Challenging paediatric coarctation cases treated with a hybrid approach: five-year follow up

Cardiovasc J Afr. 2021;32(6):346-349. doi: 10.5830/CVJA-2021-006. Epub 2021 May 4.

Abstract

Two paediatric patients suffering from recurrent coarctation after native coarctation surgery were scheduled for cardiac catheterisation in a hybrid setting by the age of two and three years. Through a right anterior mini-thoracotomy, unmounted stents were successfully placed in the coarctant segment. One-year follow up did not show echocardiographic improvement but the patients were controlled on medical therapy. Five-year follow up showed stent breakage in the first case, while the second showed stent stenosis that needed balloon dilatation.

Keywords: aortic coarctation; hybrid; stent; vascular access.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon* / adverse effects
  • Aortic Coarctation* / diagnostic imaging
  • Aortic Coarctation* / surgery
  • Cardiac Catheterization / adverse effects
  • Child
  • Child, Preschool
  • Follow-Up Studies
  • Humans
  • Recurrence
  • Stents
  • Treatment Outcome