Balloon expandable stents for coarctation of the aorta: current status and technical considerations: case report

Durongpisitkul, K.; Laohaprasitiporn, D.; Chanthong, P.; Panchavinnin, P.

Journal of the Medical Association of Thailand 88(2): 269-274

2005


ISSN/ISBN: 0125-2208
PMID: 15962682
Document Number: 2140
Background: Balloon expandable stents have been used to manage coarctation of the aorta (Co) in selected patients with very encouraging results.Material and Method: The authors report here the first group of patients with Co who underwent a successful implantation of the new Palmaz Genesis (TM) stent with intermediate term follow up.Results: There were 5 patients with an age range from 14 to 23 years old. A 11 of them had significant Co and were receiving multiple anti-hypertensive medications. Primary stenting was performed in all patients. All of them had an immediate relief of the gradient. A 11 antihypertensive medications were discontinued immediately in 4 patients. A 11 patients had one year follow up which revealed a minimum gradient. One patient continues to receive oral antihypertensive medication.Conclusion: In patients with coarctation of the aorta (native or recoarctation of aorta), stent implantation may he a feasible and improved option to relieve the stenosis. Short and mid term followup of these patients have shown encouraging results.

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Balloon expandable stents for coarctation of the aorta: current status and technical considerations: case report