Prevalence of aortic arch defects in the neonatal period in a reference hospital. Are we achieving optimal results?
Massini-Aguilera, Italo; López-Taylor, Jaime; Medina-Andrade, Miguel A; Ramírez-Cedillo, David; Jiménez-Fernández, Carlos A; Ramírez Frias, Cynthia; Rocío A Peña Juárez
ABSTRACT
Introduction: coarctation of the aorta and interruption of the aortic arch are frequent pathologies in the neonatal stage, being one of the main causes of cardiogenic shock and death.
Objective: the objective of this study is to know the frequency, demographic data, management, and surgical results of aortic arch defects in the neonatal period in a period of five years. Material: this is a descriptive, observational, cross-sectional, retrospective, and case series study, from 2019 to 2024. Recording of media, maximum, and minimum was made for continuous numerical variables and for categorical variables the percentage was measured.
Results: we found a total of 44 patients with predominance in the male gender (56.8%), 11.4% of the cases represent Interruption of the Aortic Arch, the maximum transfer time for management was 18 days in 9.1% of the cases, mortality overall was 13.6%.
Conclusions: it is common for aortic arch defects in the neonatal period to present as critical heart disease, that is, pathologies that if not detected and treated in time, patients have a high risk of dying in the first ten days of life. It is important to perform an adequate physical examination and cardiological screening for the timely detection and transfer of these patients.
