Recurrent coarctation postoperative Norwood is poorly tolerated in single ventricle patients. Although transcatheter balloon angioplasty is considered first line, it often leads to inadequate or non-durable relief of obstruction. Transcatheter stent implantation provides excellent relief of obstruction but necessitates staged redilation to account for somatic growth in children. Stent technology, delivery systems, and procedural techniques will need to evolve to obviate reported adverse events mainly due to patient size.
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http://dx.doi.org/10.1002/ccd.27395 | DOI Listing |
J Cardiothorac Surg
January 2025
Department of Cardiovascular Surgery, West China Hospital of Sichuan University, 37# Guoxue Xiang, Chengdu, 610041, Sichuan, China.
Background: Pseudoaneurysm after coarctation of the aorta (CoA) repair is a rare but severe complication. Contributing factors may include infection, hypertension, aortic wall weakness, and turbulent blood flow at the repair site.
Case Presentation: A 35-year-old male presented with recurrent episodes of epistaxis and dizziness was admitted to the emergency department.
Interdiscip Cardiovasc Thorac Surg
December 2024
Department of Cardiac Surgery, Bristol Royal Hospital for Children, University of Bristol, Bristol, UK.
Objectives: A significant number of low-birth-weight neonates are born with aortic coarctation. Previous studies of early operation on these patients have shown a high hospital mortality and recurrence at 1 year. We reviewed our data to ascertain whether modern approaches allow better outcomes for these children.
View Article and Find Full Text PDFAnn Thorac Surg
November 2024
Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
J Saudi Heart Assoc
October 2024
Federal State Budgetary Institution, Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Russia.
Eur Heart J Case Rep
October 2024
Antwerp Surgical Training, Anatomy and Research Center (ASTARC), University of Antwerp, Universiteitsplein 1, 2610 Antwerpen, Belgium.
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