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Percutaneous balloon aortoplasty of recoarctation: an alternative approach using the axillary artery
R P Martin1, S A Qureshi, R Arnold
1Department of Paediatric Cardiology, Royal Liverpool Children's Hospital, U.K.
Insights
A baby girl with heart defects underwent surgery for aortic coarctation. She later developed recoarctation, successfully treated with balloon angioplasty via a minimally invasive approach.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Congenital heart defects, including juxtaductal coarctation of the aorta and ventricular septal defects, can present in infancy.
- Surgical repair is a common treatment for severe coarctation of the aorta.
Observation:
- A female infant presented with congestive cardiac failure and was diagnosed with severe juxtaductal coarctation of the aorta and multiple ventricular septal defects.
- Postoperative follow-up revealed severe recoarctation with diminished femoral pulses four months after initial surgical repair.
Findings:
- Successful surgical resection of the coarctation with end-to-end anastomosis was performed.
- Percutaneous balloon aortoplasty via the right axillary artery effectively treated the severe recoarctation.
Implications:
- Balloon angioplasty is a viable treatment option for pediatric recoarctation.
- Minimally invasive approaches can offer successful outcomes in complex congenital heart disease cases.
- This case highlights the importance of monitoring for recoarctation after surgical repair of coarctation of the aorta.
Abstract:
A female infant, presenting with congestive cardiac failure at 6 weeks of age, was found to have severe juxtaductal coarctation of the aorta and multiple ventricular septal defects. She underwent resection of the coarctation with end-to-end anastomosis. Four months postoperatively, she developed severe recoarctation with impalpable femoral pulses. Successful balloon aortoplasty was carried out using a percutaneous approach via the right axillary artery.