Objectives- Balloon angioplasty of aortic coarctation has been growing in recent years. In this study, we reviewed and evaluated results of balloon angioplasty of aortic coarctation in nine adults 6 months after operation.
Methods- Nine documented coarctation cases with an average age of 23 years were chosen.
Eight cases were male and one case was female. Balloon angioplasty of the aorta was performed with number 15 pulmonary balloons. The patients were followed up for 6 months with echocardiography in order to document residual gradients and possible complications.
Results- Balloon angioplasty was performed without any acute vascular complication. After six months, the patients were re-evaluated for complications. Fluctuations in blood pressure levels were also taken into consideration. Average systolic blood pressure dropped immediately from 180±20 to 127±8 (mmHg). Average diastolic blood pressure decreased from 110±10 to 86±7 (mmHg). Average systolic and diastolic blood pressures were 120±10 and 85±3 mmHg after six months. Coarctation gradients dropped immediately from 60±15 mmHg to 13±5 (mmHg) after balloon inflation.
Average gradient was 16±5 (mmHg) after six months. All the patients were free of anti-hypertensive drugs at the end of the follow-up.
Conclusion- Balloon angioplasty of aortic coarctation without stents could be performed in adults with acceptable results without significant vascular complications and excellent blood pressure control after six months' follow-up.