Angioplasty of Native Coarctation in a Very Low Birth Weight, Donor of Twin–Twin Transfusion Infant

An Extremely Preterm Infant Born at 23 Weeks' Gestation With an Interrupted Aortic Arch Complex: A Case Report

“…To review the previous case reports of critical CHDs in infants born extremely preterm, we searched the databases PubMed® and EMBASE®. We found 14 cases of extremely preterm infants with critical CHDs other than patent DA from 2008 to 2022 (Table 1) [5][6][7][8][9][10][11][12][13][14][15][16]. This literature survey showed an apparent gap in postnatal days for the first interventions depending on infants' GA.…”

Fluoroscopy-free, echocardiography-guided hybrid stenting of native aortic coarctation in a 920-grams premature infant

“…Although there are reports of early surgical repair of coarctation between 1000 and 2500-grams, prematurity, younger age, and smaller body weight are at increased risk for adverse outcomes and reinterventions. 1 Percutaneous balloon angioplasty of critical coarctation has been offered to ELBW infants, 2 but it carries a high risk of aortic wall injury, recoarctation, and need for reintervention. Primary stenting of coarctation has emerged as an efficient alternative.…”

“…In previous reports of balloon dilation and/or primary stenting of coarctation in extremely low-birth-weight infants, vascular access varied including umbilical artery, 2 femoral artery, 3,4 axillary artery, and femoral or carotid artery surgical cut-down. Umbilical artery access was no longer available in our patient.…”