Cirujano General

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirujano General >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)

Language: Español
References: 15
Page: 232-236
PDF: 4. Kb.

Full text


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.

Key words: Coarctation of the thoracic aorta, endovascular surgery, endoprosthesis.


  1. Rudolph A. Congenital diseases of the heart. Year Book, Chicago, 1974.

  2. Quijano-Pitman F. Coartación de la aorta. En: Los grandes síndromes vasculares. México D.F. Editorial Instituto Mexicano del Seguro Social 1984: 205-239.

  3. Shinebourne EA, Tam ASY, Elseed AM, Paneth M, Lennox SC, Cleland WP, et al. Coarctation of the aorta in infancy and childhood. Br Heart J 1976; 38: 375-80.

  4. Campbell M. Natural history of coarctation of the aorta. Br Heart J 1970; 32: 633-40.

  5. Abbot ME. Coarctation of the aorta of the adult type II: a statistical study and historical retrospect of 200 recorded cases with autopsy of stenosis or obliteration of the descending aorta in subjects over the age of two years. Am Heart J 1928; 3: 574-79.

  6. Crawfoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 1945; 14: 347-49.

  7. Bergdal L, Bjork VO, Jonasso R. Surgical correction of coarctation of the aorta. Influence of age on the late results. J Thorac Cardiovasc Surg 1983; 85: 532-6.

  8. Corno AF, Botta U, Hurni M, Pavot M, Sekarski N, Tozzi P, et al. Surgery for aortic coarctation: a 30 years experience. Eur J Cardiothorac Surg 2001; 20: 1202-6.

  9. Brewer LA, Fosburg RG, Mulder GA. Spinal cord complications following surgery for coarctation of the aorta. A study of 66 cases. J Thorac Cardiovasc Surg 1972; 64: 368-81.

  10. Krieger KH, Spencer FC. Is paraplegia after repair of coarctation of the aorta due principally to distal hypotension during aortic cross clamping ? Surgery 1985; 97: 2-6.

  11. Sos T, Sniderman KW, Rettek-Sos B, Strupp A, Alonso DR. Percutaneous transluminal dilatation of coarctation of thoracic aorta post mortem. Lancet 1979; 2: 970-1.

  12. Lababidi Z, Madigan N, Wu Jr, Murphy TJ. Balloon coarctation angioplasty in an adult. Am J Cardiol 1984; 53:350-1.

  13. Cooper RS, Ritter SB, Golinko RJ. Balloon dilatation angioplasty: non-surgical management of coarctation of the aorta. Circulation 1984; 70: 903-7.

  14. Lababidi ZA, Daskalopoulos DA, Stoeckle H Jr. Transluminal balloon coarctation angioplasty: experience with 27 patients. Am J Cardiol 1984; 54: 1288-91.

  15. Ledesma-Velasco M, Munayer-Calderón J, Salgado-Escobar JL., Nuñez-Garduño D, Quintero-Rodríguez R, Verdin-Vázquez R. Percutaneous transluminal angioplasty in aortic coarctation. Report of a case. Arch Inst Cardiol Mex 1986; 56: 315-7.

>Journals >Cirujano General >Year 2002, Issue 3

· Journal Index 
· Links 

Copyright 2019