Balloon dilatation of excised aortic coarctations.

Published

Journal Article

Seven children 1-6 years of age underwent aortic resection and re-anastomosis for coarctation of the thoracic aorta. The excised segments were 1-2 cm long and were dilated in vitro with a Grüntzig balloon catheter less than two hours after resection. A pressure of 4-8 atmospheres was used, and the inflated diameter of the balloon was twice the luminal diameter of the undilated coarctation. The diameter of each specimen was increased by an average of 85%, largely because of an increase in the external diameter of the coarctation. However, extremely high pressures were required for successful dilatation, producing transmedial tears in the "normal" aorta distal to the coarctation in three specimens. These results indicate that although balloon dilatation appears feasible as palliation for aortic coarctation, further studies of its safety are necessary before instituting clinical trials.

Full Text

Duke Authors

Cited Authors

  • Lock, JE; Castaneda-Zuniga, WR; Bass, JL; Foker, JE; Amplatz, K; Anderson, RW

Published Date

  • June 1, 1982

Published In

Volume / Issue

  • 143 / 3

Start / End Page

  • 689 - 691

PubMed ID

  • 6210934

Pubmed Central ID

  • 6210934

Electronic International Standard Serial Number (EISSN)

  • 1527-1315

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.143.3.6210934

Language

  • eng