Abstract
Coarctation of the aorta is a congenital heart disease that requires urgent correction. In most cases, the defect is treated surgically with a lateral thoracotomy or median sternotomy if cardiopulmonary bypass is needed. In critically ill patients, coarctation stenting is a possible alternative. We present a case of a two-stage correction in a patient who was not transportable in the early neonatal period according to the severity of the condition. At the first stage, the patient underwent effective stenting, and after 4 months – isthmoplasty with stent explantation. The postoperative period was stable, the residual gradient on the isthmus did not exceed 7 mm Hg. The patient was discharged home a week later. Coarctation stenting in critically ill patients is a palliative procedure that helps to achieve the stabilization and subsequent radical correction.
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About the authors
- Tigran R. Grigor’yants, Cand. Med. Sc., Senior Researcher, Cardiovascular Surgeon, ORCID
- Aleksey I. Kim, Dr. Med. Sc., Professor, Head of Department, ORCID
- Ashot M. Grigor’yan, Dr. Med. Sc., Endovascular Surgeon, Head of Department, ORCID
- Tat’yana V. Rogova, Dr. Med. Sc., Pediatric Cardiologist, ORCID
- Murat O. Ediev, Junior Researcher, ORCID
