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Timing of surgical repair of the stented aortic arch and coarctation in neonates

Published online by Cambridge University Press:  05 May 2022

Antonio González-Calle*
Affiliation:
Cardiac Surgery, Virgen del Rocio Children’s Hospital, University Hospitals of Seville, Avenida Manuel Siurot, Seville 41013, Spain
Inmaculada Guillén-Rodríguez
Affiliation:
Cardiology Units, Virgen del Rocio Children’s Hospital, University Hospitals of Seville, Avenida Manuel Siurot, Seville 41013, Spain
Felix Coserria-Sánchez
Affiliation:
Cardiology Units, Virgen del Rocio Children’s Hospital, University Hospitals of Seville, Avenida Manuel Siurot, Seville 41013, Spain
*
Author for correspondence: Dr Antonio González-Calle, MD, PhD, Department of Cardiac Surgery, University Hospitals Virgen del Rocio, Avenida Manuel Siurot s/n, Seville 41013, Spain. Fax: 00-34-955012359. E-mail: antoniogc_77@hotmail.com

Abstract

We report a neonate with aortic arch hypoplasia and coarctation, in whom patency of the arterial duct could not be re-established and who was too ill to undergo primary surgical correction safely. This patient was treated in two stages: 1) angioplasty and stenting, 2) surgical correction. The safe period for surgical correction may be 2–3 weeks after angioplasty and stenting.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Stegeman, R, Breur, JMPJ, Heuser, J, et al. Primary coronary stent implantation is a feasible bridging therapy to surgery in very low birth weight infants with critical aortic coarctation. Int J Cardiol 2018; 261: 6265.CrossRefGoogle ScholarPubMed
Bugeja, J, Cutajar, D, Zahra, C, Parascandalo, R, Grech, V, DeGiovanni, JV. Aortic stenting for neonatal coarctation of the aorta - when should this be considered? Images Paediatr Cardiol 2016; 18: 14.Google ScholarPubMed
Gorenflo, M, Boshoff, DE, Heying, R, et al. Bailout stenting for critical coarctation in premature/critical/complex/early recoarcted neonates. Catheter Cardiovasc Interv 2010; 75: 553561.Google ScholarPubMed
Sreeram, I, Sreeram, N, Bennink, G. Palliative stent implantation for coarctation in neonates and young infants. Ann Pediatr Cardiol 2012; 5: 145150.CrossRefGoogle ScholarPubMed
Boshoff, D, Bethuyne, N, Gewillig, M, et al. Endovascular stenting of juvenile vessels: consequence of surgical stent removal on vessel architecture. Eur Heart J 2007; 28: 10331036.CrossRefGoogle ScholarPubMed
Ghaderian, M, Sabri, MR, Ahmadi, A, Bayat, S. Our first experience in stenting of coarctation of aorta in infants and small children; a case series study. ARYA Atheroscler 2019; 15: 9398.Google ScholarPubMed