Immediate and mid term results of balloon angioplasty of native coarctation of aorta in children and aduts: a 7 years review

ABSTRACT

The purpose of our study is to analyze the immediate and midterm results of BA of native CoA in different age groups. Between June 1995 and Oct 2002, 31 BA for native CoA were performed in our department at AFIC/NIHD Rawalpindi. Age ranged between 66 days to 30 years, mean of 9.6 yrs +/- 9.2 and sex distribution of 216, M F. Eleven pts [41 percent] had other associated cardiac defects. Three pts were with poor left ventricle [LV]. All pts had > 20mmHg BP difference between upper and lower limbs. All pts had significant improvement with BA. The mean peak systolic pressure gradient [PG] across the CoA decreased from 44.74mmHg SD 13.75 to 8.66mmHg SD 7.8 [p < 0.0001]. There was one, mortality in the group. In 4 pts we had sub optimal results. All of our pts had easily palpable foot pulses after BA and enjoying good health. We conclude that BA of native CoA in all age groups can be performed safely with acceptable mortality and morbidity