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Fatal dissection of the descending aorta after implantation of a stent in a 19-year-old female with Turner's syndrome

Published online by Cambridge University Press:  16 September 2005

Zina Fejzic  and
Anton van Oort
Zina Fejzic
Affiliation:
Children's Heart Center, University Medical Center St Radboud, Nijmegen, The Netherlands
Anton van Oort
Affiliation:
Children's Heart Center, University Medical Center St Radboud, Nijmegen, The Netherlands
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Abstract

We report a fatal dissection of the descending aorta as a complication after a two-staged implantation of a stent to relieve aortic coarctation in a young female with Turner's syndrome. Implantation of the stent, with dilation up to 70 percent, and half a year later re-dilation to 100 percent, was without any complication. A week after the re-dilation, however, the patient suffered acute dissection of the descending aorta. We initially stabilized the situation, but some days later her condition deteriorated, and she died. We discuss the various options for treating coarctation and re-coarctation. As far as we know, this is the first description of implantation of a stent in the setting of coarctation in Turner's syndrome, albeit with an unfortunate conclusion.

Keywords

Interventional procedureballoon angioplastyre-dilation
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 5 , October 2005 , pp. 529 - 531
Copyright
© 2005 Cambridge University Press

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