Case Reports
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Journal of Structural Heart Disease, October 2017, Volume 3, Issue 5:147-151
DOI: 10.12945/j.jshd.2017.020.17
New Approach for Hybrid Stenting of the Aortic Arch in Low Weight Children
Manolis Georgievich Pursanov, MD, Andrey Andreevitch Svobodov, MD, Elena Grigoryevna Levchenko, MD, Ulugbek Urazbayevitch Atajanov, MD
Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, Russian Federation
Abstract
We present a first clinical case of hybrid stenting of the coarctation of the aorta using retrograde approach through descending aorta. In patient, 8 month of age and 5,7 kg weight, a severe obstructive lesion of the aortic arch and isthmus has developed after primary correction of the common arterial trunk and surgical management of the coarctation of the aorta. As a result an emergency intervention was needed. Taking into the account low body weight of the patients and inability to use transfemoral approach we decided to access through 6th intercostal space posterolateral thoracotomy advancing a 6 Fr. guiding catheter to descending aorta via counteraperture. Implantation of Valeo stent followed no complications with complete elimination of the obstruction. This clinical case demonstrates that the retrograde hybrid stenting technique via descending thoracic aorta for aortic isthmus and arch obstruction was followed by good anatomical and hemodynamic results and can be applied in cases with no other alternative.
Cite this article as: Pursanov MG, Svobodov AA, Levchenko EG, Atajanov UU. New Approach for Hybrid Stenting of the Aortic Arch in Low Weight Children. Structural Heart Disease 2017;3(5):147-151. DOI: 10.12945/j.jshd.2017.020.17
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Case Reports
Journal of Structural Heart Disease, October 2017, Volume 3, Issue 5:147-151
DOI: 10.12945/j.jshd.2017.020.17
New Approach for Hybrid Stenting of the Aortic Arch in Low Weight Children
Manolis Georgievich Pursanov, MD, Andrey Andreevitch Svobodov, MD, Elena Grigoryevna Levchenko, MD, Ulugbek Urazbayevitch Atajanov, MD
Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, Russian Federation
Abstract
We present a first clinical case of hybrid stenting of the coarctation of the aorta using retrograde approach through descending aorta. In patient, 8 month of age and 5,7 kg weight, a severe obstructive lesion of the aortic arch and isthmus has developed after primary correction of the common arterial trunk and surgical management of the coarctation of the aorta. As a result an emergency intervention was needed. Taking into the account low body weight of the patients and inability to use transfemoral approach we decided to access through 6th intercostal space posterolateral thoracotomy advancing a 6 Fr. guiding catheter to descending aorta via counteraperture. Implantation of Valeo stent followed no complications with complete elimination of the obstruction. This clinical case demonstrates that the retrograde hybrid stenting technique via descending thoracic aorta for aortic isthmus and arch obstruction was followed by good anatomical and hemodynamic results and can be applied in cases with no other alternative.
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Cite this article as: Pursanov MG, Svobodov AA, Levchenko EG, Atajanov UU. New Approach for Hybrid Stenting of the Aortic Arch in Low Weight Children. Structural Heart Disease 2017;3(5):147-151. DOI: 10.12945/j.jshd.2017.020.17
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