Successful balloon angioplasty of a coarctation in an infant <500 g.
We describe the first successful balloon angioplasty of a coarctation in a 460-g newborn infant with coarctation of the aorta and heart failure. A coronary angioplasty catheter was positioned across the coarctation via a transumbilical approach. The waist of the balloon disappeared on maximal inflation and there was an increase in blood pressure distal to the coarctation and the clinical status improved. A ductus arteriosus was ligated 4 days after angioplasty.
Schamberger
M S
MS
Division of Pediatric Cardiology, Children's Hospital at the University of Missouri-Columbia, One Hospital Drive, Columbia, MO 65212, USA.
Lababidi
Z A
ZA
D000800:Angioplasty, Balloon; D001017:Aortic Coarctation / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000601:surgery*; D019102:Infant, Very Low Birth Weight; D008297:Male