Management of aortic recoarctation by transluminal balloon angioplasty in childhood

• Published in: Orvosi hetilap Vol. 138; no. 34; p. 2127
• Main Authors: Szatmári, A, Piskóthy, A, Fodor, P, Palik, I, Lozsádi, K
• Format: Journal Article
• Language: Hungarian
• Published: Hungary 24-08-1997
• Subjects: Age Factors; Angioplasty, Balloon - methods; Aortic Coarctation - diagnostic imaging; Aortic Coarctation - surgery; Child; Child, Preschool; Humans; Infant; Radiography; Recurrence
• ISSN: 0030-6002

Recoarctation balloon angioplasty is an interventional technique for the treatment of restenosis of the aortic isthmus after surgery. At present it is the treatment of choice prior to surgery. Authors report their experience with the first 30 patients in this country. Age less than 1 year at surgery is considered as a risk factor. The diagnosis of recoarctation was made by noninvasive techniques. Balloon angioplasty was performed in one session with the haemodynamic study. Twenty-nine successful procedures were performed, 1 patient only improved after the dilatation. Systemic hypertension decreased in all, but one patient, the diameter of the narrow segment increased in all patients. No mortality was observed. In one patient femoral artery injury developed without definite impairment of the circulation of the lower extremity. It is concluded, that balloon angioplasty is an effective and safe treatment, carries a lower risk for the patient, than surgery, and hospital stay is shorter. The procedure is cost-effective. Therefore, it is proposed for widespread use in the country.