Balloon dilation angioplasty (BDA) was attempted nine times in eight infants and children with aortic coarctation. In three infants (all with associated ventricular septal defect or atrioventricular canal and marked hemodynamic instability) dilation was attempted at a site of aortic narrowing that had not been operated on previously. Although the coarctation gradient fell 40% or more over the s...

RATIONALE Coarctation of aorta in adulthood is usually complicated by other cardiovascular anomalies, posing great technical challenge for intervention. PATIENT CONCERNS Here, we report an extremely rare case of aortic arch coarctation combined with a poststenotic biloculated calcified aneurysm and hypoplastic left subclavian artery. INTERVENTIONS First, an extra-anatomic bypass was establi...

cating artery was first described by Robinson and demonstrated on angiography by Isherwood and Dutton, 44 cases have been reported (1, 2). Most cases demonstrate unilateral involvement and only 10 cases of bilateral involvement have been reported out of the 45 cases, including the case described in this report. Although cerebral aneurysms are frequently associated with this congenital anomaly, ...

INTRODUCTION We report a case of postural tachycardia syndrome occurring after the surgical correction of an aortic coarctation, and coexisting with upper airway resistance syndrome. CASE PRESENTATION A 29-year-old Caucasian man complained of extreme fatigue, daytime sleepiness, shortness of breath on exertion, light-headedness and general weakness on standing. These symptoms began shortly af...

A 43 year old man with inoperable aortic coarctation and severe hypertension requiring near maximal anti-hypertensive treatment was admitted in severe heart failure. After 2 weeks of treatment the heart failure and blood pressure were incompletely controlled and angiotensin converting enzyme (ACE) inhibitor was started. Serum creatinine was normal before starting the ACE inhibitor and on discha...

Correspondence to: Dr Eric Rosenthal, Guy’s Hospital, Department of Paediatric Cardiology, St Thomas Street, London, UK; [email protected] _________________________ C oarctation of the aorta was described pathologically in the 1700s and clinical recognition occurred from the early 1900s. w2 Postmortem data suggested a median age of death of 31 years—mainly from complications of the coa...

BACKGROUND Coarctation of the aorta (COA) is a defect that accounts for 5-8% of all congenital heart diseases. Balloon angioplasty as a treatment for COA is increasingly performed, with endovascular stents having been proposed as a means of improving the efficacy and safety of the procedure. The aim of this study was to evaluate the systolic blood pressure gradient at rest and during maximal ex...

The surgical treatment of neonatal aortic coarctation is usually accomplished with a termino-terminal anastomosis or a subclavian flap. The use of a patch to enlarge the isthmal narrowing may be an alternative but is frequently complicated by aneurysmal dilatation on the aortic wall opposite to the patch, probably because it disrupts the vascular anatomic integrity. Extracellular matrix patches...