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Original Articles

Obstructive lesions in the aortic arch in children: A one year experience from a tertiary centre from western India

Authors:

Satyaki Das,

Institute of Child Health, Kolkata, West Bengal, IN
About Satyaki
Assistant Professor, Department of Paediatric Medicine
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Rohit Kapoor,

Institute of Child Health, Kolkata, West Bengal, IN
About Rohit
Assistant Professor, Department of Paediatric Medicine
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Partha Pratim Halder ,

Institute of Child Health, Kolkata, West Bengal, IN
About Partha
Assistant Professor, Department of Paediatric Medicine
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Shreepal Jain,

Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra,, IN
About Shreepal
Consultant, Department of Paediatric Cardiology
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Sumitra Venkatesh

Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra,, IN
About Sumitra
Professor, Department of Paediatric Cardiology
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Abstract

Background: Obstructive lesions in the aortic arch form a substantial disease burden in emergency care, outpatients and hospitalized children with congenital structural heart disease.


Objectives: To determine the clinical findings, imaging abnormalities and short term (<6 months) post-intervention outcomes in patients presenting with obstructive lesions of the aortic arch.


Method: A prospective observational study was conducted in children (less than 18 years of age) admitted with structural aortic arch obstructive lesions at Bai Jerbai Wadia Hospital for Children, Mumbai from 1st of January to 31st of December, 2019.


Results: There were 25 children admitted with structural aortic arch obstructive lesions during the study period; 14 (56%) were diagnosed as coarctation of aorta (COA), 8 (32%) as hypoplastic aortic arch and 3 (12%) as interrupted aortic arch. Eight (32%) admitted patients underwent catheter-based intervention and 17 (68%) patients required surgery. Re-coarctation was more common in patients with catheter-based intervention.


Conclusions: In the 25 children admitted with structural aortic arch obstructive lesions, 56% had COA, 32% hypoplastic arch and 12% interrupted aortic arch. Whilst 32% underwent catheter-based intervention, 68% required surgery.


Sri Lanka Journal of Child Health, 2022; 51(4): 598-604

How to Cite: Das, S., Kapoor, R., Halder, P.P., Jain, S. and Venkatesh, S., 2022. Obstructive lesions in the aortic arch in children: A one year experience from a tertiary centre from western India. Sri Lanka Journal of Child Health, 51(4), pp.598–604. DOI: http://doi.org/10.4038/sljch.v51i4.10377
Published on 05 Dec 2022.
Peer Reviewed

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