Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-10T07:41:26.347Z Has data issue: false hasContentIssue false
  • English
  • Français

Fatal dissection of the descending aorta after implantation of a stent in a 19-year-old female with Turner's syndrome

Published online by Cambridge University Press:  16 September 2005

Zina Fejzic  and
Anton van Oort
Zina Fejzic
Affiliation:
Children's Heart Center, University Medical Center St Radboud, Nijmegen, The Netherlands
Anton van Oort
Affiliation:
Children's Heart Center, University Medical Center St Radboud, Nijmegen, The Netherlands
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a fatal dissection of the descending aorta as a complication after a two-staged implantation of a stent to relieve aortic coarctation in a young female with Turner's syndrome. Implantation of the stent, with dilation up to 70 percent, and half a year later re-dilation to 100 percent, was without any complication. A week after the re-dilation, however, the patient suffered acute dissection of the descending aorta. We initially stabilized the situation, but some days later her condition deteriorated, and she died. We discuss the various options for treating coarctation and re-coarctation. As far as we know, this is the first description of implantation of a stent in the setting of coarctation in Turner's syndrome, albeit with an unfortunate conclusion.

Keywords

Interventional procedureballoon angioplastyre-dilation
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 5 , October 2005 , pp. 529 - 531
Copyright
© 2005 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Gotzsche CO, Krag-Olsen B, Nielsen J, Sorensen KE, Kristensen BO. Prevalence of cardiovascular malformations and association with karyotypes in Turner's syndrome. Arch Dis Child 1994; 71: 433–436.Google Scholar
Brandt III B, Heintz SE, Rose EF, Ehrenhaft JL, Clark EB. Repair of coarctation of the aorta in children with Turner syndrome. Pediatr Cardiol 1984; 5: 175–177.Google Scholar
Hernandez-Gonzales M, Solorio S, Conde-Carmona I, et al. Intraluminal aortoplasty vs. surgical aortic resection in congenital aortic coarctation. A clinical random study in pediatric patients. Arch Med Res 2003; 34: 305–310.Google Scholar
Park Y, Sklansky MS, Shaughnessy RD, Kashani IA, Rothman A. Balloon dilatation of native aortic coarctation in two patients with Turner syndrome. Pediatr Cardiol 2000; 21: 474–476.Google Scholar
Mendelsohn AM, Lloyd TR, Crowley DC, Sandhu SK, Kocis KC, Beekman III RH. Late follow-up of balloon angioplasty in children with a native coarctation of the aorta. Am J Cardiol 1994; 74: 696–700.Google Scholar
Badmanaban B, Mole D, Sarsam M. Descending aortic dissection post coarctation repair in a patient with Turner syndrome. J Card Surg 2003; 18: 153–154.Google Scholar
Magee A, Brzezinska-Rajszys G, Qureshi S, et al. Stent implantation for aortic coarctation and recoarctation. Heart 1999; 82: 600–606.Google Scholar
Duke C, Qureshi S. Aortic coarctation and recoarctation: To stent or not to stent? J Interv Cardiol 2001; 14: 283–298.Google Scholar
Qureshi S, Zubrzycka M, Brzezinska-Rajszys G, Kosciesza A, Ksiazyk J. Use of covered Cheatham-Platinum stents in aortic coarctation and recoarctation. Cardiol Young 2004; 14: 50–54.Google Scholar
Varma C, Benson L, Butany J, McLaughlin P. Aortic dissection after stent dilatation for coarctation of the aorta: a case report and literature review. Catheter Cardiovasc Interv 2003; 59: 528–535.Google Scholar