Search tips
Search criteria 


Logo of brheartjLink to Publisher's site
Br Heart J. 1991 May; 65(5): 271–276.
PMCID: PMC1024629

Operative survival and 40 year follow up of surgical repair of aortic coarctation.


OBJECTIVE--To study early and late mortality after surgical correction of coarctation of the aorta. DESIGN--Data on 223 patients operated on at the Westminster Hospital, London, between 1946 and 1981, were collected and updated by questionnaire. PARTICIPANTS--All 223 patients recorded as undergoing operation for aortic coarctation up to the end of 1981. Fifteen of 197 survivors were lost to follow up; most of them were patients from overseas. OUTCOME AND RESULTS--The early mortality (within one month of operation) was 12% overall, 2.6% for elective surgery, and 0% for the 77 patients undergoing surgery since 1968. Survivors were followed up for a total of 3288 patient years; in 27 follow up lasted more than 30 years. In a few it reached 40 years. Twenty two patients died during this period, 18 from causes that could be attributed to coarctation or its repair. Mortality was highest more than 20 years after the operation. CONCLUSION--Repair increased life expectancy in patients with aortic coarctation. Late problems caused by persistent hypertension or recoarctation became apparent in long term survivors. The increased risk of late mortality associated with the duration of preoperative hypertension was not statistically significant. There were no deaths from cerebrovascular accidents. (In an earlier necropsy series cerebrovascular accidents accounted for 11.8% of deaths.) The incidence of deaths from aneurysms resembled that in the earlier necropsy series.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (927K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Campbell M. Natural history of coarctation of the aorta. Br Heart J. 1970 Sep;32(5):633–640. [PMC free article] [PubMed]
  • Simon AB, Zloto AE. Coarctation of the aorta. Longitudinal assessment of operated patients. Circulation. 1974 Sep;50(3):456–464. [PubMed]
  • SCHUSTER SR, GROSS RE. Surgery for coarctation of the aorta. A review of 500 cases. J Thorac Cardiovasc Surg. 1962 Jan;43:54–70. [PubMed]
  • Maron BJ, Humphries JO, Rowe RD, Mellits ED. Prognosis of surgically corrected coarctation of the aorta. A 20-year postoperative appraisal. Circulation. 1973 Jan;47(1):119–126. [PubMed]
  • Presbitero P, Demarie D, Villani M, Perinetto EA, Riva G, Orzan F, Bobbio M, Morea M, Brusca A. Long term results (15-30 years) of surgical repair of aortic coarctation. Br Heart J. 1987 May;57(5):462–467. [PMC free article] [PubMed]
  • Clarkson PM, Nicholson MR, Barratt-Boyes BG, Neutze JM, Whitlock RM. Results after repair of coarctation of the aorta beyond infancy: a 10 to 28 year follow-up with particular reference to late systemic hypertension. Am J Cardiol. 1983 May 15;51(9):1481–1488. [PubMed]
  • Cohen M, Fuster V, Steele PM, Driscoll D, McGoon DC. Coarctation of the aorta. Long-term follow-up and prediction of outcome after surgical correction. Circulation. 1989 Oct;80(4):840–845. [PubMed]
  • Nanton MA, Olley PM. Residual hypertension after coarctectomy in children. Am J Cardiol. 1976 Apr;37(5):769–772. [PubMed]
  • Liberthson RR, Pennington DG, Jacobs ML, Daggett WM. Coarctation of the aorta: review of 234 patients and clarification of management problems. Am J Cardiol. 1979 Apr;43(4):835–840. [PubMed]
  • Forfang K, Rostad H, Sörland S, Levorstad K. Late sudden death after surgical correction of coarctation of the aorta. Importance of aneurysm of the ascending aorta. Acta Med Scand. 1979;206(5):375–379. [PubMed]
  • Koller M, Rothlin M, Senning A. Coarctation of the aorta: review of 362 operated patients. Long-term follow-up and assessment of prognostic variables. Eur Heart J. 1987 Jul;8(7):670–679. [PubMed]
  • Penkoske PA, Williams WG, Olley PM, LeBlanc J, Trusler GA, Moes CA, Judakin R, Rowe RD. Subclavian arterioplasty. Repair of coarctation of the aorta in the first year of life. J Thorac Cardiovasc Surg. 1984 Jun;87(6):894–900. [PubMed]
  • Gibbs JL. Ultrasound and coarctation of the aorta. Br Heart J. 1990 Aug;64(2):109–110. [PMC free article] [PubMed]
  • Carvalho JS, Redington AN, Shinebourne EA, Rigby ML, Gibson D. Continuous wave Doppler echocardiography and coarctation of the aorta: gradients and flow patterns in the assessment of severity. Br Heart J. 1990 Aug;64(2):133–137. [PMC free article] [PubMed]
  • Rees S, Somerville J, Ward C, Martinez J, Mohiaddin RH, Underwood R, Longmore DB. Coarctation of the aorta: MR imaging in late postoperative assessment. Radiology. 1989 Nov;173(2):499–502. [PubMed]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group