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Ann Thorac Surg 2000;70:289-291
© 2000 The Society of Thoracic Surgeons

Case report

Intraoperative balloon angioplasty for aortic coarctation after Norwood operation

Isao Shiraishi, MDa, Masaaki Yamagishi, MDa, Tatsujiro Oka, MDa, Ayumi Kawakita, MDa, Kenji Hamaoka, MDa

a Divisions of Pediatrics and Pediatric Cardiovascular Surgery, Children’s Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

Address reprint requests to Dr Shiraishi, Division of Pediatrics, Children’s Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamikyo-ku, Kyoto, Japan 602-8566
e-mail: isao{at}koto.kpu-m.ac.jp

We report intraoperative balloon angioplasty for recurrent aortic coarctation in hypoplastic left heart syndrome. After bidirectional Glenn anastomosis, balloon angioplasty was performed via ascending aorta. Pressure gradient across the coarctation decreased from 45 to 8 mm Hg. Intravascular ultrasound revealed successful splits of thickened intima without any extensive dissection. Intraoperative balloon angioplasty is a safe and favorable procedure for hypoplastic left heart syndrome because balloon inflation before bidirectional Glenn anastomosis could induce serious ventricular collapse or arrhythmias.






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