Objective. To evaluate the role of balloon coarctation angioplasty (BCA) in the management of patients with native coarctation of the aorta. Background BCA has emerged as an alternative to surgery for patients with native coarctation of the aorta. However, its role remains controversial. Methods. Over a 7-year period, 103 patients undergoing BCA were enrolled in the study. Hemodynamic evaluation was obtained at baseline and immediately following BCA; 75% of patients returned for follow-up evaluation at 26 +/- 20 months. Results. The systolic gradient across the coarcted segment decreased from 59 +/- 18 mmHg to 10 +/- 11 mmHg following BCA (p < 0.001). The procedure was successful in 82% of patients, and partial improvement was obtained in 17%. Repeat intervention was performed in 13% of the follow-up group. Surgical intervention was needed in 8 patients. Conclusion. Balloon angioplasty is an effective first-line intervention in patients with native coarctation of the aorta.
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King Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi Arabia
Fawzy, Mohamed Eid
Fathala, Ahmed
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King Faisal Specialist Hosp & Res Ctr, Dept Radiol, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi Arabia
Fathala, Ahmed
Osman, Adil
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King Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi Arabia
Osman, Adil
Badr, Amr
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King Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi Arabia
Badr, Amr
Mostafa, Mohammed Adel
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King Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi Arabia
Mostafa, Mohammed Adel
Mohamed, Gamal
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机构:King Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi Arabia
Mohamed, Gamal
Dunn, Bruce
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King Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi ArabiaKing Faisal Specialist Hosp & Res Ctr, King Faisal Heart Inst, Riyadh 11211, Saudi Arabia