The adult patient with native coarctation of the aorta: balloon angioplasty or primary stenting?

Zabal, Carlos; Attié, Fause; Rosas, Martı́n; Buendía-Hernández, A; García-Montes, José Antonio

doi:10.1136/heart.89.1.77

Cited by 128 publications

(100 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This technique is used in some patients with subatretic coarctation, in which a two-stage approach is advocated. In these cases the balloon dilatation is followed by stent implantation after a few months [7,8] or in the same procedure [9,10]. Our patient had a good result.…”

Section: Discussionmentioning

confidence: 55%

Balloon Angioplasty of Subatretic Coarctation of the Aorta Using Progressive Larger Balloons

Jacob¹,

Faria²

2013

J Clin Exp Cardiolog

View full text Add to dashboard Cite

We report a case of subatretic coarctation of the aorta with dilated ascending aorta in a three-year-old boy weighing 14 Kg. Surgical treatment was indicated, but it was refused. Balloon angioplasty of the coarctation was performed using progressive increase in the diameter of the balloons. The diameters of the balloons ranged from 2 to 10 mm, and the gradient decreased from 60 down to 12 mmHg. We conclude that the balloon angioplasty with careful progressive increase in the balloon diameter is safe in the treatment of subatretic coarctation of the aorta with good results.

show abstract

Section: Discussionmentioning

confidence: 55%

Balloon Angioplasty of Subatretic Coarctation of the Aorta Using Progressive Larger Balloons

Jacob¹,

Faria²

2013

J Clin Exp Cardiolog

View full text Add to dashboard Cite

show abstract

“…Stents may reduce trauma to the vessel wall through dispersion of the forces over a larger area, control small dissections, and reduce the likelihood of aneurysm formation. The two cases of aneurysm formation that were noted in the series by Zabal and colleagues 19 both occurred after balloon dilatation, one in a patient with a discrete coarctation.…”

Section: Transcatheter Treatmentmentioning

confidence: 89%

“…In this issue of Heart Zabal and colleagues report their experience of transcatheter treatment of native coarctation in adults, 19 adding to the considerable literature on balloon dilatation 8 and the growing data on endovascular stents. [11][12][13][14][15][16][17][18] Their data provide further evidence to support transcatheter treatment of native coarctation as a safe and effective alternative to surgery in adults.…”

Section: Transcatheter Treatmentmentioning

confidence: 99%

Aortic dissection extending to both carotid arteries

Rotter¹

2003

Heart

View full text Add to dashboard Cite

“…(1) The patient had undergone multiple orthopaedic surgeries on both knees as well as repeated surgeries for iritis, one of which was complicated and required enucleation of the left eye.…”

Section: Introductionmentioning

confidence: 99%

Challenges in the management of aortic coarctation in the elderly: native coarctation complicated by severe calcification

Tay¹,

Wijesinghe²,

Leipsic³

et al. 2013

SMedJ

View full text Add to dashboard Cite

Singapore Med J 2013; 54(1) : e5 C a s e R e p o r t INTRODUCTIONCompared to the use of balloon angioplasty alone, endovascular treatment of aortic coarctation in adults with the use of stents has shown favourable results and a reduction in complications. CASE REPORTA 65-year-old Caucasian woman with a history of coarctation of the aorta presented in December 2007 with chest and shoulder pain associated with significant elevation of troponin I level, and was diagnosed with non-ST-segment elevation myocardial infarction (NSTEMI). She had not been previously told that she needed treatment for coarctation and was thus not on regular follow-up. Her left arm blood pressure was 180/90 mmHg and she had a grade 3 ejection systolic murmur heard over the aortic region, which radiated posteriorly. Lower limb pulses were not palpable. Despite treatment with atenolol 100 mg, losartan 100 mg, frusemide 40 mg and methyldopa 500 mg twice daily, her systolic blood pressure remained persistently elevated.Cardiac catheterisation following this acute presentation showed normal coronaries, but a significant peak-to-peak gradient of 60 mmHg across a highly calcified coarctation site was found.The patient had undergone multiple orthopaedic surgeries on both knees as well as repeated surgeries for iritis, one of which was complicated and required enucleation of the left eye. ABSTRACT Although the treatment of aortic coarctation in adults with the use of stents has shown favourable results and reduced complications, there have been few studies involving elderly patients. We highlight the clinical challenges faced in the management of such patients, with attention to severe calcification at the coarctation site. The midterm results were good in our patient, showing an improvement in blood pressure control and maintenance of stent patency.

show abstract

The adult patient with native coarctation of the aorta: balloon angioplasty or primary stenting?

Cited by 128 publications

References 28 publications

Balloon Angioplasty of Subatretic Coarctation of the Aorta Using Progressive Larger Balloons

Balloon Angioplasty of Subatretic Coarctation of the Aorta Using Progressive Larger Balloons

Aortic dissection extending to both carotid arteries

Challenges in the management of aortic coarctation in the elderly: native coarctation complicated by severe calcification

Contact Info

Product

Resources

About