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Preductal coarctation results when an intracardiac anomaly during fetal life decreases blood flow through the left side of the heart, leading to hypoplastic development of the aorta. This is the type seen in approximately 5% of infants with Turner syndrome. [4] [5] Ductal coarctation: The narrowing occurs at the insertion of the ductus arteriosus.
In a sense it is the complete form of a coarctation of the aorta. Almost all patients also have other cardiac anomalies, including a ventricular septal defect (VSD), aorto-pulmonary window, and truncus arteriosus. There are three types of interrupted aortic arch, with type B being the most common.
Coarctation’s a fancy way of saying “narrowing”, so a coarctation of the aorta means a narrowing of the aorta. If we look at the heart, we’ve got the right and left atria, the right and left ventricles, the pulmonary artery leaving the right ventricle to the lungs, and the aorta leaving the left ventricle and going to to the body.
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If a right aortic arch is associated with a left sided arterial ductal ligament (a remnant from the foetal circulation which forms a ligament after birth) then a vascular ring is formed around the trachea. Studies show that around 1:4 children show symptoms of a vascular ring. [5] This requires further investigation by specialists.
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The Bare and Covered CP Stent video shows clearly how to implant the CP Stent in the native CoArctation of the Aorta. The CP Stent is available pre-mounted on BIB catheter. The BIB Catheter allows for the controlled expansion of the CP Stent.