Transcatheter relief of coarctation of the aorta in a persistent fifth aortic arch anatomy
| Autor: | Agustin E. Rubio, Jason F. Deen, Brian S. Marcus |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Aortic arch
Percutaneous business.industry medicine.medical_treatment Coarctation of the aorta Fifth aortic arch Anatomy 030204 cardiovascular system & hematology Balloon medicine.disease Asymptomatic 03 medical and health sciences Stent placement 0302 clinical medicine 030225 pediatrics medicine.artery Angioplasty Pediatrics Perinatology and Child Health medicine medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Progress in Pediatric Cardiology. 57:101200 |
| ISSN: | 1058-9813 |
| DOI: | 10.1016/j.ppedcard.2020.101200 |
| Popis: | We present a case of persistent fifth aortic arch with coarctation diagnosed in a 5 year old child, initially managed by percutaneous balloon angioplasty ultimately undergoing percutaneous stenting of the coarctation of the aorta. The coarctation was initially treated with balloon angioplasty, but a moderate recoarctation recurred. The child remained asymptomatic with normal left ventricular function. She was followed longitudinally until large enough to undergo stent placement at 7 years of age with a weight of 31 kg.. The procedure was tolerated well with significant improvement in peak gradients. Over the two-year follow-up period, the child has not required further intervention. Transcatheter relief of an aortic arch obstruction in the setting of a persistent fifth aortic arch anatomy is feasible and can provide a durable option even in young children. |
| Databáze: | OpenAIRE |
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