title: Coarctoplasty and Stenting in a Case of Ventricular Septal Defect With Eisenmenger's Syndrome: A Clinical Dilemma.
abstract: Coarctoplasty with stenting is often an effective strategy in cases of recoarctation following surgical repair. The potential benefit of coarctoplasty in a patient with Eisenmenger's syndrome is unknown. We describe the case of a 21-year-old male who presented with claudication of lower limbs. He was known to have congenital heart disease, consisting of ventricular septal defect, patent ductus arteriosus (PDA), and coarctation of the aorta. Coarctation repair and PDA ligation had been done at two months of age. At the time of presentation for evaluation of claudication, echocardiography revealed severe coarctation and evidence of Eisenmenger's syndrome. This patient subsequently underwent balloon angioplasty and stenting of coarctation without any increase in cyanosis.
authors: Department of cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors: Jayaranganath
authors: J
authors: Mahimaiha
authors: Department of cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India dr_soumyapatra@rediffmail.com.
authors: Soumya
authors: S
authors: Patra
authors: Department of cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors: Anand P
authors: AP
authors: Subramaniun
authors: Department of cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors: Usha Mandikal Kodanda Rama
authors: UM
authors: Sastry
authors: Department of cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors: Kikkeri Hemannasetty
authors: KH
authors: Srinivasa
authors: Department of cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India.
authors: Cholenahally N
authors: CN
authors: Manjunath
mesh_terms: D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D004541:Eisenmenger Complex / Q000175:diagnosis*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D015607:Stents; D055815:Young Adult
keywords: Eisenmenger’s syndrome; coarctation of aorta; coarctoplasty; congenital heart disease; stenting