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Endovascular stenting as an emergency treatment for neonatal coarctation

Published online by Cambridge University Press:  19 August 2008

Christoph Fink ,
Matthias Peuster  and
Gerd Hausdorf
Christoph Fink
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Hannover Medical School, Hannover, Germany.
Matthias Peuster*
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Hannover Medical School, Hannover, Germany.
Gerd Hausdorf
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Hannover Medical School, Hannover, Germany.
*
Dr Matthias Peuster, Medizinische Hochschule Hannover, Department of Pediatric Cardiology and Pediatric Intensive Care, Cari-Neuberg Str.l, D-30625 Hannover, Germany. Tel: + 49 511 532 6751; Fax: +49 511-532-9038; E-mail: [email protected]
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Abstract

We describe a neonate with critical coarctation of the aorta. Since treatment with Prostaglandin El had failed to reopen the arterial duct, and surgery was deemed to be associated with an unacceptably high risk in this unstable neonate, it was decided to perform balloon dilation of the coarctation as a palliative procedure to stabilize the patient. Balloon angioplasty failed to reduce the pressure gradient across the coarctation, so a stent was implanted retrogradely as an emergency procedure. Subsequently, the stented segment was resected surgically and end-to-end anastomosis created without complications at seven months of age.

Keywords

Coarctacionstentsneonate
Type
Brief Report
Information
Cardiology in the Young , Volume 10 , Issue 6 , November 2000 , pp. 644 - 646
Copyright
Copyright © Cambridge University Press 2000

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References

1. Mendelsohn, AM, Lloyd, TR, Crowley, DC, Sandhu, SK, Kocis, KC, Beekman, RH 3rd. Late follow-up of balloon angioplasty in children with a native coarctation of the aorta. Am J Cardiol 1994, 74: 696–700.CrossRefGoogle ScholarPubMed
2. Ovaert, C, Benson, LN, Nykanen, D, Freedom, RM. Transcatheter treatment of coarctation of the aorta, a review. Pediatr Cardiol 1998; 19: 27–4.CrossRefGoogle ScholarPubMed
3. Park, Y, Lucas, VW, Sklansky, MS, Kashani, JA, Rothman, A. Balloon angioplasty of native aortic coarctation in infants 3 months of age and younger. Am Heart J 1997; 134: 917–923.Google Scholar
4. Shaddy, RE, Boucek, MM, Sturtevant, JE, Ruttenberg, HD, Jaffe, RB, Tani, LY, Judd, VE, Veasy, LG, McGough, EC, Orsmond, GS. Comparison of angioplasty and surgery for unoperated coarctation of the aorta. Circulation 1993; 87: 793–799.Google Scholar
5. Rao, PS. Should balloon angioplasty be used instead of surgery for native aortic coarctation? [editorial]. Br Heart J 1995; 74: 578–579.CrossRefGoogle ScholarPubMed
6. Heymann, MA, Berman, W Jr, Rudolph, AM, Whitman V Dilatation of the Ductus artenosus by prostagiandin El in aortic abnormalities. Circulation 1997; 59: 169–173.CrossRefGoogle Scholar