Acute aortic insufficiency complicating stent treatment of supravalvular aortic stenosis: Successful release of trapped leaflets by wiring the stent

Lezo, José Suárez de; Pan, Manuel; Medina, Alfonso; Segura, José; Pavlovic, Djordje; Romero, Miguel

doi:10.1002/ccd.10755

Cited by 11 publications

(3 citation statements)

References 13 publications

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“…Although balloon dilation [23] and stent treatment [24] of supravalvular aortic stenosis have been reported, the close proximity to the aortic valve and coronary artery orifices are significant obstacles, and currently operation is the treatment of choice. The rate of restenosis after the operation with current surgical techniques is very low.…”

Section: Discussionmentioning

confidence: 99%

Williams-Beuren's Syndrome: A Case Report

Zamani

Babazadeh

Fattahi

et al. 2012

Case Reports in Medicine

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Williams-Beuren syndrome is a rare familial multisystem disorder occurring in 1 per 20,000 live births. It is characterized by congenital heart defects (CHD), skeletal and renal anomalies, cognitive disorder, social personality disorder and dysmorphic facies. We present a case of Williams syndrome that presented to us with heart murmur and cognitive problem. A 5-year-old girl referred to pediatric cardiologist because of heart murmurs. She had a systolic murmur (2-3/6) in right upper sternal border with radiation to right cervical region. She also had a bulge forehead. Angiography showed mild supra valvular aortic stenosis and mild multiple peripheral pulmonary stenosis. Fluorescent in situ hybridization (FISH) was performed and the result was: 46.XX, ish del (7q11.2) (ELN X1) (7q22 X2) ELN deletion compatible with Williams syndrome. Peripheral pulmonary artery stenosis is associated with Noonan syndrome, Alagille syndrome, Cutis laxa, Ehler-Danlos syndrome, and Silver-Russel syndrome. The patient had peripheral pulmonary artery stenosis, but no other signs of these syndromes were present, and also she had a supravalvular aortic stenosis which was not seen in other syndromes except Williams syndrome. Conclusion. According to primary symptoms, paraclinical and clinical finding such as dysmorphic facies, cognitive disorder and congenital heart defect, Williams syndrome was the first diagnosis. We suggest a more attention for evaluating heart murmur in childhood period, especially when the patient has abnormal facial features or mental problem.

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Section: Discussionmentioning

confidence: 99%

Williams-Beuren's Syndrome: A Case Report

Zamani

Babazadeh

Fattahi

et al. 2012

Case Reports in Medicine

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show abstract

“…Los grupos con amplia experiencia en la implantación de stents en coartación de aorta podrían extender esta modalidad a esta otra localización de estenosis en la aorta. Nosotros tenemos tratados 3 pacientes con estenosis supraaórtica mediante implantación de stent 5,6 . La figura 3 muestra un ejemplo de implante de stent en un paciente con estenosis supraaórtica hipoplásica previamente operada y con reestenosis difusa con adecuada descompresión tras el implante.…”

Section: Tratamiento Percutáneounclassified

“…Solo grupos expertos debieran progresar en esta terapia. La técnica es muy similar a la descrita en la coartación de aorta, con mayor dificultad en el implante debido a que se necesita mucha precisión en el momento de la suelta por la proximidad de los ostium coronarios y de las valvas aórticas que accidentalmente pueden ser atrapadas por el stent 6 . Por tanto, si se decide abordar este tipo de patologías se precisa la utilización de adenosina o marcapasos a alta frecuencia para producir una asistolia transitoria y evitar los movimientos de vaivén del stent con el ciclo cardiaco.…”

Section: Tratamiento Percutáneounclassified