Endovascular Repair of Aortic Coarctation with Adenosine Induced Cardiac Arrest

Authors

  • Ignacio José Rivera Chavarría Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia
  • Michael Abarca Brenes Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia
  • José David Brenes Gutiérrez Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia
  • Juan Carlos Alvarado Marín Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia

DOI:

https://doi.org/10.51481/amc.v56i3.851

Keywords:

Aortic Coarctation, Endovascular Therapy, Cardiac Arrest, Stentgraft, Adenosine

Abstract

Aortic coarctation is a congenital narrowing of the aortic lumen that generally occurs distally from the origin of the left subclavian artery. It is of great importance because it predisposes to cardiovascular conditions at an early age, resulting in high morbidity and mortality. We report the first case in Costa Rica of endovascular repair of aortic coarctation utilizing stent grafting with adenosine induced cardiac arrest. The patient tolerated the procedure well and her post-procedure gradient was <5 mmHg. Her blood pressure is 100/60mmHg and she has no limitations or residual symptomatology.

Downloads

Download data is not yet available.

References

Budoff M, Shittu A, Roy S, Use of cardiovascular computed tomography in the diagnosis and management of coarctation of the aorta. J Thorac Cardiovasc Surg 2013; 146:229-32.

Jurcut R, Daraban A, Lorber A, Deleanu D, Amzulescu M, Zara C et al. Coarctation of the aorta in adults: what is the best treatment? Case report and literature review. J Med Life 2011; 4:189-195.

Thani K, Kaushal K, Barnard D, Copeland J, Prasad A. Coarctation of the thoracic aorta masquerading as bilateral aorto-iliac stenosis. J Cardiol Cases 2011;4:172-175.

Maldonado J, Henry T, Gutiérrez F. Congenital Thoracic Vascular Anomalies. Radiol Clin North Am 2010;48:85-115

Crafoord S. Congenital coarctation of the aorta and its surgical management. J thorac Cardivasc Surg, 1945 ; 14:347.

Induni E, Pucci J, Soto L, Alvarado M, Méndez E, Salazar C, et al. Corrección quirúrgica de la coartación de la aorta: experiencia quirúrgica durante 30 años en el Hospital México. Rev costarric cardiol 2000; 2: 11-14 .

Mettler B, Peeler B. Congenital Heart Disease Surgery in the Adult. Surg Clin North Am 2009; 89:1021-1032.

Bentham J, English K, Ballard G, Thomson J. Effect of Interventional Stent Treatment of Native and Recurrent Coarctation of Aorta on Blood Pressure. Am J Cardiol 2013; 111:731-736.

Baker B, Phil D. Perioperative Considerations and Anesthetic Management for Endovascular Procedures. Advances in Anesthesia 2008; 26:137-156

Tanous D, Collins N, Dehghani P, Benson L, Horlick E. Covered stents in the management of coarctation of the aorta in the adult: Initial results and 1-year angiographic and hemodynamic follow-up. Int J Cardiol 2010; 140:287-295.

Ringel R, Gauvreau K, Moses H, Jenkins K. Coarctation of the Aorta Stent Trial (COAST) Study design and rationale. Am Heart J 2012; 164:7-13.

Forbes T, Kim D, Du W, Turner D, Holzer R, Amin Z, et al. Comparison of Surgical, Stent, and Balloon Angioplasty Treatment of Native Coarctation of the Aorta. J Am Coll Cardiol 2011; 58:2664-74.

Aboulhosn J, Levi D, Child J. Common Congenital Heart Disorders in Adults: Percutaneous Therapeutic Procedures. Curr Probl Cardiol 2011; 36:263-284.

Bruckheimer E, Cardoso C. Stenting Options for Coarctation of the Aorta. Intervent Cardiol Clin 2013; 2:115-129.

Fang T, Lippmann M, Kakazu C, Donayre C, Bui H, Kopchok G et al. HighDose Adenosine-Induced Asystole Assisting Accurate Deployment of Thoracic Stent Grafts in Conscious Patients. Ann Vasc Surg 2008; 22:602-607.

Qu L, Raithel D. Techniques for precise thoracic endograft placement. J Vasc Surg 2009; 49:1069-72.

Published

2014-07-01

Versions

How to Cite

Endovascular Repair of Aortic Coarctation with Adenosine Induced Cardiac Arrest. (2014). Acta Médica Costarricense , 56(3), 138-140. https://doi.org/10.51481/amc.v56i3.851 (Original work published 2015)