>Year 2002, Issue 3
Fink JG, Gutiérrez VS, Hurtado LLM
Endovascular surgery by means of implanting a Talent endoprosthesis in adult patients with coarctation of the thoracic aorta: Initial experience in four patients
Cir Gen 2002; 24 (3)
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Objective: To show our initial experience with a third therapeutic alternative for the treatment of coarctation of the thoracic aorta by means of protected dilation implanting a Talent endoprosthesis, keeping the advantages of minimal invasive surgery.
Setting: Third level health care hospital
Design: A series of four cases of coarctation of the thoracic aorta in adult patients.
Description of cases: Four men, average age of 24.2 (19 to 38 years) treated by means of a Talent thoracic endoprosthesis implant. Normal diameter of the aorta was 19.25 mm (13.5 to 23.5) and the average lowest diameter at the coarctation level was of 3.5 mm (1 to 5). No complications were encountered and no blood transfusion was needed. The average time of stay in the intensive care unit for surveillance was 15 h (12 to 18) and the average hospital stay was of 3.25 days (3 to 4). All patients presented palpable pulse and of normal characteristics during the immediate postoperative period, the ankle-arm index became normal after surgery. None of the patients presented residual pressure gradient needing treatment. Neither trans- nor post-operative complications were encountered, and the follow-up time has been of 16 months (4 to 28).
Conclusion: The endovascular treatment of a coarctation of the thoracic aorta with protected dilation was safe and effective in the four treated patients.
||Coarctation of the thoracic aorta, endovascular surgery, endoprosthesis.
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>Year 2002, Issue 3