We present the case of a 12 month-old infant with critical coarctaion of aorta, arch hypoplasia, atrial and ventricular septal
defects who underwent interventional treatment with stent implantation due to recoarctation of aorta. In neonatal period the
patient went through complete surgical correction. At the age of four months balloon angioplasty of recurrent coractation was
conducted. Eight months later the patient was hospitalised with heart failure (HF) symptoms. Clinical and echographic examination
confirmed critical stenosis of aortic isthmus. We performed heart catheterisation with stent implantation to transverse
and descending arch with immediate reduction of gradient from 45 mm Hg to 0 mm Hg, widening of the isthmus from 2 to
8 mm and gradual regression of HF symptoms. At 3 years of observation the patient has not presented with any signs of
recurrence of the stenosis. The child remains free of HF symptoms with arterial hypertension controlled with pharmacotherapy
and with good left ventricular function on echocardiographic examination.
Kardiol Pol 2012; 70, 1: 60–6
