open access

Vol 70, No 1 (2012)
Case studies
Published online: 2012-01-20
Submitted: 2012-12-28
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Stent implantation in recoarctation of aorta in infant

Paweł Dryżek, Katarzyna Ostrowska, Sebastian Góreczny, Tomasz Moszura, Beata Politowska, Andrzej Sysa
Kardiol Pol 2012;70(1):60-62.

open access

Vol 70, No 1 (2012)
Case studies
Published online: 2012-01-20
Submitted: 2012-12-28

Abstract

We present the case of a 12 month-old infant with critical coarctaion of aorta, arch hypoplasia, atrial and ventricular septal defects who underwent interventional treatment with stent implantation due to recoarctation of aorta. In neonatal period the patient went through complete surgical correction. At the age of four months balloon angioplasty of recurrent coractation was conducted. Eight months later the patient was hospitalised with heart failure (HF) symptoms. Clinical and echographic examination confirmed critical stenosis of aortic isthmus. We performed heart catheterisation with stent implantation to transverse and descending arch with immediate reduction of gradient from 45 mm Hg to 0 mm Hg, widening of the isthmus from 2 to 8 mm and gradual regression of HF symptoms. At 3 years of observation the patient has not presented with any signs of recurrence of the stenosis. The child remains free of HF symptoms with arterial hypertension controlled with pharmacotherapy and with good left ventricular function on echocardiographic examination.
Kardiol Pol 2012; 70, 1: 60–62

Abstract

We present the case of a 12 month-old infant with critical coarctaion of aorta, arch hypoplasia, atrial and ventricular septal defects who underwent interventional treatment with stent implantation due to recoarctation of aorta. In neonatal period the patient went through complete surgical correction. At the age of four months balloon angioplasty of recurrent coractation was conducted. Eight months later the patient was hospitalised with heart failure (HF) symptoms. Clinical and echographic examination confirmed critical stenosis of aortic isthmus. We performed heart catheterisation with stent implantation to transverse and descending arch with immediate reduction of gradient from 45 mm Hg to 0 mm Hg, widening of the isthmus from 2 to 8 mm and gradual regression of HF symptoms. At 3 years of observation the patient has not presented with any signs of recurrence of the stenosis. The child remains free of HF symptoms with arterial hypertension controlled with pharmacotherapy and with good left ventricular function on echocardiographic examination.
Kardiol Pol 2012; 70, 1: 60–62
Get Citation

Keywords

aortic recoarctation; infant; intervention; stent

About this article
Title

Stent implantation in recoarctation of aorta in infant

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 70, No 1 (2012)

Pages

60-62

Published online

2012-01-20

Bibliographic record

Kardiol Pol 2012;70(1):60-62.

Keywords

aortic recoarctation
infant
intervention
stent

Authors

Paweł Dryżek
Katarzyna Ostrowska
Sebastian Góreczny
Tomasz Moszura
Beata Politowska
Andrzej Sysa

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