Successful exclusion of an aortic aneurysm with a novel PTFE-tube covered cobalt-chromium stent in a pediatric patient with native coarctation of the aorta

Catheter Cardiovasc Interv. 2018 Nov 1;92(5):930-934. doi: 10.1002/ccd.27647. Epub 2018 May 4.

Abstract

Treatment of aneurysmal lesions in the context of coarctation of the aorta (CoA) is a challenging task and these lesions are rare in children. An 11-year-old boy was incidentally diagnosed with native CoA and concomitant complex aneurysmal lesions during medical check-up for arterial hypertension. Pre-catheterization imaging was performed with computed tomography (CT), which showed a mild CoA and two native aneurysms that were juxtaposed to the origin of the left subclavian artery. For planning and guidance of the catheter procedure, image fusion software was used with an overlay from pre-registered three-dimensional reconstruction images on live fluoroscopy. Here, we report the first case of successful treatment of an aneurysmal lesion in the context of native coarctation with a novel PTFE-tube covered cobalt-chromium stent (BeGraft, Bentley) in a pediatric patient.

Keywords: BeGraft; congenital heart disease; interventional devices/innovation; pediatric intervention; pediatrics; stent-graft.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction
  • Aortic Aneurysm / complications
  • Aortic Aneurysm / diagnostic imaging
  • Aortic Aneurysm / surgery*
  • Aortic Coarctation / complications*
  • Aortic Coarctation / diagnostic imaging
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Child
  • Computed Tomography Angiography
  • Endovascular Procedures / instrumentation*
  • Humans
  • Incidental Findings
  • Male
  • Polytetrafluoroethylene*
  • Prosthesis Design
  • Stents*
  • Treatment Outcome

Substances

  • Polytetrafluoroethylene