Coartación aórtica en el lactante

espanolSe presenta una revision general de 38 coartaciones aorticas (CoAo) en el lactante. En 30 casos se presento insuficiencia cardiaca, ocurriendo el maximo en la primera-segunda semana de vida. Fueron "exitus" 16 ninos, el 43 por 100 en la primer semana. En 22 ninos se realizaron cateterismo cardiaco y angiocardiografia; la CoAo es la unica anomalia en ocho casos (36 por 100); las cardiopatias asociadas mas frecuentes han sido: ductus (seis casos), CIV (cinco casos) y patologia del hemicardio izquierdo. En los 11 casos que se realizo necropsia la CoAo era preductal y con ductus permeable; la malformacion asociada mas frecuente fue la CIV (seis casos). En cinco ninos se realizo con exito la correccion quirurgica en el primer ano de la vida. EnglishWe 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 catheterization 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 morten 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 sucess during the first year of the life.