Balloon angioplasty for native aortic coarctation in different anatomic variants
I El Sayed Massoud1, H El Farghly, A Abdul-Monem
1Department of Pediatric Cardiology, National Heart Institute, Imbaba, Giza, Egypt. ikrammassoud@hotmail.com
Pediatric Cardiology
|November 29, 2007
Summary
Balloon angioplasty is an effective treatment for native coarctation of the aorta in infants and children. This procedure shows good intermediate-term results and may be a viable alternative to surgery for discrete membranous obstruction.
Area of Science:
- Pediatric Cardiology
- Interventional Cardiology
- Cardiovascular Surgery
Background:
- Coarctation of the aorta (CoA) is a congenital heart defect.
- Balloon angioplasty is increasingly used for discrete membranous obstruction in pediatric CoA.
- This study evaluates angioplasty for CoA with or without mild arch anomalies.
Purpose of the Study:
- To assess the immediate and intermediate-term effectiveness and safety of balloon angioplasty.
- To evaluate outcomes in infants and children with native coarctation of the aorta.
- To analyze results in patients with discrete membranous obstruction and mild complex arch anomalies.
Main Methods:
- Retrospective study of 46 consecutive patients undergoing balloon angioplasty for native CoA.
- Data collected between March 1998 and June 2003.
- Follow-up in 40 patients to assess pressure gradients, restenosis, and left ventricular function.
Main Results:
- No early mortality; 93% initial procedural success.
- 80% of followed patients maintained a gradient <20 mmHg.
- Significant improvement in left ventricular function observed post-procedure.
Conclusions:
- Balloon angioplasty is a safe and effective treatment for native coarctation of the aorta in infants and children.
- It offers a valuable alternative to surgery, particularly for discrete membranous obstruction.
- Consider angioplasty for various CoA anatomic variants based on clinical presentation and age.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...