{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:02:11Z","timestamp":1753876931683,"version":"3.41.2"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006662","name":"NIHR","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006662","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>A significant number of low-birth-weight neonates are born with aortic coarctation. Previous studies of early operation on these patients have shown a high hospital mortality and recurrence at 1 year. We reviewed our data to ascertain whether modern approaches allow better outcomes for these children.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Fourteen patients weighing &amp;lt;2\u2009kg with isolated coarctation between January 2005 and December 2015 were studied by retrospective chart review to ensure &amp;gt;5\u2009years follow-up. All patients underwent extended end-to-side surgical repair. In-hospital and medium-term follow-up data were collected. Data are expressed as median (range).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Weight at the time of surgery was 1.8 (1.5\u20131.9) kg. There were no deaths, in-hospital or during follow-up. In-hospital stay was 11 (4\u201347) days. At follow-up of 141 (80\u2013207) months echocardiographic velocity across the repair was 1.6 (0.9\u20133.8) m\/s. Two patients required balloon dilatations for recoarctation including 1 with William\u2019s syndrome who required balloon coarctoplasty followed by stenting. This patient had grossly abnormal vessels at the time of initial surgery with aortic wall thickness &amp;gt;3\u2009mm. There were no central neurological complications. Other complications included vocal cord dysfunction in 1, development of chylothorax requiring prolonged chest drainage in 2, pneumothorax following chest drain removal in 1 and wound dehiscence in 1 patient.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Neonates below 2\u2009kg can undergo coarctation repair safely with low incidence of recurrence. Waiting for growth in this cohort of patients may not therefore be justified.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivae185","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T22:52:14Z","timestamp":1733871134000},"source":"Crossref","is-referenced-by-count":0,"title":["Repair of aortic coarctation in neonates less than two kilograms"],"prefix":"10.1093","volume":"39","author":[{"given":"Qiang","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiothoracic Surgery, Hong Kong Children\u2019s Hospital , Hong Kong,","place":["China"]},{"name":"Department of Cardiac Surgery, Bristol Royal Hospital for Children, University of Bristol , Bristol,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Fleming","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Bristol Royal Hospital for Children, University of Bristol , 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