Tratamiento quirúrgico de la coartación aórtica. Resultados a largo plazo en el Instituto Nacional de Cardiología / Sugical treatment of aortic coarctation. Long-term results at National Institute of Cardiology of Mexico
Arch. cardiol. Méx
;
76(1): 63-68, ene.-mar. 2006.
Article
in Spanish
| LILACS
| ID: lil-569525
ABSTRACT
OBJECTIVES:
Evaluate long-term evolution of patients submitted to surgery for coarctation of the aorta. Compare event free survival in younger vs older patients at the time of surgical correction.METHODS:
We reviewed the clinical records of patients operated for coarctation of the aorta from January 1 1980 to December 31 1994. The mean follow-up ranged from 9 to 23 years (mean 10.9 y). Final events registered were recoarctation, death, systemic hypertension, endocarditis, stroke, aneurisms.RESULTS:
Two hundred and sixteen patients were found with mean age 13 +/- 12 y male gender was most frequent (61%). Recoarctation was found in 13 patients (6.02%), persistent hypertension in 14.1%. Event free survival at 10 years was 86.2%. In patients less than 10 y was 89% vs 80.2% in older patients. Hypertension free survival in patients less than 10 y was 98.3% vs 80.1% in older patients (p < 0.001).CONCLUSIONS:
Our data confirms that surgical treatment for coarctation of the aorta is associated with low morbidity and mortality at long-term with reduced rate of recoarctation (7%). Early correction (< 10 y) is associated with a better long term survival. Hypertension and use of pharmacologic treatment are reduced after surgery and persist in the long-term evolution.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Coarctation
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
Mexico
Language:
Spanish
Journal:
Arch. cardiol. Méx
Journal subject:
Cardiology
Year:
2006
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Institute Nacional de Cardiología Ignacio Chávez/MX
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