Coarctation of the aorta in the newborn: about 27 cases

Abstract

Background: Coarctation of the aorta represents 5-7% of all congenital heart diseases. Early, at best, prenatal diagnosis permits to improve prognosis. Methods: Descriptive study enrolling all patients with coarctation of the aorta diagnosed and confirmed in prenatal or neonatal period, over 12 years, in the department of neonatology of Farhat Hached teaching hospital (Sousse). Results: Twenty seven newborns had a coarctation of the aorta representing 6.47% of congenital cardiac malformations with an incidence of 0.16% alive births. The preoperative mortality rate was 35%. Twenty neonates survived and underwent surgery. Post operative mortality rate was 35% with a total mortality of 51.8%. The rate of coarctation relapse among survivors was 30.8%. Conclusion: Prognosis of the coarctations of the aorta in neonatal period remains reserved in our department.