Coated stents in coarctation of the aorta when the patent ductus arteriosus combined application of indications.docVIP

 PAGE \* MERGEFORMAT 8 Coated stents in coarctation of the aorta when the patent ductus arteriosus combined application of indications [Keywords:] patent ductus arteriosus coarctation of the aorta stent-graft application indication Congenital coarctation of the aorta refers to the first right from the innominate artery between the aortic intercostal artery stenosis, mostly for the limitations, but also for long tubular [1]. Coarctation of the aorta accounts for the incidence of congenital cardiovascular disease, 1% ~ 3%, the disease can exist alone, but is often associated with other cardiovascular malformations, such as ventricular septal defect, patent ductus arteriosus, etc. [2]. Liu Fang and other reports of 96 cases of coarctation of the aorta in patients with ventricular septal defect and patent ductus arteriosus in patients with 49% each, while the ventricular septal defect and patent ductus arteriosus accounted for 23% co-exist [3]. 1 Surgical treatment of coarctation of aorta shortcomings Over the years, coarctation of aorta surgical treatment to the main, but the lack of surgical treatment of the following: ① Patients during and after 3 months with high mortality (14%); ② narrowing of the high incidence of postoperative (9.9% ~ 33%); ③ high incidence of aneurysm formation (13%); ④ high incidence of persistent hypertension, reported in the literature up to 8.3% ~ 43% range [4  6]. Therefore, congenital coarctation of the aorta to explore new and effective treatment for interventional treatment of congenital heart disease has always been one of the hot area of research. The 20th century, 80 years, Mullins et al [7] proposed endovascular stent for the treatment of congenital coarctation of the aorta and other diseases. In 1991, O’Laughlin et al [8] to use balloon-expandable stent treatment of coarctation of the aorta one cases of successful, marks the interventional treatment of coarctation of the aorta the advent of another new approach. Th