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


ABSTRACT: 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.

SUBMITTER: Krasemann T 

PROVIDER: S-EPMC7494706 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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

Krasemann T T   van Beynum I I   Dalinghaus M M   van Leuwen W W   Bogers A A   van de Woestijne P P  

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation 20201001 10


<h4>Introduction</h4>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.<h4>Case reports</h4>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 pa  ...[more]

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