[Aortic coarctation in the neonatal period. Study of 137 cases]. / Coartación aórtica en el período neonatal. Estudio de 137 casos.

ABSTRACT

The clinical records of 137 newborns, diagnosed by cardiac catheterization of aortic coarctation, have been reviewed. According to the presence of associations, three different groups have been established. Group A isolated coarctation or coarctation associated with patient ductus arteriosus (40 cases); Group B coarctation associated with ventricular septal defect or atrial septal defect (37 cases); Group C coarctation associated with other complex congenital cardiac lesions (60 cases). The aortic coarctation has been surgically repaired in 73 cases, by using the following techniques End-to-end anastomosis in 26 patients, Waldhausen repair in 43 and other procedures in the remaining 4 cases. For the surgically treated patients the survival has been 88% in group A, 90% in group B and 48% in group C. In non-operated patients the survival has been 21%, 6% and 14%, respectively.