Cardiology in the Young

Brief Report

Endovascular stenting as an emergency treatment for neonatal coarctation

Christoph Finka1, Matthias Peustera1 c1 and Gerd Hausdorfa1

a1 Department of Pediatric Cardiology and Pediatric Intensive Care, Hannover Medical School, Hannover, Germany.


We describe a neonate with critical coarctation of the aorta. Since treatment with Prostaglandin El had failed to reopen the arterial duct, and surgery was deemed to be associated with an unacceptably high risk in this unstable neonate, it was decided to perform balloon dilation of the coarctation as a palliative procedure to stabilize the patient. Balloon angioplasty failed to reduce the pressure gradient across the coarctation, so a stent was implanted retrogradely as an emergency procedure. Subsequently, the stented segment was resected surgically and end-to-end anastomosis created without complications at seven months of age.

(Accepted August 03 2000)