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Percutaneous recanalization of totally occluded coarctation of the aorta in children using Brockenbrough needle and covered stents


1 Department of Pediatrics and Child Health, Cardiology Division, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
2 Division of Pediatric Cardiology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Montréal, Québec, Canada
3 Children's Heart Fund Cardiac Center, Addis Ababa, Ethiopia

Correspondence Address:
Endale Tefera
Department of Pediatrics and Child Health, Cardiology Division, School of Medicine, Addis Ababa University, Corner of Zambia and T. Abanefso Roads, P.O. Box 1768, Addis Ababa
Ethiopia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.180664

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Year : 2016  |  Volume : 9  |  Issue : 2  |  Page : 153-157

 

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Percutaneous treatment of totally occluded coarctation of the aorta has been reported predominantly in adults. The success and challenges of this procedure in children is reported in few patients. We report an outcome of percutaneous treatment of three children with completely occluded coarctation of the aorta. The age range was 9-14 years. All the patients had upper limb hypertension. One case had severe left ventricular dysfunction. In all cases, a pediatric Brockenbrough needle and a covered stent were implanted. Recanalization and implantation of a covered stent was successful in all patients. One of these patients developed transient postcoarctectomy syndrome. Percutaneous recanalization of totally occluded coarctation of the aorta using Brockenbrough needle and a covered stent in children is feasible and effective.






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1 Department of Pediatrics and Child Health, Cardiology Division, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia
2 Division of Pediatric Cardiology, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Montréal, Québec, Canada
3 Children's Heart Fund Cardiac Center, Addis Ababa, Ethiopia

Correspondence Address:
Endale Tefera
Department of Pediatrics and Child Health, Cardiology Division, School of Medicine, Addis Ababa University, Corner of Zambia and T. Abanefso Roads, P.O. Box 1768, Addis Ababa
Ethiopia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.180664

Rights and Permissions

Percutaneous treatment of totally occluded coarctation of the aorta has been reported predominantly in adults. The success and challenges of this procedure in children is reported in few patients. We report an outcome of percutaneous treatment of three children with completely occluded coarctation of the aorta. The age range was 9-14 years. All the patients had upper limb hypertension. One case had severe left ventricular dysfunction. In all cases, a pediatric Brockenbrough needle and a covered stent were implanted. Recanalization and implantation of a covered stent was successful in all patients. One of these patients developed transient postcoarctectomy syndrome. Percutaneous recanalization of totally occluded coarctation of the aorta using Brockenbrough needle and a covered stent in children is feasible and effective.






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