Balloon dilatation angioplasty was successfully performed in five patients (ages 18 months to 17 years) with discrete aortic coarctation. The catheter size was No. 8F or 9F. Selection of balloon diameter was based on angiographic measurements of the aorta determined proximal and distal to the coarctation site. A 10 sec inflation-deflation cycle at 6 to 8 atmospheres (90 to 120 psi) was performe...

Several areas of concern arise in the management of the adult patient who has had a surgical repair of an aortic coarctation. The aim is this article is to review these areas and make suggestions regarding current clinical practice. Coarctation of the aorta accounts for 6·8% of congenital heart disease, with an incidence of one in 12 000 live births. Coarctation is a heterogeneous lesion with v...

We used combined two-dimensional and pulsed Doppler echocardiography to examine 37 infants and children with coarctation of the aorta and 19 normal subjects. The ages ranged from 1 day to 16 years. We compared the differences between the Doppler flow signal from the ascending aorta and the descending aorta below the coarctation in each patient, as well as the differences between the correspondi...

OBJECTIVE To examine the use of balloon angioplasty in the treatment of native adult aortic coarctation. DESIGN Haemodynamic and angiographic studies to establish the diagnosis of aortic coarctation were established before carrying out the procedure in all patients. SETTING All the studies and angiographic procedures were performed in a large district general hospital within the departments...

Morgagni was thought first to have described the condition of coarctation of the aorta in 1760. Crafoord and Nylin (I945) discussed the surgical treatment of coarctation, describing two male patients, aged I2 and 27 years, in whom successful surgery had been performed. Surgical treatment was also described by Kirklin et al. (I952), in an infant ten weeks old and at the other end of the scale, G...

BACKGROUND Balloon angioplasty for treatment of coarctation of the aorta in adults, though promising, is sometimes limited by significant residual gradient (> 20 mmHg). Few studies have been reported on use of balloon-expandable stents in such a situation. We evaluated the use of self-expandable stents in patients with coarctation of the aorta. METHODS Eight hypertensive patients (age 15 to 2...

A dilatable form of juxtaductal aortic coarctation was surgically created in 29 newborn lambs. Of the 17 long-term survivors, four lambs served as controls and 13 underwent transcutaneous balloon dilation angioplasty with either polyvinylchloride or polyethylene catheters after 7--10 weeks of recovery. During growth before dilation, there was little change in the systolic gradient across the co...

Double orifice mitral valve is a rare congenital anomaly presenting as the division of the mitral orifice into two anatomically distinct orifices, it is most often associated with other congenital heart defects such as left-sided obstructive lesions, ventricular septal defects or aortic coarctation. We report the case of a 15 year's old boy, admitted for arterial hypertension, auscultation reve...

Stenting of aortic coarctation became the method of choice. In severe aortic coarctation, when retrograde crossing of the coarctation is impossible, a secondary approach with antegrade arterial crossing proved to be the solution in many cases. Here we report two cases of severe aortic coarctation in males aged 12 and 14, respectively, in which we used a secondary transradial approach (right and...

The simultaneous occurrence of clinical coarctation of the aorta and patent ductus arteriosus (PDA) has been reported frequently (Johnson et al., 1951; Cooley et al., 1956; Goldring et al., 1957; Engberg et al., 1959). It has been estimated that 6 per cent of clinically diagnosed patent ductus will have associated aortic coarctation. In most of the cases that have been described the presence of...