Histopathological evaluation of aortic coarctation after conventional balloon angioplasty in neonates

Atalay, Atakan; Paç, Ayşenur; Avcı, Tuğba; Zengın, Neslihan; Amac, N Demir; Eriş, Deniz; Taşoğlu, İrfan; Paç, Mustafa

doi:10.1017/s1047951117002967

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…The currently main surgical strategies (7)(8)(9) for CoA associated with intracardiac anomalies in infants include the following: (1) surgical repair of CoA and pulmonary banding (if necessary) at the first stage, followed by subsequent repair of intracardiac defects; (2) single-stage repair of CoA and intracardiac defects with the use of selective brain perfusion or DHCA; and (3) single-stage repair with double incisions including lateral thoracotomy for CoA and median sternotomy for intracardiac defects. In the 1990s, several studies reported primary repair for CoA and second-stage repair for VSD (10,11).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Surgical Repair for Coarctation of the Aorta With Intracardiac Defects: A Single Center Experience Based on 93 Infants

et al. 2020

Front. Pediatr.

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Introduction: This study aims to summarize the clinical characteristics of coarctation of the aorta (CoA) associated with intracardiac anomalies in infants. Methods: Medical records of 93 infants who were diagnosed with CoA and intracardiac anomalies from August 2009 to August 2018 were retrospectively reviewed. Results: All of the 93 infants underwent single-stage repair for CoA associated with intracardiac anomalies. The mean operative time was 264.6 ± 57.1 min, and the time of ICU stay was 7.0 ± 4.1 days. The residual transcoarctation pressure gradient before discharge was lower than the pressure gradient prior to surgery (48.3 ± 17.5 vs. 22.4 ± 9.6 mmHg, P < 0.01). Early death before discharge was found in five infants. The mean follow-up time of 88 hospital survivors was 40.0 ± 26.4 months, and no subsequent death occurred in the follow-up. Transcoarctation pressure gradient of the 88 survivors in their last follow-up was 19.6 ± 10.5 mmHg. The pressure gradient of 27 cases was higher than 20 mmHg. Significant lower limb retardation was observed in four cases; therefore, balloon angioplasty consult was recommended. The cumulative recoarctation-free survival rate in 3-year follow-up was 73.5%. Conclusions: To avoid secondary operations in early period, single-stage repair of CoA associated with intracardiac anomalies was effective and safe, and the outcomes in early to mid-term follow-up were satisfactory.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and Surgical Repair for Coarctation of the Aorta With Intracardiac Defects: A Single Center Experience Based on 93 Infants

et al. 2020

Front. Pediatr.

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On the role of balloon angioplasty in infantile and childhood coarctation of aorta

Ibrahim

Al-Ethawi

Al‐Hamash

et al. 2020

Cirugía Cardiovascular

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極低出生体重児の大動脈縮窄症に対して経皮的大動脈バルーン拡張術後に外科治療を行った1例

Miyamoto

Shimizu

Muneuchi

et al. 2022

Ped Cardiol Card Surg

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For infants with coarctation of the aorta (COA), either transcatheter balloon angioplasty (BA) or surgical repair is used. COA recurs frequently in low-birth-weight infants who have had either BA or surgical repair. We present a case of a baby girl born at 35 weeks gestational age and weighing 1,374 g who underwent successful surgical repair of COA following palliative BA. A systemic blood pressure gradient of 64 mmHg between the upper and lower limbs was observed at the age of 6 days, con rming the diagnosis of COA. At the age of 25 days, we conducted BA for COA with a minimum diameter of 1.3 mm. Following the placement of a 3-French sheath in the femoral artery, we performed a predilatation with a coronary angioplasty balloon (NC TREK ® 2 mm) and a second dilatation with a valvuloplasty balloon (TMP-PED ® 4 mm). e systemic blood pressure di erence between the upper and lower limbs was reduced to 9 mmHg a er successful dilation. As a recurrence of COA developed along with body weight gain, coarctation resection and extended end-to-end anastomosis were performed at the age of 108 days and weight of 3,050 g. At the age of 7 months, there was no recurrence of COA. We believe that delayed surgical repair a er palliative BA may be possible in low-birth-weight infants with COA to avoid recurrence of COA.

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Histopathological evaluation of aortic coarctation after conventional balloon angioplasty in neonates

Cited by 3 publications

References 20 publications

Diagnosis and Surgical Repair for Coarctation of the Aorta With Intracardiac Defects: A Single Center Experience Based on 93 Infants

Diagnosis and Surgical Repair for Coarctation of the Aorta With Intracardiac Defects: A Single Center Experience Based on 93 Infants

On the role of balloon angioplasty in infantile and childhood coarctation of aorta

極低出生体重児の大動脈縮窄症に対して経皮的大動脈バルーン拡張術後に外科治療を行った1例

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