Echo-guiding percutaneous aortic stent implantation for coarctation of the aortic: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHANG Junke ¹ , WEI Peijian ¹ , LU Yaoxing ² , ZHANG Fengwen ¹ , FANG Fang ¹ , WANG Chuangshi ¹ , WANG Shouzheng ¹ , OUYANG Wenbin ¹ , WAN Junyi ¹ ,  PAN Xiangbin ^1,2

1. Department of Structural Heart Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P. R. China;
2. Department of Cardiac Surgery, Fuwai Shenzhen Hospital, Chinese Academy of Medical Sciences, Shenzhen, 518000, Guangdong, P. R. China;

Corresponding author：

PAN Xiangbin, Email: panxiangbin@fuwaihospital.org

Keywords：

Coarctation of the aortic; echocardiography; stent implantation; case report

DOI：

10.7507/1007-4848.202311022

Video：

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Currently, transcatheter intervention has emerged as a first-line treatment for coarctation of the aortic. Due to the radiation exposure associated with catheter interventional therapy, there are numerous restrictions, which harms both patients and medical personnel and is dependent on sizable radiation apparatus. Here, we report for the first time a case of echo-guiding percutaneous aortic stent implantation for a 27 years female patient of reproductive age. After discharge, the patient's aortic coarctation pressure decreased to 18 mm Hg, and the surgical results were satisfactory.

Citation： CHANG Junke, WEI Peijian, LU Yaoxing, ZHANG Fengwen, FANG Fang, WANG Chuangshi, WANG Shouzheng, OUYANG Wenbin, WAN Junyi, PAN Xiangbin. Echo-guiding percutaneous aortic stent implantation for coarctation of the aortic: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(2): 325-328. doi: 10.7507/1007-4848.202311022 Copy

1.	Singer MI, Rowen M, Dorsey TJ. Transluminal aortic balloon angioplasty for coarctation of the aorta in the newborn. Am Heart J, 1982, 103(1): 131-132.
2.	SINHA SC. Transcatheter intervention for coarctation of aorta: Current status. Indian J Clin Cardiol, 2021, 2(1): 44-50.
3.	Rao PS. Coarctation of the aorta. Curr Cardiol Reports, 2005, 7(6): 425-434.
4.	Taggart NW, Minahan M, Cabalka AK, et al. Immediate outcomes of covered stent placement for treatment or prevention of aortic wall injury associated with coarctation of the aorta (COASTⅡ). JACC Cardiovascular Interventions, 2016, 9(5): 484-493.
5.	Forbes TJ, Kim DW, Du W, et al. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: An observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). J Am Coll Cardiol, 2011, 58(25): 2664-2674.
6.	Beauchesne LM, Connolly HM, Ammash NM, et al. Coarctation of the aorta: Outcome of pregnancy. J Am Coll Cardiol, 2001, 38(6): 1728-1733.
7.	Drenthen W, Pieper PG, Roos-Hesselink JW, et al. Outcome of pregnancy in women with congenital heart disease: A literature review. J Am Coll Cardiol, 2007, 49(24): 2303-2311.
8.	施浩, 潘湘斌, 王首正, 等. 单纯超声引导下经颈静脉途径封堵婴幼儿房间隔缺损临床疗效. 中国胸心血管外科临床杂志, 2020, 27(6): 645-648.
9.	潘湘斌. 超声引导经皮介入治疗结构性心脏病的探索和发展前景. 中国胸心血管外科临床杂志, 2018, 25(5): 359-361.
10.	潘湘斌, 逄坤静, 欧阳文斌, 等. 单纯超声心动图引导下经皮室间隔缺损封堵术的应用研究. 中国循环杂志, 2015, 30(8): 774-776.
11.	Kong P, Zhao G, Zhang Z, et al. Novel panna guide wire facilitates percutaneous and nonfluoroscopic procedure for atrial septal defect closure: A randomized controlled trial. Cir Cardiovasc Interv, 2020, 13(9): e009281.
12.	Ou Yang Wb, Qureshi S, Ge Jb, et al. Multicenter comparison of percutaneous and surgical pulmonary valve replacement in large RVOT. Ann Thorac Surg, 2020, 110(3): 980-987.
13.	高漫辰, 段福建, 张戈军, 等. 经导管缘对缘修复技术初步实践: MitraClip治疗二尖瓣反流多中心早期结果. 中国胸心血管外科临床杂志, 2022, 29(5): 547-552.
14.	Warnes CA, Williams R G, Bashore TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: A report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease): Developed in collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation, 2008, 118(23): e714-e833.
15.	Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease: Executive summary: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J Am Coll Cardiol, 2019, 73(12): 1494-1563.
16.	向龙, 向道康, 胡馗, 等. 主动脉弓缩窄球囊扩张联合体外循环下室间隔缺损修补术治疗小儿主动脉缩窄合并室间隔缺损的临床效果分析. 四川解剖学杂志, 2020, 28(1): 45-46.
17.	俞飞成, 黄连军, 吴文辉, 等. 带膜支架置入治疗主动脉缩窄合并动脉导管未闭一例. 中华心血管病杂志, 2006, 34(6): 563.
18.	Wang JM, Zhu XY, Xiao JW, et al. Simultaneous interventional therapy for coarctation of the aorta combined with intracristal ventricular septal defect in older age adult. J Geriatr Cardiol, 2022, 19(6): 481-484.
19.	Zili M, Guo X, Wu S, et al. GW25-e5117 simultaneous treatment of native aortic coarctation combined with patent ductus arteriosus using a covered stent. J Am Coll Cardiol, 2014, 64(16_Supplement): C193.

