Document Detail


Effectiveness and safety of balloon dilation of native aortic coarctation in premature neonates weighing < or = 2,500 grams.
MedLine Citation:
PMID:  20381673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Six neonates weighing < or = 2,500 g with native coarctation of the aorta underwent balloon dilation. Of the 6 neonates, 4 were female and 2 were male, with a mean age of 14 days (range 9 to 20) and a mean weight of 1,900 g (range 790 to 2,500). The procedure was acutely successful in all 6 patients; the peak gradient decreased from 38 + or - 19 mm Hg to 11 + or - 3 mm Hg. The diameter increased from 1.5 + or - 0.6 mm to 3.6 + or - 0.7 mm. Of the 6 patients, 3 had required no additional intervention at a mean of 42 months after the initial dilation, and 3 had developed restenosis a mean of 2.4 months after the initial dilation and underwent successful redilation. Of the latter 3 patients, 2 developed restenosis and underwent surgical repair 37 and 68 days after the second dilation, and 1 of these patients developed recoarctation after surgery that was treated successfully with balloon dilation 54 days after the end-to-end repair. In conclusion, premature neonates weighing < or = 2,500 g with coarctation of the aorta appear to respond acutely to balloon dilation. Some patients will have a successful long-term result after a single balloon dilation procedure. However, restenosis is common and tends to develop rapidly.
Authors:
Abraham Rothman; Alvaro Galindo; William N Evans; Juan C Collazos; Humberto Restrepo
Related Documents :
9307453 - The aortic homograft: evolution of indications, techniques, and results in 107 patients.
6449183 - Acute ascending aortic dissection.
17371653 - Transfibular ankle arthrodesis with rigid internal fixation: an assessment of outcome.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  105     ISSN:  1879-1913     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1176-80     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Children's Heart Center Nevada, Las Vegas, Nevada, USA. rothman@childrensheartcenter.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Angiography
Angioplasty, Balloon / methods*
Aortic Coarctation / diagnosis,  physiopathology,  therapy*
Body Weight
Echocardiography, Doppler
Female
Follow-Up Studies
Humans
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Male
Retrospective Studies
Risk Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Relation of systemic venous return, pulmonary vascular resistance, and diastolic dysfunction to exer...
Next Document:  Relation of high heart rate variability to healthy longevity.