Indications for stenting of coarctation of the aorta in children under 3 months of age

INTRODUCTION: Coarctation of the aorta in children under 3 months of age is usually treated surgically. However, there are clinical scenarios in which stenting of native or recurrent coarctation may become necessary in this age group. CASE REPORTS: Four cases illustrate possible indications: left ve...

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Detalles Bibliográficos
Autores principales: Krasemann, T., van Beynum, I., Dalinghaus, M., van Leuwen, W., Bogers, A., van de Woestijne, P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2020
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494706/
https://www.ncbi.nlm.nih.gov/pubmed/32056092
http://dx.doi.org/10.1007/s12471-020-01371-8
Descripción
Sumario:INTRODUCTION: Coarctation of the aorta in children under 3 months of age is usually treated surgically. However, there are clinical scenarios in which stenting of native or recurrent coarctation may become necessary in this age group. CASE REPORTS: Four cases illustrate possible indications: left ventricular dysfunction increasing the operative risk, thrombus formation after coarctation surgery, patient size (i.e. in premature babies), and retrograde arch obstruction after hybrid palliation of hypoplastic left heart syndrome. In all babies, coarctation stenting was carried out successfully without complications. CONCLUSION: Coarctation stenting can be carried out safely in small children. Usually, the stent has to be removed or redilated later. Results are encouraging. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s12471-020-01371-8) contains supplementary material, which is available to authorized users.

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