Page 13 - Journal of Structural Heart Disease Volume 5, Issue 4

Meeting Abstracts
Journal of Structural Heart Disease, August 2019, Volume 5, Issue 4:75-205
DOI: https://doi.org/10.12945/j.jshd.2019.018.19
Published online: August 2019
The Pediatric and Adult Interventional Cardiac Symposium (PICS/AICS) 22nd Annual Meeting San Diego, California, September 4-7, 2019
2. ENDOVASCULAR TREATMENT OF CRITICAL COARCTATION OF THE AORTA (COA) IN NEWBORNS AND INFANTS
Elnur Imanov1,1, Sabina Hasanova2, Aysel Yusifli 1, Vasiliy Lazoryshynets3, Leman Rüstemzade2, Fuad Abdullayev4, Farida Hajyeva2, Samir Mamedov2, Oleksandr Pliska 5
1 Health Ministry of Republic of Azerbaijanjan Education Therapeutic Clinic of Azerbaijan Medical University, Baku, Azerbaijan. 2Health Ministry of Republic of Azerbaijanjan Education Therapeutic Clinic of Azerbaijan Medical University, Baku, Azerbaijan. 3Amosov National Institute of Cardiovascular Surgery, Kiev, Ukraine. 4Health Ministry of Republic of Azerbaijan Scientific Center of Surgery Named After M.A.Topchubashov Pediatric Cardiac Surgery and Neonatal Surgery center, Baku, Azerbaijan. 5Dragomanov National Pedagogical University, Kiev, Ukraine
Background: Newborns and infants with CoA combined with hypoplasia of the aorta, CHD, and Ductus dependent flow (DDF) referred to critical heart defects.
Objective: To present in-hospital and mid-term results of endovascular interventions in newborns and infants with CoA.
Material: 60 patients with CoA underwent intervention, of them: 41(68.3%) - surgery; 19 (31.7%) - balloon dila- tation. Age of patients =1 to 360 days (98.9 ± 10.8). In 34 (57.6%) patients the diagnosis was prenatal. In patients with DDF, prostaglandin E1 used after prior to the intervention.
In 22 (36.6%) patients CoA combined with other CHD. Pressure gradient in the CoA site during hospitalization was 58 ± 1.7mm Hg. LVEF (51 ± 12%). Mean pressure gra- dient in endovascular group before dilatation was 59 ± 18 mm Hg. LVEF 41 ± 9%.
Patients with hypoplasia of the aorta and concomitant CHD referred surgery. In presence of low pulmonary flow, and absence or hypoplasia of the aorta, dilatation performed urgently. After angioplasty pressure gradient decreased to 19 ±7 mm Hg; LVEF increased to 63 ± 7%.
Group with endovascular treatment made an uneventful recovery. 13 (68.4%) patients need surgery for re - CoA on 3 - 6 months after dilation.
Conclusion: In critic patients endovascular interven- tion should be preferred with good immediate results. Feasibility of angioplasty of CoA in newborns and infants with CoA remains controversial through a high rate of re-coarctation and re-interventions
4. CARDIOVASCULAR DISEASE
Purusharth Kumar Sharma
AND IT PREVENTION
Jaipur Rajasthan India
Dental College Affilated
to Rajasthan University of Health Science
This is a condition which affects our heart, they are of many type such as heart attack, heart failure, CAD, aorta disease and many more. There are many other ways through which we can prevent this so my research work is on that how we can manage these fatal diseases at their early stages so we can prevent the death of patient, or some ways to man- age this disease and I think these ways are very helpful to people and some technique which a person can do at their level. If they get heart attack and some medicine which has less side effects and more response.
Method and Sources: To reduce the level of LDL I have now introduced a new compound that will help decrease
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E-Mail: jshd@scienceinternational.org http://structuralheartdisease.org/
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