Heart 2006;92:1541-1543
EDITORIAL
Stenting the mildly obstructive aortic arch: useful treatment or oculo-inflatory reflex?
Correspondence to:
Dr Kate English
Adult Congenital Heart Disease Unit, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK; kate.english@leedsth.nhs.uk
The relative risks and benefits of the physical relief of mild aortic arch obstruction by angioplasty and stenting remain unclear
Keywords: coarctation; arch hypoplasia; hypertension; angioplasty; stenting
| The first 150 words of the full text of this article appear below. |
Despite many years of surgical and more recently percutaneous therapy for coarctation of the aorta, patients continue to suffer from hypertension and its complications in the long term. Because of a paucity of robust data, the optimum mode of treatment for patients with mild aortic obstruction and arterial hypertension remains unclear.
In this issue of Heart, Boshoff et al describe their experience of stenting hypoplastic aortic arch segments in patients with mild pressure gradients and arterial hypertension. The intervention was technically successful in all patients with the only reported complications being two moderate groin haematomas. There was an immediate reduction in invasively measured peak pressure gradient across the stented hypoplastic area, but many of the treated patients remain hypertensive at short term follow-up.1
As equipment used for stenting aortic arch obstruction has become more refined and operators more experienced, balloon angioplasty and stenting for aortic coarctation has become commonplace, and
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