Stent Implantation for Native Coarctation of the Aorta: Lessons Learned from a Case Involving a 17-Year-Old Patient

Byline: H. Senzaki (1), T. Kobayashi (1), K. Koike (1), N. Sasaki (1) Keywords: Key words: Stent -- Coarctation of the arota -- Complication Abstract: Recent studies have shown that stenting for coarctation of the aorta (CoA) may be an effective treatment modality for this disease. We report a case of stent repair of CoA in a 17-year-old patient. An incompletely expanded stent caused by a balloon rupture had been implanted in the femoral artery. Subsequent implantation for CoA was successfully achieved using a high-profile balloon catheter. Stent implantation may be an effective modality for CoA repair and may prove useful as an initial procedure for adolescents and adults with CoA. However, one must consider that incomplete expansion of a stent associated with dilatation balloon rupture can cause serious complications. The current case raises important issues that require further discussion to improve the results of this procedure. Author Affiliation: (1) Division of Pediatric Cardiology, Department of Pediatrics, Saitama Medical School Hospital, 38 Morohongo, Moroyama, Iruma-Gun, Saitama, 350 Japan, JP