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Implantation of endovascular stents for hypoplasia of the transverse aortic arch

Published online by Cambridge University Press:  19 August 2008

Jaana Pihkala ,
Carlos A. C. Pedra ,
David Nykanen  and
Lee N. Benson
Jaana Pihkala
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
Carlos A. C. Pedra
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
David Nykanen
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
Lee N. Benson*
Affiliation:
Department of Pediatrics, Division of Cardiology, Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Canada
*
Dr Lee Benso, The Hospital for Sick children, 555 University Avenue, Toronto, Ontario, Canada. Tel: 416–813–6141; Fax: 416–813–7547; E-mail: benson@sickkids.on.ca
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Abstract

Hypoplasia of the transverse aortic arch is commonly associated with aortic coarctation. Persistent or recurrent obstruction can occur at this level after successful repair of the native coarcted segment. The purpose of this report is to present a new technique to treat such lesions, namely with implantation of a balloon-expandable stent. This approach was used successfully in 4 children with such hypoplasia occurring after repair of coarctation. Implantation led to both anatomical and physiological relief of obstruction in all. The patients tolerated the procedure, and there were no major adverse events.

Keywords

stenttransverse aortic arch
Type
Original Articles
Information
Cardiology in the Young , Volume 10 , Issue 1 , January 2000 , pp. 3 - 7
Copyright
Copyright © Cambridge University Press 2000

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