Key result
Stenting of severe coarctation of the aorta in a 3-month-old infant successfully reduced the pressure gradient from 50 mmHg to 5 mmHg with no complications during a 6-month follow-up.
Why the study?
Experience with using stents for coarctation of aorta in small infants or neonatal patients is very low.
Does stenting improve pressure gradients and clinical symptoms in an infant with recurrent severe coarctation of the aorta after balloon angioplasty?
Case Report (n=1)
No
Does stenting improve pressure gradients and clinical symptoms in an infant with recurrent severe coarctation of the aorta after balloon angioplasty?
Stenting of severe coarctation of the aorta in a low-weight infant with restenosis after balloon angioplasty was feasible and resulted in immediate hemodynamic and clinical improvement at 6 months.
May support stenting for recurrent coarctation in select infants; leaves open confirmation of safety and durability in prospective studies.
Coarctation of aorta (CoA) is a congenital heart disease that can lead to heart failure during infancy and neonatal period. Several treatments have been proposed for this disease, including surgery and balloon angioplasty. The experiences of using stents in small infants or neonatal patients are very low. In this article, we report a 3 months old age infant who after balloon angioplasty, his CoA symptoms had return and stenting of CoA was performed for him.
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Ghaderian et al. (2019) conducted a case report in Coarctation of aorta (n=1). Coarctation stenting was evaluated on Pressure gradient. Stenting of severe coarctation of the aorta in a 3-month-old infant successfully reduced the pressure gradient from 50 mmHg to 5 mmHg with no complications during a 6-month follow-up.
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