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Recurrent coarctation of aorta after Norwood operation in single ventricle patients; the case of the missing ideal stent
Author(s) -
Parekh Dhaval R.,
Krajcer Zvonimir
Publication year - 2017
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27395
Subject(s) - medicine , norwood procedure , angioplasty , stent , ventricle , surgery , hypoplastic left heart syndrome , balloon , coarctation of the aorta , radiology , cardiology , aorta , heart disease
Key Points Recurrent coarctation postoperative Norwood is poorly tolerated in single ventricle patients. Although transcatheter balloon angioplasty is considered first line, it often leads to inadequate or non‐durable relief of obstruction. Transcatheter stent implantation provides excellent relief of obstruction but necessitates staged redilation to account for somatic growth in children. Stent technology, delivery systems, and procedural techniques will need to evolve to obviate reported adverse events mainly due to patient size.