title: Antegrade transvenous balloon angioplasty for coarctation of the aorta in infants with ventricular septal defect.
abstract: For a newborn, surgical correction has been the primary treatment of native coarctation at most centers; however, there has been an increased use of balloon angioplasty (BA). The anterograde transvenous (AT) technique is another alternative way for coarctation (AoC) angioplasty in low weight patients with large ventricular septal defect (VSD). Four, 5-day-old to 7-month-old, infants weighing 2500, 2700, 2800, and 3400g, respectively presented to emergency unit (EU) with cyanosis, tachypnea, and loss of weight. Echocardiography demonstrated AoC and VSD. All four children were admitted to the EU with hemodynamic compromise and critically ill status. We used femoral vein for sheath and used VSD to enter left ventricle from right antegrade route, and performed BA without any complication. AT described in this report is another alternative way for coarctation angioplasty in patients with large VSD. We suggest that AT BA can be applied to small infants in situations where surgery might have been hazardous.
authors.affiliation: Department of Pediatric Cardiology, Istanbul University, Cerrahpaşa Medical Faculty, Istanbul, Turkey. Electronic address: reyhandedeoglu@gmail.com.
authors.forename: Reyhan
authors.initials: R
authors.lastname: Dedeoglu
authors.affiliation: Prof., Department of Pediatric Cardiology, Istanbul University, Cerrahpaşa Medical Faculty, Istanbul, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Saltık
authors.affiliation: Department of Pediatric Cardiology, Istanbul University, Cerrahpaşa Medical Faculty, Istanbul, Turkey.
authors.forename: Sezen Ugan
authors.initials: SU
authors.lastname: Atik
authors.affiliation: Prof., Department of Pediatric Cardiology, Istanbul University, Cerrahpaşa Medical Faculty, Istanbul, Turkey.
authors.forename: Ayşe Güler
authors.initials: AG
authors.lastname: Eroglu
mesh_terms: D000015:Abnormalities, Multiple; D000792:Angiography; D000800:Angioplasty, Balloon / Q000379:methods*; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D018618:Echocardiography, Doppler, Color; D005268:Femoral Vein; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male
keywords: Antegrade; Balloon angioplasty; Coarctation; Neonate; Transvenous