Ghaderian Mehdi
Isfahan University of medical Science, Iran
Title: Our First Experience in Stenting of Coarctation of Aorta in Infants and Small Children (less than 10 Kg)
Biography
Biography: Ghaderian Mehdi
Abstract
Background and objectives: Coarctation of aorta (CoA) is one of the congenital heart disease that can cause heart failure and severe symptoms during neonatal or infancy. Different treatments are suggested for these patients, such as balloon angioplasty or surgical repair. The purpose of this study was to evaluate the use of stents in reduction the pressure gradient and increase the blood flow in this defect during infancy and neonatal period.
Materials and Methods: Five patients (less than one month’s old age) admitted to shahid Chamran Hospital in Isfahan University of medical science between 2016 and 2017 with severe coarctation of aorta. They were initially treated with balloon angioplasty. Each of five patients had a gradient decline after the initial balloon angioplasty and again gradients increased during the follow-up then treated with a stent implantation (in second procedure all of them had less than 10 kg). We used Cook Formula stents for these patients.
Results: The pressure gradient decreased in all 5 patients (maximum reduction: 55 mm Hg minimum reduction: 35 mm Hg) and we had not severe complication during or after the procedure and during the follow-up.
Conclusion: Performing a stent in selected infant patients with severe recoarctation of aorta or long segment CoA can be safe and effective in improving patients' clinical state and preventing surgery.