Long-term outcome (up to 15 years) of balloon angioplasty of discrete native coarctation of the aorta in adolescents and adults
Mohamed Eid Fawzy, MD, FRCP (Lond), FACC, FESC*,*,
Mahmoud Awad, MD*,
Walid Hassan, MD, FACC*,
Yusuf Al Kadhi, MBBS, DABR ,
Mohamed Shoukri, PhD and
Fadel Fadley, FRCPC*
* Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Department of Radiology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Department of Biostatistics, Clinical Epidemiology, and Scientific Computing, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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Figure 1 (A) Aortogram in left anterior oblique view showing apparently discrete coarctation (arrow). (B) Aortogram of the same patient in posterior anterior view showing long tortuous coarctation (arrow) not suitable for balloon angioplasty.
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Figure 2 Serial magnetic resonance imaging (A) five years after balloon angioplasty, (B) 10 years after balloon angioplasty, (C) 15 years after balloon angioplasty, and (D) magnetic resonance angiography 15 years after balloon angioplasty of the same patient. Note that the site of previous coarctation (arrow) is well dilated, with no change in the diameter of the aorta at coarctation site.
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Figure 3 Follow-up magnetic resonance imaging shows (A) small aneurysm (arrow) at two years after dilation, and (B) at 14 years after dilation, no appreciable change in size of the aneurysm was noted.
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