{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:04:49Z","timestamp":1753887889562,"version":"3.41.2"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T00:00:00Z","timestamp":1589500800000},"content-version":"vor","delay-in-days":135,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Key Research and Development Program of Hunan Province","award":["2018SK2138"],"award-info":[{"award-number":["2018SK2138"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. To evaluate the early and midterm results of a modified sliding anastomosis technique in patients with aortic coarctation. <jats:italic>Materials and Methods<\/jats:italic>. In this study, we reported a new repair method and compared the early and midterm outcome(s) with a conventional surgical approach for the management of patients with aortic coarctation. Forty\u2010eight aortic coarctation patients with a narrowed segment length longer than 2\u2009cm were operated at our department\u2019s pediatric surgical division. Excision of the coarctation and end\u2010to\u2010end anastomosis was carried out in twenty\u2010five patients (control group). In contrast, a modified sliding technique was used for twenty\u2010three cases in the observation group. Other accompanying cardiac anomalies simultaneously repaired included ventricular septal defect and patent ductus arteriosus. All patients received 1.5\u201010 years of postoperative echocardiographic follow\u2010up. <jats:italic>Results<\/jats:italic>. This is a retrospective study carried out between January 2005 and June 2018. The study population consisted of forty\u2010eight patients, which included twenty\u2010six male and twenty\u2010two female patients, with an average age of 5.2 \u00b1 1.9 months (range, 28 days to 1 year). There was no mortality. The operative time, the number of intercostal artery disconnection, the drainage volume, and arm\u2010leg systolic pressure gradient postoperation were less in the observation group as compared to the control group (<jats:italic>p<\/jats:italic> &lt; 0.05). Also, cases with an anastomotic pressure gradient exceeding 10\u2009mmHg during follow\u2010up were less in the observation group as compared to the control group (<jats:italic>p<\/jats:italic> &lt; 0.05). The postoperative complications encountered were chylothorax (control group 2 cases vs. observation group 0) and pulmonary atelectasis (control group 4 cases vs. observation group 1). They all, however, recovered after conservative treatment. Three patients in the control group underwent balloon angioplasty (reintervention) postoperative 2\u20104 years due to an increase in the anastomotic pressure gradient (&gt;20\u2009mmHg). After reintervention, the anastomotic pressure gradient reduced to 14\u2009mmHg, 15\u2009mmHg, and 17\u2009mmHg, respectively. <jats:italic>Conclusions<\/jats:italic>. For long segment aortic coarctation patients (longer than 2\u2009cm), the use of the modified sliding anastomotic technique effectively helps to retain more autologous tissues, enlarge the diameter of the anastomosis, and decrease anastomotic tension and vascular injury. Therefore, this technique provides a new idea for the surgical treatment of aortic coarctations.<\/jats:p>","DOI":"10.1155\/2020\/3805385","type":"journal-article","created":{"date-parts":[[2020,5,16]],"date-time":"2020-05-16T00:23:18Z","timestamp":1589588598000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Application of Modified Sliding Anastomosis in the Repair of Aortic Coarctation"],"prefix":"10.1155","volume":"2020","author":[{"given":"Wangping","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengming","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyuan","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenwu","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0606-2603","authenticated-orcid":false,"given":"Chukwuemeka Daniel","family":"Iroegbu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiarong","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoming","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5338-5034","authenticated-orcid":false,"given":"Jinfu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,15]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01280-1"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2015.11.002"},{"key":"e_1_2_10_3_2","article-title":"The surgical treatment of coarctation of the aorta","volume":"21","author":"Crafoord C.","year":"2005","journal-title":"Surgery"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.16.4.338"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)00825-R"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62434-4"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64255-5"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00646-4"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20585"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70347-0"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01503-9"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00996-4"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.12.027"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0b013e328330cc22"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(98)00352-0"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01886-7"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.2459\/01.JCM.0000260215.75535.64"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.120733"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(03)00030-8"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.093245"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2072-1439.2016.01.86"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2020\/3805385.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2020\/3805385.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2020\/3805385","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T07:55:23Z","timestamp":1735631723000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2020\/3805385"}},"subtitle":[],"editor":[{"given":"Dirk","family":"Bandorski","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1155\/2020\/3805385"],"URL":"https:\/\/doi.org\/10.1155\/2020\/3805385","archive":["Portico"],"relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"type":"print","value":"2314-6133"},{"type":"electronic","value":"2314-6141"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2019-12-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3805385"}}