Key result
Balloon angioplasty of critical coarctation was successfully performed in a 970-gram premature infant, leading to dramatic improvement in ventricular function and survival to at least 6 months.
Case Report (n=1)
Balloon angioplasty can serve as an effective bridge to surgical repair in extremely premature infants with critical coarctation of the aorta and severe ventricular dysfunction.
May support balloon angioplasty as a bridge in select extremely premature infants with critical coarctation; leaves open need for prospective data before wider adoption.
We describe a 970-gram infant born prematurely at 28 weeks gestation. On the third day of life, she presented in heart failure with Shone's syndrome and severe coarctation of the aorta. Despite initiation of intravenous prostaglandins, she developed progressive severe biventricular dysfunction and acidosis. Balloon angioplasty of the coarctation was successfully performed on the fifth day of life, with a dramatic improvement in ventricular function. At seven weeks of age, after improvement of ventricular function, she underwent surgical resection of the coarctation and arch advancement. At six months of age she is thriving and developing normally.
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McMahon et al. (2001) conducted a case report in Shone's syndrome and severe coarctation of the aorta (n=1). Balloon angioplasty was evaluated on Improvement in ventricular function and survival. Balloon angioplasty of critical coarctation was successfully performed in a 970-gram premature infant, leading to dramatic improvement in ventricular function and survival to at least 6 months.
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