ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Short- and midterm results of balloon angioplasty for the treatment of coarctation of the aorta in neonates
Utku Arman Örün1, Özben Ceylan1, Meki Bilici2, Burhan Öcal1, Selmin Karademir1, Filiz Şenocak1, Ayşegül Zenciroğlu3, Senem Özgür1
1Department of Pediatric Cardiology, Dr. Sami Ulus Gynaecology, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
2Department of Pediatric Cardiology, Medical Faculty of Fatih University, Ankara, Turkey
3Department of Pediatric Neonatology, Dr. Sami Ulus Gynaecology, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2012.146
Background: In this study, we reviewed our clinical experience along with the existing data and short- and midterm results of balloon angioplasty for coarctation of aorta in neonates.

Methods: The data of 51 neonates (41 boys and 10 girls; mean age 13±9 days; range 1 to 30 days) who underwent balloon angioplasty for aortic coarctation between December 2004 and March 2010 were retrospectively analyzed.

Results: Isolated coarctation was found in 13 patients (25%) and complex coarctation in 38 (75%). The left ventricular dysfunction was seen in 18 patients (35.3%), while 17 patients (33.3%) had isthmus hypoplasia. The most common concomitant abnormality was ventricular septal defect (VSD) (49%). Twenty-nine patients (56.9%) had pulmonary hypertension. The mean systolic pressure gradient across the coarctation site fell from 36±20 mmHg before dilatation to 8.6±7.0 mmHg following the intervention. One patient developed femoral artery thrombosis. The mean follow-up was 8.7±9.6 months (range 1-46, median 6 months). Recoarctation developed in 20 patients (39.2%) after an average 3.2±3.1 months. Of these, nine (45%) with recoarctation underwent repeated angioplasty and 11 (55%) surgical repair. During follow-up of 1-7 months, seven (13.7%) patients died.

Conclusion: Our short- and midterm results suggest that balloon angioplasty has a higher recoarctation rate than surgery. Therefore, balloon angioplasty should be done to ensure survival until full corrective surgery is performed in patients with complex cardiac disease and poor overall condition.

Keywords : Aortic coarctation; balloon angioplasty; neonates
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