Abstract: Coarctation of the aorta (CoA) is a relatively common defect that accounts for 5-8% of all congenital heart defects. Although coarctation ballooning has been done by many cardiologists retrogradely or via subclavian artery antegradely, yet we had one unique idea of doing it via venous approach through VSD, thus helping to avoid carotid/ subclavian puncture unnecessarily. We present a case of severe neonatal juxtaductal coarctation with VSD, 2 day 2.6kg baby. With the help of BMW 0.04 wire we tried the usual method to cross the tight coarctation but failed. Then instead of crossing the wire via subclavion artery puncture, we took the coronary wire antegradely thruogh the IVC to RV, RA, VSD and then the Aortic valve to reach the coarctation site, where we could easily cross the wire and later dilated the coarctation with 4mmx2cm coronary balloon followed by Mini Tyshaq II 5mmx2cm and achieved our goal. Post balloon angiography showed a well open arch with no siginificant gradient and no aortic dissection.
Keywords: Coarctation of the aorta; Balloon angioplasty; Right atrium, Right ventricle, Ventricular septal defect; atrial septal defect.
Title: Antegrade (transvenous) approach for coarctation ballooning in a neonate with VSD and severe coarctation of aorta
Author: Bisht Dinesh MD, Mahajan Viresh MD, Rawal Nidhi MD, Tyagi Himanshu MD
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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