[Aortic arch advancement surgery as treatment for aortic coarctation with hypoplastic aortic arch in children]. / Avance de arco aórtico en el manejo de la coartación de aorta con hipoplasia del arco aórtico en niños.
Rev Invest Clin
; 64(3): 247-54, 2012.
Article
em Es
| MEDLINE
| ID: mdl-23045947
ABSTRACT
INTRODUCTION:
Treatment of aortic coarctation with hypoplastic aortic arch is still a surgical challenge. The aortic arch advancement surgery has shown less re-coarctation frequency.OBJECTIVE:
To determine the re-coarctation frequency in patients who underwent aortic arch advancement technique for aortic coarctation with hypoplastic aortic arch and analyze the results. MATERIAL ANDMETHODS:
Retrospective and observational study of 38 patients who underwent aortic arch advancement in a third level Institution from 2002 to 2010.RESULTS:
Twenty four males and 14 females all with aortic arch Z index diameter of < or = -2 were found. The median age was 2.6 months and the median weight was 3.8 kg. Twelve patients (31.5%) did not show post operative complications. Eighteen (47%) had only one complication; one patient (2.6%) had 2 complications and 2 (5.2%) had 3 complications. After a follow up of 3.7 years the frequency of re-coarctation was O%.DISCUSSION:
With the previously mentioned technique the recoarctation frequency on medium and long term basis was 0%. From the anatomical and functional point of view, we believe this technique offers the best possible results.
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Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
/
Coartação Aórtica
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Infant
/
Male
Idioma:
Es
Ano de publicação:
2012
Tipo de documento:
Article