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Vertebral arterial steal following surgical repair of neonatal coarctation

Published online by Cambridge University Press:  19 August 2008

Narayanswami Sreeram*
Affiliation:
From the Heart Clinic, Royal Liverpool Children' s Hospital, Alder Hey, Liverpool
Christopher Brown
Affiliation:
From the Heart Clinic, Royal Liverpool Children' s Hospital, Alder Hey, Liverpool
Kevin Walsh
Affiliation:
From the Heart Clinic, Royal Liverpool Children' s Hospital, Alder Hey, Liverpool
*
Dr. Narayanswansi Sreeram,Heart Clinic, Royal Liverpool Children's Hospital.Alder Hey, Eaton Road, Liverpool L12 2AP, United Kingdom. Tel. 051 2284811, Ext. 2710.

Abstract

A five day old infant underwent repair of coarctation by resection and end-to-end anastomosis of the proximal and distal segments of the arch. Four weeks later, cross-sectional Doppler echocardiography showed a tight recoarctation proximal to the origin of the left subclavian artery. A dilated proximal left subclavian artery was demonstrated, with continuous flow from it into the descending aorta. These findings were confirmed at catheterization. This “vertebral arterial steal” disappeared following transcatheter balloon angioplasty.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1993

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References

Crafoord, C, Nylin, G.Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 1945; 14: 347361.CrossRefGoogle Scholar
Gross, RE, Hufnagel, CA.Coarctation of the aorta:experimental studies regarding its surgical correction. N Engl J Med 1945; 233: 287293.CrossRefGoogle Scholar
Ziemer, G, Jonas, RA, Perry, SB, Freed, MD, Castanñeda, AR.Surgery for coarctation of the aorta in the neonate. Circulation 1986; 74 (Suppl I): I 25I 31.Google ScholarPubMed
Jonas, RA.Coarctation: Do we need to resect ductal tissue? Ann Thorac Surg 1991; 52: 604607.CrossRefGoogle ScholarPubMed