title: [Aortic arch advancement surgery as treatment for aortic coarctation with hypoplastic aortic arch in children].
abstract: BACKGROUND
  Treatment of aortic coarctation with hypoplastic aortic arch is still a surgical challenge. The aortic arch advancement surgery has shown less re-coarctation frequency.
  
  
  OBJECTIVE
  To determine the re-coarctation frequency in patients who underwent aortic arch advancement technique for aortic coarctation with hypoplastic aortic arch and analyze the results.
  
  
  METHODS
  Retrospective and observational study of 38 patients who underwent aortic arch advancement in a third level Institution from 2002 to 2010.
  
  
  RESULTS
  Twenty four males and 14 females all with aortic arch Z index diameter of < or = -2 were found. The median age was 2.6 months and the median weight was 3.8 kg. Twelve patients (31.5%) did not show post operative complications. Eighteen (47%) had only one complication; one patient (2.6%) had 2 complications and 2 (5.2%) had 3 complications. After a follow up of 3.7 years the frequency of re-coarctation was O%.
  
  
  CONCLUSIONS
  With the previously mentioned technique the recoarctation frequency on medium and long term basis was 0%. From the anatomical and functional point of view, we believe this technique offers the best possible results.
authors.affiliation: División de Cirugía Cardiovascular, Instituto Nacional de Pediatría, México, DF. alexispalaciosmacedo@yahoo.com
authors.forename: Alexis
authors.initials: A
authors.lastname: Palacios-Macedo-Quenot
authors.forename: Miguel
authors.initials: M
authors.lastname: Urencio
authors.forename: Sergio
authors.initials: S
authors.lastname: Ponce-De-León-Rosales
authors.forename: Javier
authors.initials: J
authors.lastname: López-Terrazas
authors.forename: Violeta
authors.initials: V
authors.lastname: Castañuela-Sánchez
authors.forename: Almudena
authors.initials: A
authors.lastname: March-Mifsut
authors.forename: Alejandro
authors.initials: A
authors.lastname: López-Magallón
authors.forename: Fabiola
authors.initials: F
authors.lastname: Pérez-Juárez
authors.forename: Irma
authors.initials: I
authors.lastname: Cedillo-Rendón
authors.forename: Orlando
authors.initials: O
authors.lastname: Tamariz-Cruz
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012008:Recurrence; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods