A ten week old girl who had previously undergone a palliative procedure for the hypoplastic left heart syndrome had unrelieved aortic coarctation that did not respond to standard balloon dilatation. Complete relief of coarctation with prompt clinical improvement was achieved with placement of an 8 mm self-expanding stent. Transcatheter stent implantation may have a role in selected patients wit...

BACKGROUND The management of patients with aortic coarctation and ventricular septal defect (VSD) remains controversial. We reviewed our experience with coarctation and VSD from 2002 to 2006. METHODS Three approaches were used to manage 36 consecutive infants with coarctation and VSD. Group I had staged coarctation repair with or without pulmonary artery banding, followed by VSD closure with ...

OBJECTIVES We sought to identify the predictors of aneurysmal formation after surgical correction of aortic coarctation. BACKGROUND In 9% of patients, aneurysms develop late after corrective surgery of coarctation of the aorta, with a 36% mortality rate if left untreated. However, the predictors of postsurgical aneurysmal formation are unknown. METHODS Of 25 aortic aneurysms requiring corre...

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BACKGROUND The use of balloon coarctation angioplasty instead of surgery as treatment for unoperated coarctation of the aorta is controversial. The efficacy and complications of the two procedures have not been studied before in a prospective fashion. METHODS AND RESULTS Thirty-six patients were prospectively randomized to either angioplasty (20 patients) or surgery (16 patients). Immediate r...

To test the hypothesis that prostanoids contribute to angiotensin II-induced vascular contraction, we compared the effect of angiotensin II on isometric tension development by rings of descending thoracic aorta bathed in Krebs' bicarbonate buffer with and without indomethacin (10 microM) to inhibit cyclooxygenase, CGS13080 (10 microM) to inhibit thromboxane A2 synthesis, or SQ29548 (1 microM) t...

Coarctation of aorta is a common condition usually diagnosed during childhood. During adulthood they are evaluation secondary hypertension or resistant hypertension. We report case young female who was asymptomatic and found to have high blood pressure routine clinical evaluation. physical examination she had absent femoral pulses which lead suspicion presence coarctation. She underwent surgica...

Twenty two children (age range 4 months-20 years) with pulmonary valve stenosis and ten children (age range 1 month-11 years) with coarctation of the aorta underwent balloon dilatation in the 29 month period between October 1983 and February 1986. Number 5-9 French catheters with 5-20 mm balloons were used according to the size of the angiographically measured pulmonary valve annulus or coarcte...

OBJECTIVES The objective of this study was to determine the efficacy of balloon angioplasty (BA) by comparing the immediate and long-term outcomes of patients with and without re-coarctation after a Norwood procedure. BACKGROUND Although BA has become the standard means for treating recurrent coarctation following a Norwood operation, it has been suggested that re-coarctation remains a signif...

OBJECTIVES This study was designed to evaluate the surgical treatment of recurrent coarctation by a new technique. BACKGROUND Recurrent coarctation either from aneurysm or recurrent constriction is a difficult problem in the adult because of the possible interruption of important collateral circulation. METHODS We reviewed four patients who underwent recurrent coarctation surgery with the u...