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[Coarctation of the aorta. In infancy (author's transl)]
Insights
Coarctation of the aorta in infants often leads to cardiac failure, particularly in the first two weeks of life. Early surgical intervention offers a successful treatment option for this critical congenital heart defect.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Neonatal Surgery
Context:
- Coarctation of the aorta (CoA) is a significant congenital heart defect.
- Infantile presentation frequently involves severe cardiac failure.
- High mortality rates necessitate urgent diagnosis and management.
Purpose:
- To review the clinical experience with coarctation of the aorta in 38 infants.
- To analyze associated malformations and outcomes.
- To evaluate the efficacy of early surgical repair.
Summary:
- Thirty-eight infants with coarctation of the aorta were analyzed.
- Cardiac failure occurred in 30 infants, peaking in the first two weeks.
- Associated defects included patent ductus arteriosus and ventricular septal defect; 5 infants underwent successful surgery.
Impact:
- Highlights the critical early mortality associated with infantile coarctation of the aorta.
- Emphasizes the importance of timely diagnosis and intervention.
- Demonstrates the potential for successful surgical outcomes in the first year of life.
Abstract:
We review our experience in 38 patients with coarctation of the aorta during infancy. Cardiac failure was present in 30 patients, being the maximal incidence during the first and second weeks of the life. Sixteen infants died, 43% of them during the first week. Cardiac catherization and angiocardiography were performed in 22 infants. The coarctation of the aorta was isolated in 38 infants (36%). The most frequently associated malformations were: patent ductus arteriosus (6 cases), ventricular septal defect (5 cases) and the pathology of the left heart. The post mortem examination was performed in 11 infants; in all of them the CoAo was preductal with patent ductus arteriosus; the most frequently associated malformation was ventricular septal defect (6 cases). 5 infants were operated upon with succes during the first year of the life.