Journal List > Korean Circ J > v.24(4) > 1073053

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Cho, Lee, Song, Yoh, Kim, Yoon, Park, and Choe: Balloon Dilation Angioplasty of Aortic Coarctation in Adult
Case Report
Korean Circulation Journal

Korean Circulation Journal 1994; 24(4): 681-686.

Published online: 31 August 1994

DOI: https://doi.org/10.4070/kcj.1994.24.4.681

Balloon Dilation Angioplasty of Aortic Coarctation in Adult

Yun Kyung Cho, M.D., Yong Gyu Lee, M.D., Kwang Seon Song, M.D., Kyong Gu Yoh, M.D., Jun Myung Kim, M.D., Jung Han Yoon, M.D., Keum Soo Park, M.D., Kyung Hoon Choe, M.D.

Copyright © 1994 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 21-year-old woman found to be hypertensive was referred for hypertension. On examination, blood pressure was 170/110mmHg in the right arm, 160/100mmHg in left arm,and 120/70mmHg in legs. A grade 2/6 systolic ejection murmur was present at the left upper sternal border, and a chest x-ray revealed a rib notching on the inferior margin of 4th rib.
Two-dimensional echocardiogram showed the coarctation of aorta beyound the origin of the left subclavian artery. Biplane TEE demonstrated a discrete narrowing of the descending aorta at the site of coarctation.
The blood pressure was 169/86mmHg in ascending aorta and 118/84mmHg in descending aorta. Aortogram showed a localized coarcted aortic segment of 7mm in diameter and 5mm long just distal to the left subclavian artery.
Balloon coarctation angioplasty was performed with 7F 30x15mm pediatric balloon dilatation catheter. Balloon position was confirmed on fluoroscopy by the hourglass appearance of the balloon inflation and thereafter, the balloon was inflated until the waist of the balloon disappeared.
After procedure, a pull back pressure tracing across the coarctation of aorta revealed no pressure gradient between ascending and descending aorta with 141/90mmHg. Aortogram showed an increase in diameter of the coarctation of aorta to 18mm with aneurysmal formation.
3 months later, follow up aortogram showed no significant change in diameter of coarctation of aorts or aneurysmal formation.
Nonsurgical balloon coarctation angioplasty appears to be an alternative therapy for the coarctation of aorta in adults.

Keywords: Aortic coarctation, Balloon angioplasty, Aneurysmal formation

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