Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion · 2012
[Aortic arch advancement surgery as treatment for aortic coarctation with hypoplastic aortic arch in children].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Palacios-Macedo-Quenot Alexis, Urencio Miguel, Ponce-De-León-Rosales Sergio, López-Terrazas Javier, Castañuela-Sánchez Violeta, March-Mifsut Almudena, López-Magallón Alejandro, Pérez-Juárez Fabiola, Cedillo-Rendón Irma, Tamariz-Cruz Orlando
Аннотация
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 AND METHODS: 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.
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 AND METHODS: 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.