Nguyen TV, Acosta DJ, Llanes ÁC, González OG

Language: Spanish
References: 28
Page: 64-75
PDF size: 124.37 Kb.

ABSTRACT

Introduction: The coarctation of the aorta is a clinical frequent entity and of great significance that diminishes the expectation of life and without treatment it is associated to a high morbimortality.
Objective: To characterize the patients that attended to the cardiology consult of the “José Luis Miranda” Pediatric University Hospital in Villa Clara with the diagnosis aortic coarctation and born between January of 2008 to December of 2012.
Material and methods: An observational, descriptive and traverse study was carried out. The universe was constituted by 8 patients that presented this diagnosis in the studied period.
Results: 62, 5% of the patients were born in the year 2010, 75% were males, 37, 5% had a prenatal diagnosis, 25% presented with heart murmurs and37,5% of them died.
Conclusions: The males and the year of birth 2010 were related with a bigger number of patients with coarctation of the aorta. The diagnosis was carried out predominantly in the postnatal stage, mainly starting from the auscultation of heart murmurs. The type of coarctation of the aorta that prevailed was the type I, inside the defects associated with heart it stood out the interventricle communication and the interatrium communication, the used treatment was the interventionist, and most of the patients evolved favorably.

REFERENCES

1. Koutlas TC, Surgical Approach to Coarctation of the Aorta and Interrupted Aortic Arch. Disponible en: http://emedicine.medscape.com/article/903965- overview#showall.

2. Jenkins NP, Ward C. Coarctation of the aorta, natural history and outcome after surgical treatment. Review. QJ Med. 1999; 92: 365-371.

3. González EC, Martínez A N, More M E, de los Milagros Quiroz M, Schmidt M M. Coartación de aorta como causa de hipertensión arterial en adultos. Rev Posg de la Vla Cát de Med 211; 2012

4. Ernesto de la Torre Montejo, Eduardo José Pelayp González Posada et al. Pediatria. Tomo VI. Editorial Ciencias Médicas. 2011. Pág. 2310

5. Parra-Bravo JR, Reséndiz-Balderas M, Francisco-Candelario R, García H, Chávez- Fernández M A, Beirana-Palencia et al. Angioplastía con balón de la coartación aórtica nativa en niños menores de 12 meses: resultado inicial y a mediano plazo. Archivos de Cardiología de México, 2007; 77 (3), pp. 217-225.

6. García NM. Coartación de aorta: diagnóstico de sospecha en la consulta de Atención Primaria, MEDIFAM 2001; 11 (6): 350-354.

7. Allaria A, Arroyo HA, Tenembaum S, Espeche A, Arendar, G. Paraparesia como complicación de la corrección de la coartación de la aorta: comunicación de dos casos pediátricos con seguimiento a mediano plazo. Rev Argent Cardiol 2000 ; 68(6) : 855- 858.

8. Roldán Suárez C, García Vallejo O, Fernández López L, Guerrero Llamas L, Segura de la Morena J, Campo Sien C. Coartación de aorta del adulto. Hipertensión y Riesgo Vascular. vol. 18, (5): 241-243, 2001.

9. Acín F et al, Tratamiento endovascular de la coartación aórtica. Angiología 2009; 58 (Supl 1): S119-S126.

10. Rao PS et al, Coarctation of the Aorta. Disponible en: http://emedicine.medscape.com/article/895502-overview#showall. Actualizado en: Feb 1, 2012

11. Grech V. Diagnostic and surgical trends, and epidemiology of coarctation of the aorta in a population-based study. Int J Cardiol. 1999;68(2):197-202.

12. Vega Rivero T, González Ojeda G, Llanes Camacho MC, Ley Vega L, Gari Llanes M, García Nóbrega Y. Morbilidad y Mortalidad por cardiopatías congénitas en lactantes. Villa Clara, años 2006-2010. Acta Médica del Centro, Vol. 5, No. 4,2011

13. Jagdeep G. Coarctation of the aorta. Anaesthesia tutorial of the week 265. Disponible en: www.tote.anaesthesiologists.org. Citado en: 23/7/2012.

14. Javier Oribe R. Coartación de aorta. Arch. argent. pediatr. vol.110 no.1 Buenos Aires 2012

15. Moss and Adams'. Heart disease in infants, children, and adolescents: including the fetus and young adults. 7th ed. Filadelfa: Lippincott Williams & Wilkins; 2008.

16. Liberthson R. Congenital cardiac disease in infants, children and adults. En: Eagle KA, Haber E, DeSanctis RW, Austen WG, editores. The practice of cardiology (2.a ed). Buenos Aires: Editorial Médica Panamericana S.A., 1989; 1.080-1.271.

17. Cohen M, Fuster V, Steele PM, DriscollD, Mcgoon DC. Coarctation of the aorta. Longterm follow-up and prediction of outcome after surgical correction. Circulation 1989; 80: 840-845.

18. Tawes R, Aberdeen E, Waterston D, Bonhan R. Coarctation of aorta in infants and children. A review of 333 operative cases including 179 infants. Circulation 1969; 39: 173-184.

19. Rao PS. Should balloom angioplasty be used instead of surgery for native aortic coarctation? Br Heart J 1995; 74: 578

20. Giovanni J, Lip G, Osman K, Mohan M, Islim Y, Gupta J et al. Percutaneous balloon dilatation of aortic coarctation in adults. Am J Cardiol 1996; 77: 435-439.

21. Lock JE, Bass JL, Amplatz K, Fuhrman BP, Castaneda-ZunigaW. Balloon dilatation angioplasty of aortic coarctation in infants and children. Circulation 1983; 68(1): 109-116.

22. O’Sullivan JJ, Derrick G, Darnell R. Prevalence of hypertension in children after early repair of coarctation of the aorta: a cohort study using casual and 24 hour blood pressure measurement. Heart 2002; 88(2): 163-166.

23. Brewer LA, Fosburg RG, Mulder GA, Verska JJ. Spinal cord complications following surgery for coarctation of the aorta. A study of 66 cases. J Thorac Cardiovasc Surg 1972; 64(3):368-381.

24. Walhout RJ, Lekkerkerker JC, Oron GH, Hitchcock FJ, Meijboom E J, Bennink G B. Comparison of polytetrafluoroethylene patch aortoplasty and end-to-end anastomosis for coarctation of the aorta. J Thorac Cardiovasc Surg 2003; 126(2): 521-528.

25. Campbell M. Natural history of coarctation of the aorta. Br Heart J 1970; 32(5): 633- 640.

26. McElhinney DB, Yang SG, Hogarty AN, Rychik J, Gleason MM, Zachary CH et al. Recurrent arch obstruction after repair of isolated coarctation of the aorta in neonates and young infants: Is low weight a risk factor? J Thorac Cardiovasc Surg 2001; 122(5): 883-890.

27. Oaert C, Benson LN, Dnykanen RM, Freedom RM. Transcatheter treatment of coarctation of the aorta: a review. Pediatr Cardiol 1998; 19(1):27-44.

28. Pellegrino A, Deverall PB, Anderson RH, Wilkinson JL, Smith A, Russo P. Aortic coarctation in the first three months of life. An antomopathological study with respect to treatment. J Thorac Cardiovasc Surg 1985; 89(1): 121-127.