Percutaneous treatment of neonatal aortic coarctation presenting with severe left ventricular dysfunction as a bridge to surgery

Bouzguenda, Ivan; Marini, Davide; Ou, Phalla; Boudjemline, Younès; Bonnet, Damien; Agnoletti, Gabriella

doi:10.1017/s1047951109003837

Cited by 34 publications

(19 citation statements)

References 21 publications

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“…However, as reported in other studies, the restenosis rate was high. These results confirm previous reports that demonstrate that percutaneous balloon angioplasty is effective for stabilizing patients and, in some cases, improving survival [8,14].…”

Section: Discussionsupporting

confidence: 92%

Percutaneous Balloon Angioplasty for Aortic Coarctation in Newborns and Infants: Is It Still an Option?

Jadoon¹,

El-Segaier²,

Galal³

2016

jshd

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Background: Coarctation of aorta may present as severe heart failure in infants and may lead to myocardial dysfunction. Current evidence supports surgical management of neonatal coarctation; however, it can be precarious in sick infants. Thus, percutaneous balloon angioplasty may be a beneficial alternative palliation before possible surgical treatment. Methods: To investigate the safety, efficacy, immediate, and mid-term outcome of percutaneous balloon angioplasty for aortic coarctation in infants who present late and have additional risk factors for surgical treatment, a retrospective case series was examined, reviewing the charts of all patients under six months of age who underwent balloon angioplasty for aortic coarctation. Results: Between January 2008 and April 2014, 14 infants with coarctation were included. Their mean weight was 3.5 kg (1.9-5 kg) and they had a mean age of 69 days (4-142 days). All patients were sick, needed admission in an intensive care unit for inotropic and/or ventilator support, and had different additional risk factors for surgery. All underwent successful percutaneous balloon angioplasty with minor complications. Following which their clinical condition and left ventricular function improved leading to weaning from inotrope and ventilator support. On further follow up, seven underwent elective surgical repair, two needed re-dilation, and three continued without any further intervention.

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Section: Discussionsupporting

confidence: 92%

Percutaneous Balloon Angioplasty for Aortic Coarctation in Newborns and Infants: Is It Still an Option?

Jadoon¹,

El-Segaier²,

Galal³

2016

jshd

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“…In patients with primary surgical approach, the stent was removed after 69 months and in patients with primary stent implantation after 2.8 [0. [2][3][4][5] months. Upon inspection, the surgeon never saw any damage to the adventitia caused by the stent.…”

Section: Surgical Resection and Arch Repairmentioning

confidence: 99%

“…However, prostin therapy may sometimes only slowly or incompletely reverse ventricular dysfunction and multiorgan failure due to slow and incomplete opening of the duct and residual constriction at the isthmus [2]. In the very small premature infant, aortic arch repair can be performed [3,4], but is frequently complicated by a residual gradient, increased perioperative morbidity due to operative hypoperfusion on top of pre-existing shock, atelectasis of the lung, injury to the phrenic or vagal nerve, and chylothorax.…”

Section: Introductionmentioning

confidence: 99%

Bailout stenting for critical coarctation in premature/critical/complex/early recoarcted neonates

Gorenflo

Boshoff

Heying

et al. 2010

Cathet Cardio Intervent

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Background: Surgical repair of critical coarctation can be problematic in premature, critical, complex, or early postoperative neonates. Objectives: We aimed to review our experience with stent implantation to defer urgent surgery to an elective time. Methods: Fifteen neonates with severe aortic coarctation: five premature-hypotrophic (1,400-2,000 g), six critical and complex cardiac malformation, four early (1

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“…Bu sonuçlarla ilk 3 ayda işlemin yüksek rekoarktasyonla sonuçlandığı ve bu dönemde cerrahinin daha iyi bir alternatif olduğu düşünülebilir. Ancak ilk 3 ayda BAP yapılan bu hastaların yedisinde sol ventrikül disfonksiyonu ve dördünde akut böbrek yetersizliği olduğu düşünüldüğünde, yüksek cerrahi mortaliteden dolayı geçici olsa bile kritik hastalarda BAP düşü-nülebilir ve cerrahiye bir köprü oluşturabilir (12,13).…”

Section: Rekoarktasyon Oranıunclassified

“…Özellikle yeni doğanlarda eşlik eden transvers arkus ve istmus hipoplazisi ile patent duktus arteriyozus (PDA) varlığı, rekürrens olasılığını çok artırmakta ve bu dönemde balon anjiyoplastinin etkin olmayabileceği, hatta geçici bir yöntem olabileceği-ni düşündürtmektedir. Ancak rekoarktasyon olasılığı yüksek olsa bile, gelişen rekoarktasyonlar genelde kalp yetersizliği ile beraber olmadığından, yeni doğan ve erken süt çocukluğunda ciddi koarktasyon ve sol ventrikül disfonksiyonu ile gelen olgularda geçici palyasyon amaçlı BAP uygulanması önerilmektedir (7)(8)(9)(10)(11)(12). Bazı çalışmalarda da üç ayın altında ancak cerrahi imkan yoksa veya hastanın genel durumu nedeniyle cerrahi mortalitenin yük-sek olacağı düşünülüyorsa geçici palyasyon için BAP'ın tercih edilebileceği, aksi takdirde direkt olarak cerrahi tedavinin tercih edilmesi gerektiği belirtilmektedir (11)(12)(13)(14).…”

Section: Introductionunclassified

The comparison a 16-year follow-up results of balloon angioplasty for aortic coarctation in children of different age groups: a single-center experience

Ergül

Nişli²,

Dindar³

et al. 2011

Anadolu Kardiyol Derg

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Aort koarktasyonu tanısıyla balon anjiyoplasti uygulanan farklı yaş gruplarındaki çocukların 16 yıllık izlem sonuçlarının karşılaştırılması: Tek merkez deneyimiThe comparison a 16-year follow-up results of balloon angioplasty for aortic coarctation in children of different age groups: a single-center experience ABSTRACTObjective: Pediatric patients with different age groups who underwent balloon angioplasty for aortic coarctation were evaluated for recoarctation, aneurysm, peripheral arterial injuries and concomitant diseases. Methods: From January 1994 to 2010, 80 patients with aortic coarctation (native/recoarctation) were evaluated, retrospectively. According to age at angioplasty, patients were divided into three groups: Group A (0-3 months, n=29, 25 male/4 female, average weight 4±1.2 kg), Group B (3-12 months, n=20, 15 male/5 girls, average weight 6.5±1.9 kg) and Group C (> 1year, n= 31, 15 male/16 girls, average weight 22.8±16 kg). The patients were followed with echocardiography and clinical signs. The data of the native and recoarcted patients and also those in three different age groups were analyzed by using Chi-square, Kruskal-Wallis, and Student t tests. Results: Peak systolic pressure gradient was reduced from 42±17 mmHg to 6.2±6 mmHg after balloon angioplasty (p<0.001) [n=80, 56 (70%) native, 24 (30%) recoarctation]. There was no difference between groups for early success. None of them did require immediate surgery. There 336

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Percutaneous treatment of neonatal aortic coarctation presenting with severe left ventricular dysfunction as a bridge to surgery

Cited by 34 publications

References 21 publications

Percutaneous Balloon Angioplasty for Aortic Coarctation in Newborns and Infants: Is It Still an Option?

Percutaneous Balloon Angioplasty for Aortic Coarctation in Newborns and Infants: Is It Still an Option?

Bailout stenting for critical coarctation in premature/critical/complex/early recoarcted neonates

The comparison a 16-year follow-up results of balloon angioplasty for aortic coarctation in children of different age groups: a single-center experience

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