Clinical and post-surgical features and outcomes in post-surgical patients with aortic arch interruption at a specialty hospital in Bogotá between 2006 and 2019. Retrospective multivariable analysis

Cardozo, SAA; Rios Dueñas, Edgar Giovanny; Ortiz, JRC

dc.rights.licence	Atribución-NoComercial 4.0 Internacional	*
dc.contributor.author	Cardozo, SAA
dc.contributor.author	Rios Dueñas, Edgar Giovanny
dc.contributor.author	Ortiz, JRC
dc.coverage.spatial	Colombia	spa
dc.coverage.temporal	2006-2019
dc.date.accessioned	2023-03-16T20:34:39Z
dc.date.available	2023-03-16T20:34:39Z
dc.date.created	2022-10-21
dc.identifier	https://www.ajsccr.org/article-details.php?tit=AJSCCR-v5-1802	spa
dc.identifier.issn	2689-8268	spa
dc.identifier.uri	http://hdl.handle.net/10554/63826
dc.format	PDF	spa
dc.format.mimetype	application/pdf	spa
dc.language.iso	eng	spa
dc.rights.uri	http://creativecommons.org/licenses/by-nc/4.0/	*
dc.title	Clinical and post-surgical features and outcomes in post-surgical patients with aortic arch interruption at a specialty hospital in Bogotá between 2006 and 2019. Retrospective multivariable analysis	spa
dc.type.hasversion	http://purl.org/coar/version/c_ab4af688f83e57aa
dc.coverage.city	Bogotá (Colombia)	spa
dc.description.comunidad	Pacientes operados por interrupción del arco aórtico	spa
dc.subject.keyword	Arch of the Aorta	spa
dc.subject.keyword	Aortic coarctation	spa
dc.subject.keyword	Interrupted aortic arch	spa
dc.subject.keyword	Heart Defects	spa
dc.subject.keyword	Congenital	spa
dc.description.abstractenglish	1.1. Introduction: Interruption of the aortic arch due to absence of tissue between the ascending and descending portions of the aorta is a pathology of low incidence, yet it has a mortality rate of nearly 90% within the first year of life. Surgical intervention is aimed at re-establishing continuity of the vessel, as well as correcting associated lesions through closure of IVC or performing a pulmonary artery cerclage correction. The mortality is 18% to 42%. The survival rate is close to 73% at one month, 65% at one year and 63% at 3 years after surgery. 1.2. Materials and Methods: Review of Cardiovascular Surgery database between 2006 and 2019, identifying patients who underwent surgery due to aortic arch interruption. 1.3. Results: In the last 4 years, an institutional technique was introduced, using pericardium tissue for reconstruction and partial junction of the descending aorta with the arch through advancement of the arterial cannulae towards the brachiocephalic trunk and has been positively associated to brain protection. Since, results have improved: lower tissue traction, greater amplitude of the neoarch and better neurological outcomes have been achieved. The objective of this paper is to identify the most important factors that ultimately determine prognosis and survival of patients with these pathologies, as well as to describe results of the implemented technique. 1.4. Discussion: Aortic arch surgery is considered to be highly complex. Results yielded in this research showed a high mortality within the first years, which decreased into a similar rate to that of medical literature. The main factors associated with complications identified were a late diagnosis and malnutrition. In addition, morbidity and mortality rates were similar to those reported worldwide.	spa
dc.type.local	Artículo de revista	spa
dc.contributor.corporatename	Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Cirugía Cardiovascular
dc.identifier.instname	instname:Pontificia Universidad Javeriana	spa
dc.identifier.reponame	reponame:Repositorio Institucional - Pontificia Universidad Javeriana	spa
dc.identifier.repourl	repourl:https://repository.javeriana.edu.co	spa
dc.type.coar	http://purl.org/coar/resource_type/c_dcae04bc	spa
dc.description.orcid	https://orcid.org/0000-0003-2568-4667	spa
dc.relation.citationstartpage	1	spa
dc.relation.citationendpage	5	spa
dc.relation.ispartofjournal	American Journal of Surgery and Clinical Case Reports	spa
dc.contributor.javerianateacher	Rios Dueñas, Edgar Giovanny
dc.description.indexing	Revista Internacional - No indexada	spa
dc.relation.citationvolume	5	spa
dc.relation.citationissue	12	spa
dc.rights.coar	http://purl.org/coar/access_right/c_abf2	spa
dc.description.esci	Si	spa