Abstract
IntroductionCoarctation of the aorta in children under 3 months of age is usually treated surgically. However, there are clinical scenarios in which stenting of native or recurrent coarctation may become necessary in this age group.Case reportsFour cases illustrate possible indications: left ventricular dysfunction increasing the operative risk, thrombus formation after coarctation surgery, patient size (i.e. in premature babies), and retrograde arch obstruction after hybrid palliation of hypoplastic left heart syndrome. In all babies, coarctation stenting was carried out successfully without complications.ConclusionCoarctation stenting can be carried out safely in small children. Usually, the stent has to be removed or redilated later. Results are encouraging.Electronic supplementary materialThe online version of this article (10.1007/s12471-020-01371-8) contains supplementary material, which is available to authorized users.
Highlights
Coarctation of the aorta in children under 3 months of age is usually treated surgically
Stenting of coarctation of the aorta (CoA) is well established in adults and children weighing more than 25 kg, but even in smaller children this technique is gaining acceptance [1, 2]
We describe four cases of CoA stenting carried out in children under 3 months of age, in each one for a different reason
Summary
In babies under 3 months of age, coarctation of the aorta is usually treated surgically in the first instance. We describe four cases of CoA stenting carried out in children under 3 months of age, in each one for a different reason We think that these cases illustrate typical indications, which are: (1) severely impaired left ventricular function, where surgery as primary treatment carries a high risk; (2) postoperative thrombus formation within the operated area of the aorta; (3) prematurity in babies in whom surgery is. The baby underwent biventricular repair consisting of surgical removal of all stents, aortic arch plasty with homograft, closure of atrial and ventricular septal defects, and reconstruction of the right ventricular outflow tract Five months after this operation, the aortic arch was redilated with an 8-mm balloon.
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