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Published in: Pediatric Cardiology 4/2013

01-04-2013 | Case Report

Three-Year-Old Child With Middle Aortic Syndrome Treated by Endovascular Stent Implantation

Authors: Tomasz Moszura, Sebastian Goreczny, Pawel Dryzek, Marek Niwald

Published in: Pediatric Cardiology | Issue 4/2013

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Abstract

Middle aortic syndrome (MAS) is an extremely rare anomaly and represents both a diagnostic and therapeutic challenge, particularly in young children. A case of a 3.5 year-old child with MAS and arterial hypertension is reported, where owing to the patient’s young age and the length of the hypoplastic aortic segment, surgical correction with end-to-end anastomosis was not feasible. Instead of palliative bypass grafting between the thoracic and abdominal aorta, successful percutaneous balloon angioplasty and stenting of the lesion was performed with the assistance of three-dimensional rotational angiography.
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Literature
1.
go back to reference Bialkowski J, Szkutnik M, Bermúdez-Cañete R, Kusa J, Regiec S, Mullins CE (2002) Middle aortic syndrome caused by Takayasu’s disease and treated by stent implantation: a report of medium-term follow-up. Rev Esp Cardiol 55:682–685PubMedCrossRef Bialkowski J, Szkutnik M, Bermúdez-Cañete R, Kusa J, Regiec S, Mullins CE (2002) Middle aortic syndrome caused by Takayasu’s disease and treated by stent implantation: a report of medium-term follow-up. Rev Esp Cardiol 55:682–685PubMedCrossRef
2.
go back to reference Brzezinska-Rajszys G, Qureshi SA, Ksiazyk J, Zubrzycka M, Kosciesza A, Kubicka K et al (1999) Middle aortic syndrome treated by stent implantation. Heart 81:166–170PubMed Brzezinska-Rajszys G, Qureshi SA, Ksiazyk J, Zubrzycka M, Kosciesza A, Kubicka K et al (1999) Middle aortic syndrome treated by stent implantation. Heart 81:166–170PubMed
3.
go back to reference Evan M, Zahn (2011) The emerging use of 3-dimensional rotational angiography in congenital heart disease. Congenit Cardiol Today 9(7):1–13 Evan M, Zahn (2011) The emerging use of 3-dimensional rotational angiography in congenital heart disease. Congenit Cardiol Today 9(7):1–13
4.
go back to reference Fein DM, Janow G, Avner JR, Fagan MJ (2011) The heart of the matter: an atypical presentation of Takayasu arteritis in the pediatric emergency department. Pediatr Emerg Care 27:857–859PubMedCrossRef Fein DM, Janow G, Avner JR, Fagan MJ (2011) The heart of the matter: an atypical presentation of Takayasu arteritis in the pediatric emergency department. Pediatr Emerg Care 27:857–859PubMedCrossRef
5.
go back to reference Goreczny S, Dryzek P, Moszura T, Mazurek-Kula A, Moll JA, Moll JJ et al (2011) Rotational angiography in patients after bidirectional Glenn shunt—Benefits and limitations [abstract]. Catheter Cardiovasc Interv 78:189CrossRef Goreczny S, Dryzek P, Moszura T, Mazurek-Kula A, Moll JA, Moll JJ et al (2011) Rotational angiography in patients after bidirectional Glenn shunt—Benefits and limitations [abstract]. Catheter Cardiovasc Interv 78:189CrossRef
6.
go back to reference Grebeldinger SP, Balj SS, Adic O (2011) Severe diffuse hypoplasia of the aorta associated with multiple vascular abnormalities. Vascular 19:170–174PubMedCrossRef Grebeldinger SP, Balj SS, Adic O (2011) Severe diffuse hypoplasia of the aorta associated with multiple vascular abnormalities. Vascular 19:170–174PubMedCrossRef
7.
go back to reference Kaye AJ, Slemp AE, Chang B, Mattei P, Fairman R, Velazquez OC (2008) Complex vascular reconstruction of abdominal aorta and its branches in the pediatric population. J Pediatr Surg 43:1082–1088PubMedCrossRef Kaye AJ, Slemp AE, Chang B, Mattei P, Fairman R, Velazquez OC (2008) Complex vascular reconstruction of abdominal aorta and its branches in the pediatric population. J Pediatr Surg 43:1082–1088PubMedCrossRef
8.
go back to reference Min PK, Park S, Jung JH, Ko YG, Choi D, Jang Y et al (2005) Endovascular therapy combined with immunosuppressive treatment for occlusive arterial disease in patients with Takayasu’s arteritis. J Endovasc Ther 12:28–34PubMedCrossRef Min PK, Park S, Jung JH, Ko YG, Choi D, Jang Y et al (2005) Endovascular therapy combined with immunosuppressive treatment for occlusive arterial disease in patients with Takayasu’s arteritis. J Endovasc Ther 12:28–34PubMedCrossRef
9.
go back to reference Simons PC, Nawijn AA, Bruijninckx CM, Knippenberg B, de Vries EH, van Overhagen H (2006) Long-term results of primary stent placement to treat infrarenal aortic stenosis. Eur J Vasc Endovasc Surg 32:627–633PubMedCrossRef Simons PC, Nawijn AA, Bruijninckx CM, Knippenberg B, de Vries EH, van Overhagen H (2006) Long-term results of primary stent placement to treat infrarenal aortic stenosis. Eur J Vasc Endovasc Surg 32:627–633PubMedCrossRef
10.
go back to reference Siwik ES, Perry SB, Lock JE (2003) Endovascular stent implantation in patients with stenotic aortoarteriopathies: early and medium-term results. Catheter Cardiovasc Interv 59:380–386PubMedCrossRef Siwik ES, Perry SB, Lock JE (2003) Endovascular stent implantation in patients with stenotic aortoarteriopathies: early and medium-term results. Catheter Cardiovasc Interv 59:380–386PubMedCrossRef
Metadata
Title
Three-Year-Old Child With Middle Aortic Syndrome Treated by Endovascular Stent Implantation
Authors
Tomasz Moszura
Sebastian Goreczny
Pawel Dryzek
Marek Niwald
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 4/2013
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-012-0354-0

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