open access

Vol 15, No 5 (2020)
Review paper
Get Citation

Functional evaluation of the upper extremities after corrective surgery of congenital defects of the aortic arch in children depending on arterial vascularisation

Agata Wasilewska, Jakub Wasilewski, Paulina Ewertowska, Natalia Szulc, Konrad Paczkowski, Katarzyna Gierat-Haponiuk, Julia Haponiuk-Skwarlińska, Afrodyta Zielińska, Jolanta Zajt, Ireneusz Haponiuk
DOI: 10.5603/FC.2020.0054
·
Folia Cardiologica 2020;15(5):372-379.

open access

Vol 15, No 5 (2020)
Cardiac Surgery

Abstract

Congenital heart defects are often accompanied by defects in great vessels, such as aortic coarctation with various forms of aortic arc hypoplasia, vascular rings and positional anomalies. Surgical treatment and the choice of optimal defect correction technique in the child may affect the restoration, maintenance or the arrest of blood supply by the aorta to arterial vessels given off by the aortic arch. Proper, closest physiological vascularisation of individual parts of the body and organs is necessary for proper development and maintenance of physiological function. The consequence of the use of various strategies for correcting congenital defects of the aorta and the use of available surgical techniques may be perfusion disorders, also in the field of vessels supplying upper limbs, most often the upper left limb. In this article, we have attempted to develop a universal strategy for assessing the development and function of the upper extremities in children. It consists of cardiac methods of cardiovascular evaluation and physiotherapeutic function tests of the upper limbs adapted to the age of patients. Confirmation of the long-term importance of maintaining or restoring the blood supply by the aorta on the basis of objective function tests of the upper extremities may be an additional argument while choosing the optimal surgical method in the youngest children.

Abstract

Congenital heart defects are often accompanied by defects in great vessels, such as aortic coarctation with various forms of aortic arc hypoplasia, vascular rings and positional anomalies. Surgical treatment and the choice of optimal defect correction technique in the child may affect the restoration, maintenance or the arrest of blood supply by the aorta to arterial vessels given off by the aortic arch. Proper, closest physiological vascularisation of individual parts of the body and organs is necessary for proper development and maintenance of physiological function. The consequence of the use of various strategies for correcting congenital defects of the aorta and the use of available surgical techniques may be perfusion disorders, also in the field of vessels supplying upper limbs, most often the upper left limb. In this article, we have attempted to develop a universal strategy for assessing the development and function of the upper extremities in children. It consists of cardiac methods of cardiovascular evaluation and physiotherapeutic function tests of the upper limbs adapted to the age of patients. Confirmation of the long-term importance of maintaining or restoring the blood supply by the aorta on the basis of objective function tests of the upper extremities may be an additional argument while choosing the optimal surgical method in the youngest children.

Get Citation

Keywords

congenital heart defects, defects of the vessels of the aortic arch, pediatric cardiac surgery, coarctation of the aorta, hypoplasia of the aortic arch, cardiosurgical correction, evaluation of the upper extremities, muscle strength, EMG, AHA

About this article
Title

Functional evaluation of the upper extremities after corrective surgery of congenital defects of the aortic arch in children depending on arterial vascularisation

Journal

Folia Cardiologica

Issue

Vol 15, No 5 (2020)

Article type

Review paper

Pages

372-379

DOI

10.5603/FC.2020.0054

Bibliographic record

Folia Cardiologica 2020;15(5):372-379.

Keywords

congenital heart defects
defects of the vessels of the aortic arch
pediatric cardiac surgery
coarctation of the aorta
hypoplasia of the aortic arch
cardiosurgical correction
evaluation of the upper extremities
muscle strength
EMG
AHA

Authors

Agata Wasilewska
Jakub Wasilewski
Paulina Ewertowska
Natalia Szulc
Konrad Paczkowski
Katarzyna Gierat-Haponiuk
Julia Haponiuk-Skwarlińska
Afrodyta Zielińska
Jolanta Zajt
Ireneusz Haponiuk

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl