Simultaneous transcatheter coil occlusion of patent ductus arteriosus and balloon angioplasty of coarctation of aorta is avoided since intimal tearing after angioplasty is believed to increase the risk for dissection of the aorta during catheter manipulation. We report a 14-month-old boy, with weight of 7.6 kg, with aortic coarctation and patent ductus arteriosus with a large left-to-right shun...

AIMS To define the long-term effect of balloon angioplasty of aortic coarctation on hypertension, in adolescent and adult patients. METHODS Balloon angioplasty of discrete, native aortic coarctation was performed on 50 patients (34 male) aged 23+/-8 (mean+/-standard deviation) years. In 42 of these patients cardiac catheterization and angiography were repeated 1 year later, and on the basis o...

We describe a case of native coarctation of aorta managed with three self-expandable nitinol stents. After balloon pre-dilation, the first and second stents were dislodged. The coarcted area was successfully treated with the third stent overlapped with the previous stents. During follow up (30 months), the patient was free of complications. It seems that implantation of multiple overlapping sel...

BACKGROUND Bare stents has become the first line therapy for aortic coarctation. Covered stents has been reported more recently in clinical practice. OBJECTIVES The present study, reports comparatively 15-year experience of bare and covered stent implantation for aortic coarctation in a single tertiary referral center. METHODS From 1997 to 2011, 143 patients with native or postoperative aor...

Editorial Should balloon angioplasty be used instead of surgery for native aortic coarctation? Several groups have used transluminal balloon angioplasty of native aortic coarctation to treat aortic coarctation since the technique was first described in the early 1 980s. Arguments about whether balloon angioplasty is an effective and safe alternative to surgery have been intensified by reports t...

We performed color Doppler flow mapping in 15 patients, 1 week to 17 years old (mean 42 months), with coarctation of the aorta that was confirmed subsequently by angiography and/or surgery. Twelve patients had native coarctation and three had mild recoarctation after surgical repair. Color Doppler flow maps were analyzed with a digital analysis package and a Sony computer system. The diameter i...

background: coarctation of the aorta (coa) is a defect that accounts for 5-8% of all congenital heart diseases. balloon angioplasty as a treatment for coa is increasingly performed, with endovascular stents having been proposed as a means of improving the efficacy and safety of the procedure. the aim of this study was to evaluate the systolic blood pressure gradient at rest and during maximal e...

OBJECTIVES The purpose was to evaluate long-term outcome following balloon angioplasty for coarctation in adults. BACKGROUND Long-term results of balloon angioplasty for native coarctation in adults remain incomplete, especially concerning the occurrence of aneurysm formation. METHODS Long-term follow-up data were collected in consecutive patients retrospectively. Results of balloon angiopl...

Transcatheter treatment of aortic coarctation, with balloon angioplasty or stent implantation, is now an acceptable alternative to surgical repair. However these procedures may result in complications, such as vascular wall injury and re-stenosis of the lesion. A nitinol self-expandable stent, when deployed at the coarctation site, produces low constant radial force, which may result in a gradu...