Journal of Structural Heart Disease, October 2017, Volume 3, Issue 5:147-151
New Approach for Hybrid Stenting of the Aortic Arch in Low Weight Children
Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, Russian Federation
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
You must be registered and logged in to leave comments.
There have been no comments posted yet
All comments will be screened and reviewed before posting. Statements, opinions, and results of studies published in Journal of Structural Heart Disease are those of the authors and do not reflect the policy or position of The Journal and Science International and the Editorial Board and provides no warranty as to their accuracy or reliability. Material is copyrighted and owned by Science International and cannot be used without expressed permission.