Tratamiento de la coartación de aorta en el paciente adulto
- Estévez, I.
- San Norberto García, Enrique
- Carrera, C.
- Taylor, J.
- Fuente, R.
- Vaquero Puerta, Carlos
ISSN: 1139-8264
Year of publication: 2013
Volume: 16
Issue: 2
Pages: 83-88
Type: Article
More publications in: Revista española de investigaciones quirúrgicas
Abstract
Aortic coarctation comprises 5-8% of all congenital heart defects with very poor prognosis if left untreated. It has conducted a review of the treatment of this disease in the adult patient, both native coarctations that are not diagnosed until this age, as recoarctations in patients treated in childhood. We compared the results described in the literature of open surgery with endovascular techniques, angioplasty and stent. Endovascular treatment appears as the technique of choice in cases of recoarctation and management of complications. In the treatment of aortic coarctation in adult patients, conventional surgery has good results with low morbidity, endovascular techniques have comparable results in terms of morbidity and mortality with the advantage of being a less aggressive and lower health care costs. In endovascular techniques, the best results have been obtained with the balloon expandable stents implantation.