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Pitfalls of stenting coarctation of an angulated right circumflex aortic arch in Goldenhar syndrome


1 Department of Pediatrics, Children's Medical Center (Pediatrics Center of Excellence), Tehran University of Medical Sciences, Tehran 1419733151, Iran
2 Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
3 Department of Pediatrics, Sidra Medical and Research Center, Weill Cornell Medicine, New York, USA

Correspondence Address:
Elaheh Malakan Rad
Department of Pediatrics, Children's Medical Center (Pediatrics Center of Excellence), No. 62, Dr. Gharib's Street, End of Keshavarz Boulevard, Tehran 1419733151
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_134_16

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Year : 2017  |  Volume : 10  |  Issue : 2  |  Page : 194-196

 

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We report stenting of coarctation of an angulated right circumflex aortic arch (RCAA) using four Cheatham Platinum stents in a child with Goldenhar syndrome. Difficulties in measuring the accurate length of the curved and narrowed transverse aortic arch marked discrepancy between the luminal diameters of the long narrow transverse arch and wide descending thoracic aorta, increased displacement force caused by the 90° bend between the two parts resulted in repeated stent migrations. We discuss the tips to avoid distal stent migration in the setting of an angulated RCAA.






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1 Department of Pediatrics, Children's Medical Center (Pediatrics Center of Excellence), Tehran University of Medical Sciences, Tehran 1419733151, Iran
2 Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
3 Department of Pediatrics, Sidra Medical and Research Center, Weill Cornell Medicine, New York, USA

Correspondence Address:
Elaheh Malakan Rad
Department of Pediatrics, Children's Medical Center (Pediatrics Center of Excellence), No. 62, Dr. Gharib's Street, End of Keshavarz Boulevard, Tehran 1419733151
Iran
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_134_16

Rights and Permissions

We report stenting of coarctation of an angulated right circumflex aortic arch (RCAA) using four Cheatham Platinum stents in a child with Goldenhar syndrome. Difficulties in measuring the accurate length of the curved and narrowed transverse aortic arch marked discrepancy between the luminal diameters of the long narrow transverse arch and wide descending thoracic aorta, increased displacement force caused by the 90° bend between the two parts resulted in repeated stent migrations. We discuss the tips to avoid distal stent migration in the setting of an angulated RCAA.






[FULL TEXT] [PDF]*


        
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