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Implantation of endovascular stents for hypoplasia of the transverse aortic arch

Published online by Cambridge University Press:  19 August 2008

Jaana Pihkala
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
Carlos A. C. Pedra
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
David Nykanen
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
Lee N. Benson*
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
*
Dr Lee Benso, The Hospital for Sick children, 555 University Avenue, Toronto, Ontario, Canada. Tel: 416–813–6141; Fax: 416–813–7547; E-mail: [email protected]

Abstract

Hypoplasia of the transverse aortic arch is commonly associated with aortic coarctation. Persistent or recurrent obstruction can occur at this level after successful repair of the native coarcted segment. The purpose of this report is to present a new technique to treat such lesions, namely with implantation of a balloon-expandable stent. This approach was used successfully in 4 children with such hypoplasia occurring after repair of coarctation. Implantation led to both anatomical and physiological relief of obstruction in all. The patients tolerated the procedure, and there were no major adverse events.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2000

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References

1.O'Laughlin, MP, Perry, SB, Lock, JE, Mullins, CE. Use of endovascular stents in congenital heart disease. Circulation 1991; 83: 19231939.CrossRefGoogle ScholarPubMed
2.O'Laughlin, MP, Slack, MC, Grifka, RG, Perry, SB, Lock, JE, Muffins, CE. Implantation and intermediate term follow-up of stents in congenital heart disease. Circulation 1993; 88: 605614.CrossRefGoogle ScholarPubMed
3.Shaffer, KM, Mullins, CE, Grifka, RG, O'Laughlin, MP, McMahon, W, Ing, FF, Nihill, MR. Intravascular stents in congenital heart disease: Short and long term results from a large single-center experience. J Am Coll Cardiol 1998; 31: 661667.CrossRefGoogle Scholar
4.Grifica, RG, Vick, GW, O'Laughlin, MP, Myers, TJ, Morrow, R, Nihill, MR, Kearney, DL, Mullins, CE. Balloon expandable intravascular stents: Aortic implantation and late further dilation in growing minipigs. Am Heart J 1993; 126: 979984.CrossRefGoogle Scholar
5.Morrow, WR, Smith, VC, Ehler, WJ, VanDellen, AF, Mullins, CE. Balloon Angioplasry with stent implantation in experimental coarctation of the aorta. Circulation 1994; 89: 26772683.CrossRefGoogle ScholarPubMed
6.Rosenthal, E, Qureshi, SA, Tynan, M. Stent implantation for aortic recoarctation. Am Heart J 1995; 129: 12201221.CrossRefGoogle ScholarPubMed
7.de Lezo, JS, Pan, M, Romero, M, Medina, A, Segura, J, Pavlovic, D, Martinez, C, Tejero, I, Navero, JP, Tortes, F, Lafuente, M, Hernandez, E, Melian, F, Concha, M. Balloon-expandable stent repair of severe coarctation of aorta. Am Heart J 1995; 129: 10021008.CrossRefGoogle Scholar
8.Redington, AN, Hayes, AM, Ho, AY: Transcatheter stent implantation to treat aortic coarctation in infancy. Br Heart J 1993; 69: 8082.CrossRefGoogle ScholarPubMed
9.Ovaert, C, Benson, LN, Nykanen, D, Freedom, RM: Transcatheter treatment of coarctation of the aorta: A review. Pediatr Cardiol 1998; 19: 2744.CrossRefGoogle ScholarPubMed
