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It is valid to dilate native aortic coarctation with a balloon catheter
V F Fontes1, C A Esteves, S L Braga
1Division of Pediatric Cardiology, Dante Pazzanese Institute of Cardiology, São Paulo, Brazil.
International Journal of Cardiology
|June 1, 1990
Summary
Balloon aortoplasty is an effective treatment for aortic coarctation. This study shows good outcomes in most patients, highlighting careful patient selection for successful results.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Aortic coarctation is a congenital heart defect characterized by narrowing of the aorta.
- Surgical repair has been the traditional treatment, but less invasive options are being explored.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of balloon aortoplasty in patients with aortic coarctation.
- To identify factors crucial for the success of balloon aortoplasty in this patient population.
Main Methods:
- Retrospective review of 37 patients with aortic coarctation who underwent balloon aortoplasty.
- Clinical re-evaluation of 22 patients with a mean follow-up of 13 months.
- Hemodynamic and angiographic assessment in 13 patients with a mean follow-up of 12 months.
Main Results:
- 21 out of 22 clinically re-evaluated patients were asymptomatic.
- 11 out of 13 patients undergoing hemodynamic and angiographic studies showed excellent results.
- Complications included one case of aneurysmal formation and one case of recoarctation.
Conclusions:
- Balloon aortoplasty is an effective treatment for aortic coarctation.
- Careful selection of patients based on coarctation morphology and appropriate balloon catheter size are critical for procedural success.