title: Successful surgery and long-term outcome of a critical isthmic coarctation in an extremely preterm infant with a birth weight of 545 g.
abstract: The incidence of critical isthmic coarctation among preterm infants with a birth weight less than 750 g is expected to be fewer than 1:2,000,000 live births. A male twin was born after 26 weeks of gestation with a birth weight of 545 g. On day 9 of his life, he experienced anuria due to a critical neonatal isthmic coarctation. Resection of the coarctation and end-to-end anastomosis were performed. A magnetic resonance imaging (MRI) scan when the boy was 2 years old demonstrated no significant postoperative re-stenosis. At this writing, up to the age of 6 years, the boy has not needed retreatment. Critical neonatal isthmic coarctation in extremely low-birth-weight preterm infants can be corrected successfully.
authors.affiliation: University Children's Hospital, Josef-Schneider-Strasse 2, 97080 Würzburg, Germany. wirbelauer_j@klinik.uni-wuerzburg.de
authors.forename: Johannes
authors.initials: J
authors.lastname: Wirbelauer
authors.forename: Juergen
authors.initials: J
authors.lastname: Bauer
authors.forename: Hakan
authors.initials: H
authors.lastname: Akintuerk
mesh_terms: D001017:Aortic Coarctation / Q000601:surgery*; D005260:Female; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis; D011247:Pregnancy; D011272:Pregnancy, Multiple; D012307:Risk Factors; D016896:Treatment Outcome; D055815:Young Adult