Abstract
In newborns with critical aortic coarctation, cardiogenic shock, metabolic acidosis and dysfunction of target organs often occur when the arterial duct is closed. The reaction to prostaglandins can be unpredictable. In the decompensated condition of newborns, the risk of “open” surgical correction of the defect is extremely high, therefore one of the preferred methods is stenting of the isthmus of the aorta. We present our experience of palliative stenting of coarctation in newborns in critical condition. Immediate and early postoperative results are discussed. Aim – to present the immediate and early postoperative results of palliative stenting of critical aortic coarctation in newborns.
Material and methods. We reviewed data on 20 newborns (average age 14 (7.5–26.5) days) who underwent palliative aortic coarctation stenting between 2008 and 2021.
Results. Procedural success was achieved in all patients. Death at the hospital stage occurred in 2 (10%) patients. Multiple organ failure developed in 2 (10%) cases. Paradoxical hypertension was observed in 2 (10%) newborns in the postoperative period. The average follow-up period of patients in the intensive care unit was 5 (4;8.5) days. The duration of artificial lung ventilation is 2.5 (1; 7.5) days.
Conclusion. Primary implantation of a stent as a palliative treatment for critical aortic coarctation is technically feasible in newborns for whom “open” surgery is contraindicated. Stenting of critical aortic coarctation may be an alternative to primary surgical correction.
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About the authors
- Kseniya A. Rzaeva, Postgraduate student; ORCID
- Il'ya A. Soynov, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
- Artem V. Gorbatykh, Cand. Med. Sci., Cardiovascular Surgeon, Head of the Research Laboratory
of Interventional Surgery; ORCID
- Aleksey N. Arkhipov, Cand. Med. Sci., Cardiovascular Surgeon, Head of the Department; ORCID
- Aleksey V. Voitov, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
- Yuriy Yu. Kulyabin, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
- Yuriy N. Gorbatykh, Dr. Med. Sci., Professor, Cardiovascular Surgeon; ORCID
- Aleksandr V. Bogachev-Prokophiev, Dr. Med. Sci., Cardiovascular Surgeon, Director; ORCID
