Percutaneous Correction of Aortic Coarctation and Patent Ductus Arteriosus in a Young, Failing Heart

Congenital anomalies of the great vessels can coexist in a significant proportion of pediatric patients, but a delayed diagnosis can present with fulminant heart failure later in life.

A 12-year-old boy with failure to thrive and recurrent chest infections was referred to the cardiac outpatient department for cardiomegaly noted on chest x-ray. Echocardiography revealed a patent ductus arteriosus (PDA) and coarctation of the aorta (CoA) with impaired left ventricular function. Both lesions were successfully corrected through percutaneous intervention.

This case integrates current evidence favoring stent implantation for correction of native CoA. It also demonstrates successful percutaneous management of combined CoA and PDA in a critically ill nonsurgical patient, highlighting adaptive decision-making and safe handling of stent embolization.

Congenital defects of the great vessels with compromised hemodynamics demand prompt action. Careful procedural adaptation and structured follow-up are essential for optimal recovery and long-term outcomes.