A Case Report of the Repair of Coarctation of the Aorta by Stenting in an Infant with Ventricular Septal Defect Due to Placement of a Large Amplatzer During Ductus Arteriosus

Abstract

Introduction: Diagnosis and treatment of ventricular septal defect (VSD) during infancy is of great importance in improving the infant’s health. Patent ductus arteriosus (PDA) and coarctation of the aorta are the most common disorders associated with VSD. Patent ductus arteriosus needs to be closed using surgical or non-surgical procedures. This article aims to present a case of repairing coarctation of the aorta by stenting in an infant with VSD due to the placement of a large Amplatzer during ductus arteriosus closure. Case Presentation: The patient was a one-and-a-half-year-old girl with Down syndrome and congenital heart disease. In the initial examination, a second loud heart sound and a systolic ejection murmur could be heard at the left sternal border. The results of the previous echocardiography showed the presence of VSD, PDA, and coarctation of the aorta. She underwent angioplasty a few months ago, and since the coarctation had not been repaired by balloon aortoplasty due to a large amplatzer. Therefore, the surgeon could not repair the VSD because of uncorrected pulmonary hypertension. Hence, we decided to repair the coarctation by stenting. After two weeks of medication treatment, the patient underwent angiography, and a formula stent placement was done for the patient. Conclusions: Pulmonary artery blood flow correction is an effective factor in treating patients with VSD that can be achieved by using the correct amplatzer placement. We corrected the aortic coarctation caused by improper amplatzer placement using stenting.