10.Pinzon, JL, Burrows, PE, Benson, LN, Moes, CA, Lightfoot, NE, Williams, WG, Freedom, RM: Repair of coarcration of the aorta in childhood: postoperative morphology. Radiology 1991; 180: 199203.CrossRefGoogle Scholar
11.Benson, LN, Hamilton, R, Dasmahapatra, H, Rabinowitch, M, Coles, JC, Freedom, RM. Percutaneous implantation of a balloon-expandable endoprosthesis for pulmonary artery stenosis: an experimental study. J Am Coll Cardiol 1991; 18: 13031308.CrossRefGoogle ScholarPubMed
12.Morrow, WR, Huhta, JC, Murphy, DJ Jr, McNamara, DG. Quantitative morphology of the aortic arch in neonatal coarctation. J Am Coll Cardiol 1986; 8: 616620.CrossRefGoogle ScholarPubMed
13.Myers, JL, McConnell, BA, Waldhausen, JA. Coarctation of the aorta in infants: does the aortic arch grow after repair? Ann Thorac Surg 1992; 54: 869874.CrossRefGoogle ScholarPubMed
14.Clarkson, PM, Nicholson, MR, Barratt-Boyes, BG, Neutze, JM, Whitlock, RM. Results after repair of coarctation of the aorta beyond infancy: a 10 to 28 year follow-up with particular reference to late systemic hypertension. Am J Cardiol 1983; 51: 14811488.CrossRefGoogle ScholarPubMed
15.Van Heurn, LWE, Wong, CM, Spiegelhalter, DJ, Sorensen, K, de Leval, MR, Stark, J, Elliott, MJ. Surgical treatment of aortic coarctation in infants younger than three months: 1985–1990. Success of extended end-to-end arch aortoplasty. J Thorac Cardiovasc Surg 1994; 107: 7486.CrossRefGoogle Scholar
16.Kappetein, AP, Zwinderman, AH, Bogers, AJJC, Rohmer, J, Huysmans, HA. More than thirty-five years of coarctation repair. An unexpected high relapse rate. J Thorac Cardiovasc Surg 1994; 107: 8795.CrossRefGoogle ScholarPubMed
17.Messmer, BJ, Minale, C, Muhler, E, Bernuth, GV.Surgical correction of coarctation in infancy: does surgical technique influence the result? Ann Thorac Surg 1991; 52: 594603.CrossRefGoogle ScholarPubMed
18.Van Son, JA, Daniels, O,Vincent, JG, van Lier, HJ, Lacquel, LK. Appraisal of resection and end-to-end anastomosis for repair of coarctation of the aorta in infancy: preference for resection. Ann Thorac Surg 1989; 48: 496502.CrossRefGoogle ScholarPubMed
19.Zehr, KJ, Gillinov, AM, Redmond, JM, Greene, PS, Kan, JS, Gardner, TJ, Reitz, BA, Cameron, DE. Repair of coarctation of the aorta in neonates and infants: a thirty-year experience. Ann Thorac Surg 1995; 59: 3341.CrossRefGoogle ScholarPubMed
20.Bogaert, J, Gewillg, M, Rademakers, F, Bosmans, H, Verschakelen, J, Daenen, W, Baert, AL: Transverse arch hypoplasia predisposes to aneurysm formation at the repair site after patch angioplasty for coarctation of the aorta. J Am Coll Cardiol 1995; 26: 521–527.CrossRefGoogle ScholarPubMed
21.Elliott, MJ. Coarctation of the aorta with arch hypoplasia: improvements on a new technique. Ann Thorac Surg 1987; 44: 321323.CrossRefGoogle ScholarPubMed
22.Vincent, JG, Daniels, O, Oort, VA, Lacquet, LK. Hypoplastic aortic arch with aortic coarctation: surgical correction. J Thorac Cardiovasc Surg 1985; 89: 465468.CrossRefGoogle ScholarPubMed
23.Kato, N, Dake, MD, Miller, DC, Semba, CPMitchell, RS, Razavi, MK, Kee, ST. Traumatic thoracic aortic aneurysm: treatment with endovascular stent-grafes. Radiology 1997; 205: 657–62.CrossRefGoogle Scholar
24.Morrow, WR, Palmaz, JC, Tio, FO, Ehler, WJ, VanDellen, AF, Mullins, CE: Re-expansion of balloon-expandable stents after growth.J Am Coll Cardiol 1993; 22: 20072013.CrossRefGoogle ScholarPubMed