Related Experiment Video

Updated: Nov 6, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

583

Challenging paediatric coarctation cases treated with a hybrid approach: five-year follow up

Sonia El-Saiedi1, Hossam Hassanein2, Ashraf Abdel-Rahim3

  • 1Pediatric Cardiology Division, Pediatric Department, Cairo University, Cairo, Egypt.

Cardiovascular Journal of Africa
|May 5, 2021
PubMed

Insights

Unmounted stents were used in two pediatric patients with recurrent coarctation. While initially successful, long-term follow-up revealed stent complications requiring intervention.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Interventional Cardiology

Background:

  • Recurrent coarctation of the aorta presents a significant challenge in pediatric patients, often requiring re-intervention after initial surgical repair.
  • Hybrid procedures, combining surgical and interventional techniques, offer a potential approach for managing complex congenital heart disease in young children.

Observation:

  • Two pediatric patients, aged two and three years, underwent cardiac catheterization in a hybrid setting for recurrent coarctation post-native surgery.
  • Unmounted stents were deployed via a right anterior mini-thoracotomy into the coarctant segment.

Findings:

  • One-year follow-up showed no echocardiographic improvement, though patients were managed with medical therapy.
  • At five-year follow-up, the first patient experienced stent breakage, and the second patient developed stent stenosis requiring balloon angioplasty.

Implications:

  • The use of unmounted stents in pediatric recurrent coarctation requires careful long-term monitoring due to potential late complications.
  • Further research is needed to evaluate the durability and safety of different stenting techniques in this challenging pediatric population.

Keywords:
aortic coarctationhybridstentvascular access

More Related Videos

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position11:20

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position

Published on: April 1, 2022

3.3K
Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.8K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm 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...
80
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
71