What are the short-term results of balloon angioplasty in the repair of coarctation of the aorta (CoA)?

Updated: Nov 20, 2018
  • Author: Syamasundar Rao Patnana, MD; Chief Editor: Stuart Berger, MD  more...
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Despite an initial report of poor results, [63] subsequent experience with balloon angioplasty appears encouraging and has been detailed elsewhere. [32, 37, 48, 64, 65, 66] A reduction of pressure gradient across the coarctation and an increase in the size of the coarcted segment have been observed. The collateral vessels promptly diminish. The femoral pulses, which had been either absent or markedly reduced and delayed (when compared with brachial pulses) become palpable with increased pulse volume after balloon angioplasty.

The infants who were in heart failure improved, as did their hypertension. The infants who were ventilator dependent could be weaned off of the ventilator support and were extubated. Most infants (beyond the neonate period) and children are discharged from the hospital within 24 hours after balloon angioplasty. None of the authors' patients required immediate surgical intervention.

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