Echocardiography-Guided Percutaneous Interventions for Coarctation of Aorta

  • Xiangbin Pan
  • Ziyad M. Hijazi
  • Horst Sievert


Coarctation of the aorta (CoA) is a relatively rare congenital vascular malformation, which is mainly treated with surgical operation, balloon dilatation, and stent implantation. The preferred treatment is surgery. Balloon dilatation and stent implantation are mostly used for the treatment of postoperative restenosis. Due to the undesirable long-term effects of percutaneous balloon dilatation in the treatment of CoA, stent implantation is now favored in more clinical practice. Traditional balloon dilatation and stent implantation were performed under fluoroscopy guidance, while nowadays, the tries of using echocardiography as substitution could protect both patients and healthcare professionals from radiation and contrast agents, which would play an increasingly important role and have promising future. This chapter introduces how to perform PAN procedure for CoA.

Supplementary material

Video 14.1

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Video 14.2

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  1. 1.
    Hamdan MA, et al. Endovascular stents for coarctation of the aorta: initial results and intermediate-term follow-up. J Am Coll Cardiol. 2001;38(5):1518–23.CrossRefGoogle Scholar
  2. 2.
    Expert committee on congenital heart disease, Chinese association of pediatricians, Chinese medical doctor association. Expert consensus on the treatment of common congenital heart disease in children. Chinese J Pediatr. 2015;53(1):17–24.Google Scholar
  3. 3.
    Cowley CG, et al. Long-term, randomized comparison of balloon angioplasty and surgery for native coarctation of the aorta in childhood. Circulation. 2005;111(25):3453–6.CrossRefGoogle Scholar
  4. 4.
    Fish CA. Coarctation of the aorta. J Ky State Med Assoc. 1959;57(6):681–3.Google Scholar

Copyright information

© Peking University Medical Press 2020

Authors and Affiliations

  • Xiangbin Pan
    • 1
  • Ziyad M. Hijazi
    • 2
  • Horst Sievert
    • 3
  1. 1.Structural Heart DiseaseFu Wai HospitalBeijingChina
  2. 2.Sidra Medical & Res CenterDohaQatar
  3. 3.Sankt KatharinenCardioVascular Center FrankfurtFrankfurt am MainGermany

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