Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure

Ireneusz Haponiuk; Maciej Chojnicki; Mariusz Steffens; Radosław Jaworski; Aneta Szofer-Sendrowska; Jacek Juscinski; Ewelina Kwasniak; Konrad Paczkowski; Jacek Zielinski; Katarzyna Gierat-Haponiuk

doi:10.5114/wiitm.2011.33472

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Case report

Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure

Ireneusz Haponiuk

,

Maciej Chojnicki

,

Mariusz Steffens

,

Radosław Jaworski

,

Aneta Szofer-Sendrowska

,

Jacek Juscinski

,

Ewelina Kwasniak

,

Konrad Paczkowski

,

Jacek Zielinski

,

Katarzyna Gierat-Haponiuk

Videosurgery Miniinv 2013; 8 (3): 244–248

DOI: https://doi.org/10.5114/wiitm.2011.33472

Online publish date: 2013/02/28

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AMA

Haponiuk I, Chojnicki M, Steffens M, et al. Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure. Videosurgery and Other Miniinvasive Techniques. 2013;8(3):244-248. doi:10.5114/wiitm.2011.33472.

APA

Haponiuk, I., Chojnicki, M., Steffens, M., Jaworski, R., Szofer-Sendrowska, A.,  & Juscinski, J. et al. (2013). Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure. Videosurgery and Other Miniinvasive Techniques, 8(3), 244-248. https://doi.org/10.5114/wiitm.2011.33472

Chicago

Haponiuk, Ireneusz, Maciej Chojnicki, Mariusz Steffens, Radosław Jaworski, Aneta Szofer-Sendrowska, Jacek Juscinski,  and Ewelina Kwasniak et al. 2013. "Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure". Videosurgery and Other Miniinvasive Techniques 8 (3): 244-248. doi:10.5114/wiitm.2011.33472.

Harvard

Haponiuk, I., Chojnicki, M., Steffens, M., Jaworski, R., Szofer-Sendrowska, A., Juscinski, J., Kwasniak, E., Paczkowski, K., Zielinski, J.,  and Gierat-Haponiuk, K. (2013). Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure. Videosurgery and Other Miniinvasive Techniques, 8(3), pp.244-248. https://doi.org/10.5114/wiitm.2011.33472

MLA

Haponiuk, Ireneusz et al. "Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure." Videosurgery and Other Miniinvasive Techniques, vol. 8, no. 3, 2013, pp. 244-248. doi:10.5114/wiitm.2011.33472.

Vancouver

Haponiuk I, Chojnicki M, Steffens M, Jaworski R, Szofer-Sendrowska A, Juscinski J et al. Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure. Videosurgery and Other Miniinvasive Techniques. 2013;8(3):244-248. doi:10.5114/wiitm.2011.33472.

PlumX metrics:

We present a case of a severely ill newborn with complex coarctation, multiorgan failure and massive oedema, who was treated with emergency stenting of the isthmus on the second day of life, which was followed by surgical stent removal and repair of the arch on the 29 day, after stabilization of his general status. Interventional percutaneous direct stent implantation was performed, using a coronary stent (Abbott Multi-Link Vision Coronary Stent 3.5 mm/

15 mm, USA) to cover the area of the aortic isthmus in the newborn. The area from the origin of the left subclavian artery to the beginning of the descending thoracic aorta beneath the isthmus was widely expanded. Control angiography showed normal size of the isthmus without a systolic gradient in the area. In the next 3 weeks the boy improved his general status, with normalization of liver and renal parameters, as well as resolution of the oedema, and underwent surgery on his 29 day of life. The procedure of stent removal with aortic extended end-to-end anastomosis was performed without complications, and the infant was transferred to general paediatrics for further treatment. The strategy of miniinvasive interventional bridge to postpone major surgical repair was effective in the presented infant, with positive final results of both cardiological intervention and subsequent surgical repair.

keywords:

Miniinvasive interventional bridge to major surgical repair of critical aortic coarctation in a newborn with severe multiorgan failure

Ireneusz Haponiuk , Maciej Chojnicki , Mariusz Steffens , Radosław Jaworski , Aneta Szofer-Sendrowska , Jacek Juscinski , Ewelina Kwasniak , Konrad Paczkowski , Jacek Zielinski , Katarzyna Gierat-Haponiuk

aortic coarctation, paediatric cardiac surgery, interventional cardiology, stent implantation, newborns

Ireneusz Haponiuk

,

Maciej Chojnicki

,

Mariusz Steffens

,

Radosław Jaworski

,

Aneta Szofer-Sendrowska

,

Jacek Juscinski

,

Ewelina Kwasniak

,

Konrad Paczkowski

,

Jacek Zielinski

,

Katarzyna Gierat-Haponiuk