%0 Journal Article %T BALLOON ANGIOPLASTY FOR AORTIC COARCTATION IN ADULT PATIENTS %J Iranian Heart Journal %I Iranian Heart Association %Z %A BASIRI, H.A. %A ABDI, S.A. %D 2004 %\ 03/01/2004 %V 5 %N 1.2 %P 51-54 %! BALLOON ANGIOPLASTY FOR AORTIC COARCTATION IN ADULT PATIENTS %K AORTIC ANGIOPLASTY %K Hypertension %K Aortic Coarctation %R %X Objective- The aim of this study was to evaluate the use of endovascular intervention in managing native and recurrent aortic coarctation in adult patients. Methods-Balloon angioplasty was undertaken transfemorally in 16 patients (mean age 18.3 ± 4 years old) with arterial hypertension in 12 native and 4 recurrent aortic coarctations. Systolic pressure gradient measurements were taken peri-interventionally and in the course of follow-up during conventional angiography and transesophageal echocardiography. The average diameters of the balloon catheters used ranged from 15 to 20 mm.Result-lmmiediately after aortic angioplasty, the peak systolic pressure gradient decreased from 61 mmHg ± 5.4 to 7.6 mmHg ± 2.2 across the coarctation (P < 0.001). One patient With recoarctation had an unsuccessful immediate result. Restenosis occurred in two patients, who subsequently underWent repeat dilation with successful results. Transesophageal echocardiography was repeated post-procedure and at 6 months post-intervention. One patient developed a small aneurysm at the site of dilation. In the course of follow-up, no other major or minor complications were observed.Conclusion- Endovascular intervention appears to be a safe and effective alternative to surgery for the treatment of native and recurrent aortic coarctation in most adult patients with a low rate of complications   %U http://journal.iha.org.ir/article_84170_c3259a9924b449c00e22863ce5d500b7.pdf