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Endovascular stenting as an emergency treatment for neonatal coarctation

  • Christoph Fink (a1), Matthias Peuster (a1) and Gerd Hausdorf (a1)

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.

Corresponding author
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:
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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: 696700.
2. Ovaert C, Benson LN, Nykanen D, Freedom RM. Transcatheter treatment of coarctation of the aorta, a review. Pediatr Cardiol 1998; 19: 27–4.
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: 917923.
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: 793799.
5. Rao PS. Should balloon angioplasty be used instead of surgery for native aortic coarctation? [editorial]. Br Heart J 1995; 74: 578579.
6. Heymann MA, Berman W Jr, Rudolph AM, Whitman V Dilatation of the Ductus artenosus by prostagiandin El in aortic abnormalities. Circulation 1997; 59: 169173.
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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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