83 A Comparision of Repair of Coarctation End to End Anastomosis Versus Left Subclavian Flap

There are two accepted methods of surgical repair of coarctation of the aorta, end to end anastomostis and left subclavian flap aortoplasty, neither of which has been proven superior to the other. In this study we look at 76 Newfoundland patients who have had either of these procedures between 1962 and 2001, and compare the recoarctation rates and residual hypertention rates for them. End to end anastomosis showed a recoarctation rate of 4.17% while left subclavian flap aortoplasty had a recoarctation rate of 7.69%, and no significant difference between the procedures was found. Due to the similar rates of recoarctation and hypertention, the procedures have the same outcome and should both be considered viable alternatives for correction of coarctation of the aorta.