Varies accordingly to the degree of stenosis and the associated abnormalities. Patients may be asymptomatic in a setting of a non-severe stenosis. Children and adults can present with angina pectoris and leg claudication. As with many congenital abnormalities, coarctation of the aorta is associated with other congenital anomalies. Useful in assessing for infantile coarctations. The suprasternal notch-long axis views are considered helpful.
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Controversies in current management of the aortic coarctation. Edgardo Vanegas, MD. Manizales, Colombia. Correspondencia : Dr.
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.
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Coarctation of the aorta: midterm outcomes of resection with extended end-to-end anastomosis. Ann Thorac Surg ; ? Vossschulte K. 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: long-term results and assessment utilizing magnetic resonance angiography with three dimensional surface rendering.
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Repair of critical aortic coarctation in neonatal age. J Cardiovasc Surg Torino ; 1. Coarctation repair in neonates and young infants: is small size or low weight still a risk factor?
Factors associated with arch reintervention and growth of the aortic arch after coarctation repair in neonates weighing less than 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.
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Coarctation of aorta with special reference to infants. Long-term results of operation in cases. Surgical correction of coarctation in early infancy: does surgical technique influence the result?
Coartación de la aorta
Late complications of aortic coarctation treatment: a mexican cohort study with more than year follow-up. Doctores, , Del. Conmutador: , ext. Aortic coarctation's CoA prevalence is 0.
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.
The journal, published since , is the official publication of the Spanish Society of Cardiology and founder of the REC Publications journal family. Articles are published in both English an Spanish in its electronic edition. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.