Faelar Coarctation of the aorta usually occurs beyond the blood vessels that branch off to your upper body and before the blood vessels that lead to your lower body. Transcatheter treatment of pulmonary stenosis and coarctation aortia the aorta: J Am Coll Cardiol, 39pp. Major complications were those that caused death, permanent disability or severe hemodynamic dysfunction. From fetal life to adulthood. Physiologically its complete form is manifested as interrupted aortic arch.
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Surgical treatment and Interventional catheterization of newborns and infants with native aortic coarctation. Luis E Marcano Sanz1; Dr. Eugenio Selman-Houssein Sosa1; Dr. La Habana. ABSTRACT Introduction: Surgical relief of Coarctation of the aorta CoA and catheter interventional techniques are available alternatives even though no consensus has been reached in regard to the method of intervention surgery vs.
Many cardiologists prefer surgical intervention, whereas a few may choose for balloon angioplasty. Objective: To analyze surgical and interventional techniques outcomes in neonates and infants with native CoA. To identify the complications and the intensive care unit ICU stays. To determine the risk factors related to recoarctation ReCoA.
Method: An observational, analytical, longitudinal and prospective study was made aiming to analyze the surgical and balloon angioplasty outcomes in newborns and infants with native CoA at the William Soler Pediatric Cardiology Hospital from - Results: ICU stays of patients treated surgically were the largest median of 36 hours. The percentage of ReCoA was higher in patients treated with angioplasty Paradoxical arterial hypertension was the most common complication found A residual gradient higher than 15 mm Hg following surgical correction or balloon angioplasty was identified as a risk factor for ReCoA interventional catheterization RR: 7.
Conclusions: ICU stays were longer in the patients underwent surgery. Patients treated with balloon angioplasty showed higher incidence of ReCoA. Complications were not so frequent. A gradient higher than 15 mm Hg was identified as a risk factor for ReCoA irrespective of the procedure performed. Key words: Surgery, aortic coarctation, recoarctation, balloon angioplasty Correspondencia: Dr.
Email: danay. Cateterismo intervencionista. Zona coartada. A nivel del diafragma. Se tuvo cuidado para evitar complicaciones aneurisma, rotura de la aorta. Recoartacion: variable cualitativa. Figura 1 Figura 1. Figura 2. Tabla 4 Tabla 1. Tabla 2. Tabla 3. Tabla 4. Principales complicaciones.
Las complicaciones son infrecuentes. Coarctation of the aorta. Sem Thor Card Surg. Coarctation of the aorta and aortic arch interruption. Cardiac Surgery, 2nd ed. New York: Churchill-Livingstone; Role of Extended aortoplasty related to the definition of coarctation of the aorta. Ann Thorac Surg. Coarctation of the aorta and interrupted aortic arch. Baltimore: Williams and Wilkins; Beekman RH.
Moss and Adams. W Baltimore: Williams and Wilkins; Naranjo A. World Medical Association. Stark J. En Stark J, de Leval M, eds. Surgery for congenital heart defects, 2nd ed. Philadelphia: Saunders; Prediction of recurrent coarctation by early postoperative blood pressure gradient. J Thorac Cardiovasc Surg. Am J Cardiol. Aortoplasty the operation of choice for infant aortic coarctation? Extended resection and end-to-end anastomosis for aortic coarctation in infants: results of a tailored surgical approach.
Percutaneous interventions on severe coarctation of the aorta: a 21year experience. Pediatr Cardiol. Severe aortic coarctation in infants less than 3 months: successful palliation by balloon angioplasty. J Invasive Cardiol. Is extended arch aortoplasty the operation of choice for infant aortic coarctation? Or operated? Percutaneous treatment of neonatal aortic coarctation presenting with severe left ventricular dysfunction as a bridge to surgery.
Cardiol Young. Analysis of Infants Over 20 Years. Recibido:
Información sobre la coartación de la aorta
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