1. Singer MI, Rowen M, Dorsey TJ. Transluminal aortic balloon angioplasty for coarctation of the aorta in the newborn. Am Heart J, 1982, 103(1): 131-132.
2. SINHA SC. Transcatheter intervention for coarctation of aorta: Current status. Indian J Clin Cardiol, 2021, 2(1): 44-50.
3. Rao PS. Coarctation of the aorta. Curr Cardiol Reports, 2005, 7(6): 425-434.
4. Taggart NW, Minahan M, Cabalka AK, et al. Immediate outcomes of covered stent placement for treatment or prevention of aortic wall injury associated with coarctation of the aorta (COASTⅡ). JACC Cardiovascular Interventions, 2016, 9(5): 484-493.
5. Forbes TJ, Kim DW, Du W, et al. Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: An observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium). J Am Coll Cardiol, 2011, 58(25): 2664-2674.
6. Beauchesne LM, Connolly HM, Ammash NM, et al. Coarctation of the aorta: Outcome of pregnancy. J Am Coll Cardiol, 2001, 38(6): 1728-1733.
7. Drenthen W, Pieper PG, Roos-Hesselink JW, et al. Outcome of pregnancy in women with congenital heart disease: A literature review. J Am Coll Cardiol, 2007, 49(24): 2303-2311.
8. 施浩, 潘湘斌, 王首正, 等. 单纯超声引导下经颈静脉途径封堵婴幼儿房间隔缺损临床疗效. 中国胸心血管外科临床杂志, 2020, 27(6): 645-648.
9. 潘湘斌. 超声引导经皮介入治疗结构性心脏病的探索和发展前景. 中国胸心血管外科临床杂志, 2018, 25(5): 359-361.
10. 潘湘斌, 逄坤静, 欧阳文斌, 等. 单纯超声心动图引导下经皮室间隔缺损封堵术的应用研究. 中国循环杂志, 2015, 30(8): 774-776.
11. Kong P, Zhao G, Zhang Z, et al. Novel panna guide wire facilitates percutaneous and nonfluoroscopic procedure for atrial septal defect closure: A randomized controlled trial. Cir Cardiovasc Interv, 2020, 13(9): e009281.
12. Ou Yang Wb, Qureshi S, Ge Jb, et al. Multicenter comparison of percutaneous and surgical pulmonary valve replacement in large RVOT. Ann Thorac Surg, 2020, 110(3): 980-987.
13. 高漫辰, 段福建, 张戈军, 等. 经导管缘对缘修复技术初步实践: MitraClip治疗二尖瓣反流多中心早期结果. 中国胸心血管外科临床杂志, 2022, 29(5): 547-552.
14. Warnes CA, Williams R G, Bashore TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: A report of the American College of Cardiology/American Heart Association task force on practice guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease): Developed in collaboration with the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation, 2008, 118(23): e714-e833.
15. Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease: Executive summary: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J Am Coll Cardiol, 2019, 73(12): 1494-1563.
16. 向龙, 向道康, 胡馗, 等. 主动脉弓缩窄球囊扩张联合体外循环下室间隔缺损修补术治疗小儿主动脉缩窄合并室间隔缺损的临床效果分析. 四川解剖学杂志, 2020, 28(1): 45-46.
17. 俞飞成, 黄连军, 吴文辉, 等. 带膜支架置入治疗主动脉缩窄合并动脉导管未闭一例. 中华心血管病杂志, 2006, 34(6): 563.
18. Wang JM, Zhu XY, Xiao JW, et al. Simultaneous interventional therapy for coarctation of the aorta combined with intracristal ventricular septal defect in older age adult. J Geriatr Cardiol, 2022, 19(6): 481-484.
19. Zili M, Guo X, Wu S, et al. GW25-e5117 simultaneous treatment of native aortic coarctation combined with patent ductus arteriosus using a covered stent. J Am Coll Cardiol, 2014, 64(16_Supplement): C193.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Echo-guiding percutaneous aortic stent implantation for coarctation of the aortic: A case report

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