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    Slack, Michael C 2001. The role of stenting in coarctation of the aorta. Progress in Pediatric Cardiology, Vol. 14, Issue. 1, p. 45.


Endovascular stenting as an emergency treatment for neonatal coarctation

  • Christoph Fink (a1), Matthias Peuster (a1) and Gerd Hausdorf (a1)
  • DOI:
  • Published online: 01 August 2008

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. AM Mendelsohn , TR Lloyd , DC Crowley , SK Sandhu , KC Kocis , RH Beekman 3rd. Late follow-up of balloon angioplasty in children with a native coarctation of the aorta. Am J Cardiol 1994, 74: 696700.

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3. Y Park , VW Lucas , MS Sklansky , JA Kashani , A Rothman . Balloon angioplasty of native aortic coarctation in infants 3 months of age and younger. Am Heart J 1997; 134: 917923.

4. RE Shaddy , MM Boucek , JE Sturtevant , HD Ruttenberg , RB Jaffe , LY Tani , VE Judd , LG Veasy , EC McGough , GS Orsmond . Comparison of angioplasty and surgery for unoperated coarctation of the aorta. Circulation 1993; 87: 793799.

5. PS Rao . Should balloon angioplasty be used instead of surgery for native aortic coarctation? [editorial]. Br Heart J 1995; 74: 578579.

6. MA Heymann , W Berman Jr, AM Rudolph , 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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