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Figure 2: Balloon angioplasty of coarctation of the aorta in a 10-day-old neonate. (a) Lateral view of aortogram, access via the carotid artery. Preductal coarctation clarifies the failed retrograde access despite multiple attempts, retrogradely. (b) Predilatation with a 2 mm × 16 mm coronary balloon was applied to the coarctation segment. (c) 6 mm × 20 mm Thysack II balloon was positioned across the coarctation region and dilated. (d) A final aortogram shows diameter of the coarctation region and patent ductus arteriosus (prostaglandin E1 infusion could be discontinued, and the ductus arteriosus closed 2 days later, but the coarctation did not recur with a systolic gradient of 10 mmHg)

Figure 2: Balloon angioplasty of coarctation of the aorta in a 10-day-old neonate. (a) Lateral view of aortogram, access via the carotid artery. Preductal coarctation clarifies the failed retrograde access despite multiple attempts, retrogradely. (b) Predilatation with a 2 mm × 16 mm coronary balloon was applied to the coarctation segment. (c) 6 mm × 20 mm Thysack II balloon was positioned across the coarctation region and dilated. (d) A final aortogram shows diameter of the coarctation region and patent ductus arteriosus (prostaglandin E1 infusion could be discontinued, and the ductus arteriosus closed 2 days later, but the coarctation did not recur with a systolic gradient of 10 mmHg)