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1161\/01.CIR.53.6.1011","article-title":"Anomalies of the aortic arch and ventricular septal defects","volume":"53","author":"Moulaert","year":"1976","journal-title":"Circulation"},{"key":"S104795112300104X_ref15","doi-asserted-by":"crossref","first-page":"e385","DOI":"10.1016\/j.athoracsur.2016.09.078","article-title":"A novel arterial cannulation technique for selective regional cerebral perfusion","volume":"103","author":"Kim","year":"2017","journal-title":"Ann Thorac Surg"},{"key":"S104795112300104X_ref16","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.ejcts.2004.03.040","article-title":"Anatomic reconstruction of recurrent aortic arch obstruction in children","volume":"26","author":"Kadner","year":"2004","journal-title":"Eur J Cardiothorac Surg"},{"key":"S104795112300104X_ref5","doi-asserted-by":"crossref","first-page":"2309","DOI":"10.1016\/j.athoracsur.2016.01.017","article-title":"Augmentation of the lesser curvature with an autologous vascular patch in complex aortic coarctation and interruption","volume":"101","author":"Lee","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"S104795112300104X_ref12","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1053\/j.pcsu.2009.01.024","article-title":"Transverse aortic arch obstruction: when to go from the front","author":"Brown","year":"2009","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"S104795112300104X_ref21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0022-5223(19)39203-7","article-title":"Coarctation in the first year of life. 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Surgical reconstruction of the aortic arch: a study of sixty-six patients","volume":"100","author":"Lacour-Gayet","year":"1990","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795112300104X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T01:31:20Z","timestamp":1702431080000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795112300104X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,2]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S104795112300104X"],"URL":"https:\/\/doi.org\/10.1017\/s104795112300104x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,2]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}