Abstract |
We report our experience with stent implantation for treatment of aortic coarctation in patients with Turner syndrome. Ten consecutive patients with Turner syndrome and aortic coarctation (median age 12 years, range 9 to 24) underwent coarctation stenting. Of these, 6 patients were treated for isolated coarctation and 4 for recurrent coarctation (3 after balloon dilation and 1 after balloon dilation and surgical repair). Bare metal stents were implanted in 7 patients and covered stents in 3. Immediately after stent implantation, peak systolic gradient decreased from 46.1 ± 24.3 to 1.9 ± 2.1 mm Hg (p <0.001). Aortic diameter at coarctation site increased from 5.1 ± 3.2 to 15.3 ± 2.0 mm after stenting (p <0.001). There were no deaths or procedure-related complications. During a median follow-up of 30.5 months, no patient developed restenosis. Two patients developed late aortic aneurysms at the coarctation site. In conclusion, stent implantation for aortic coarctation in patients with Turner syndrome appears to be a safe and effective alternative to surgical repair. Larger cohorts and longer-term follow-up are required to determine the effects of the procedure on the aortic wall.
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Authors | Keyhan Sayadpour Zanjani, Basil D Thanopoulos, Alejandro Peirone, Luis Alday, Georgios Giannakoulas |
Journal | The American journal of cardiology
(Am J Cardiol)
Vol. 106
Issue 9
Pg. 1327-31
(Nov 01 2010)
ISSN: 1879-1913 [Electronic] United States |
PMID | 21029833
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2010 Elsevier Inc. All rights reserved. |
Topics |
- Adolescent
- Aortic Coarctation
(therapy)
- Catheterization
- Child
- Female
- Humans
- Recurrence
- Stents
- Treatment Outcome
- Turner Syndrome
(therapy)
- Young Adult
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