Coartacion de la aorta – learn what it is, treatment and more. Coartación de la aorta | (Coarctation of the aorta); Comunicación interauricular | (Atrial septal defect); Comunicación interventricular | (Ventricular septal defect). La coartación de la aorta fue descrita clásicamente como una simple estrechez del istmo aórtico que podría ser . Cardiología pediátrica 1ª, (), pp.

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Controversies in current management of the aortic coarctation. Coarctation of the aorta was once viewed as a simple discrete narrowing of the aortic isthmus that could be ‘cured’ by surgical intervention. It is now clear that this condition represents a wider vasculopathy that could affect the aortic arch in a highly variable manner. Surgery has proven to be an effective treatment for the management of native aortic coarctation, and remains the treatment of choice in neonates.

Balloon angioplasty is the treatment of choice in children with re-coarctation, and currently available immediate results in native coarctation are similar with regards to gradient reduction as compared with surgery. Stent implantation has shown excellent short-term results in both children beyond infancy and in adults with native coarctation.

In patients with recurrent coarctation who are at high surgical risk, balloon angioplasty and stent repair offer a less invasive and equally effective method. Stent repair is preferred over balloon angioplasty in adults and outgrown children with a recurrent coarctation, as the risk for re-coarctation and aneurysm formation seems to be lower.

Data with regard to long-term outcome after percutaneous treatment strategies are scarce. This review outlines the controversies in the treatment of this disease. Los datos analizados fueron tomados en el laboratorio de cateterismo, al momento del alta hospitalaria y un mes post-procedimiento. No hubo muertes ni complicaciones serias.

Se asocia con bajo gradiente residual y baja tasa de restenosis tanto de forma inmediata como en el seguimiento.

Infortunadamente, el seguimiento a largo plazo de las tres opciones de tratamiento ha sido limitado, y por ende dificulta extraer conclusiones sobre la superioridad de alguna de ellas. No hubo restricciones de idioma. En todos los pacientes deben evaluarse al menos una vez los vasos intracraneanos dado el riesgo aumentado con el que cuentan para el desarrollo de aneurismas a ese nivel.

Bower C, Ramsay JM. J Paed Child Health. Samanek M, Voriskova M. Congenital heart disease among Campbell M, Polani PE. Aetiology of coarctation of aorta. Kenny D, Hijazi Z. Coarctation of the aorta: From fetal life to adulthood. Forbes T, Canter J, et al. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta.


J Am Coll Cardiol. Patch aortoplasty for coarctation of aorta: Extended end-to-end repair and enlargement of the entire arch in complex coarctation. Balloon dilatation of excised aortic coarctations. Implantation and intermediate-term follow-up of stents in congenital heart disease. Cardiac surgery of the neonate and infant, 1st. Spectrum of reoperations after repair of aortic coarctation: Five- to nine-year follow-up results of balloon angioplasty of native aortic coarctation in infants and children.

Balloon angioplasty of recurrent coarctation: Repair of coarctation of the aorta during infancy minimizes the risk of late hypertension. Vanegas E, Rozo R.

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Indications for cardiac catheterization and intervention in pediatric cardiac disease: Canadian Cardiovascular Society Consensus Conference on the management of adults with congenital heart disease: Acute outcome of stent therapy for coarctation of the aorta: Results of the coarctation of the aorta stent trial. Intravascular stenting aotra the treatment of coarctation of the aorta in adolescent and adult patients.

Is endovascular repair the new gold standard for primary adult coartaction? Eur J Cardiothorac Surg. Repair of coarctation with resection and extended end-to-end anastomosis. Ann of Thoracic Surg. Surgery for coarctation of the aorta in infants younger than 3 months: Eur J Cardio-Thorac Surg. Comparison of polytetrafluoroethylene patch aortoplasty and end-to-end anastomosis for coarctation of the aorta.

J Thorac Cardiovasc Surg. Stent placement versus surgery for coarctation of the thoracic aorta.

Surgical versus percutaneous treatment of aortic coarctation: Coarctation of the aorta life and health years after surgical repair. Mortality and restenosis rate of surgical coarctation repair in infancy: Ann Thorac Surg ; Surgical correction of coarctation of the aorta by an isthmus plastic operation. Plastic surgery of the isthmus in aortic isthmus stenosis. Incidence of aneurysm formation after Dacron patch aortoplasty repair for coarctation of the aorta: Ala-Kulju K, Heikkinen L.

Aneurysms after patch graft aortoplasty for coarctation of the aorta: Coarctation of aorta-management options and decision making. Effect of prostaglandin on early surgical mortality in obstructive lesions of the systemic circulation. Repair of critical aortic coarctation in neonatal age.

J Cardiovasc Surg Torino ; Coarctation repair in neonates and young infants: Factors coartaicon with arch reintervention and growth of the aortic arch after coarctation repair in neonates weighing less ,a 2. Evaluation of mid-term outcomes in coarctation of the aorta managed in there cent era. Twenty-two years of follow-up results of balloon angioplasty for discreet native coarctation of the aorta in adolescents and adults.


Balloon angioplasty of native coarctation of the aorta: Long-term outcome after repair of coarctation in infancy: Surgery for coarctation of the aorta in infants weighing less than 2 kg.

Causes of recoarctation after balloon angioplasty of unoperated aortic coarctation. Coarctation of aorta with special reference to infants. Long-term results of operation in cases.

Surgical coqrtacion of coarctation in early infancy: Follow-up of aortic coarctation repair in neonates. Balloon angioplasty for aortic recoarctation: Balloon angioplasty for recurrent coarctation of aorta.

Coartación de la aorta

Immediate and long-term results. Determinants of hemodynamic results of balloon dilation of aortic recoarctation. Balloon angioplasty for aortic recoarctation in children: Stent implantation for aortic coarctation and recoarctation. Endovascular stents in the management epdiatria coarctation of the aorta in the adolescent and adult: Endovascular management of recurrent adult coarctation of the aorta.

Aorfa and postoperative “aneurysm” associated with coarctation of the aorta. Aortic aneurysms at the site of the repair of coarctation of the aorta: Long-term outcome after balloon angioplasty of coarctation of the aorta in adolescents and adults: Is aneurysm formation an issue? Changes in protein distribution of the aortic wall following balloon aortoplasty for coarctation. Cystic medial necrosis in coarctation of the aorta: Aortic dissection and coarctation.

Aortic root dilatation in young men with normally functioning bicuspid aortic valves. Association of aortic dilation with regurgitant, stenotic and functionally normal bicuspid aortic valves. Predictors of aneurysmal formation after surgical correction of aortic coarctation.

Controversies in current management of the aortic coarctation

Percutaneous endovascular repair of aneurysm after previous coarctation surgery. Endovascular stent grafts for large thoracic aneurysms after coarctation repair. Acute results of balloon angioplasty of native coarctation versus recurrent aortic obstruction are equivalent. Evolutional aspects of children and adolescents with surgically corrected aorat coarctation:

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