Coarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization labCCoarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization labCoarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization labEnglishCardiologyChild (0-12 years);Teen (13-18 years)NAArteriesProceduresCaregivers Adult (19+)NA2009-11-06T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc8.0000000000000059.0000000000000848.000000000000Health (A-Z) - ProcedureHealth A-ZBalloon angioplasty is used to reopen an area of the aorta that has become constricted due to coarctation or recoarctation. Read more about angioplasty.<h2>What is a coarctation of the aorta?</h2><p>The aorta is the large blood vessel that carries blood from the heart to the rest of the body. A coarctation of the aorta is a narrowing of this blood vessel. A coarctation of the aorta means that less blood can flow to the lower part of the body. It can also cause high blood pressure in the arms.</p><p>In some children, the narrowing happens again after it has been corrected. This is called recoarctation.</p><p>A coarctation or recoarctation of the aorta needs to be expanded so that more blood can flow through it.</p><h2>What is a balloon angioplasty?</h2><p>A balloon angioplasty is a procedure to dilate (open up) the narrow blood vessel and increase blood flow. The procedure is done in the cardiac (heart) catheterization laboratory.</p> <figure> <span class="asset-image-title">Balloon angioplasty of coarctation of the aorta</span> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Coarctation_aorta_balloon_angio_MED_ILL_EN.png" alt="" /> <figcaption class="asset-image-caption">A catheter with a deflated balloon on its tip is threaded through a blood vessel in the body up to the heart. When the balloon reaches the area of the coarctation it is inflated to open up the narrow area. The balloon is deflated and the catheter is removed.</figcaption></figure> <h2>What is heart catheterization?</h2><p>During heart catheterization, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><p>To learn about heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p><h2>Key points</h2> <ul> <li>Balloon angioplasty of coarctation and recoarctation of the aorta is a procedure to widen a narrow part of the aorta. The aorta carries blood from the heart to the rest of the body. </li> <li>There is a small risk that your child will have complications from the procedure. Your child's doctor will explain the risks to you before the procedure. </li> <li>Your child will need to have an anesthetic. Your child may need to stay overnight in the hospital after the procedure. </li> </ul><h2>What happens during the procedure</h2> <p>The procedure is performed while your child is under a general anaesthetic. This means that your child will be asleep during the procedure. </p> <p>During the catheterization, the doctor threads a special catheter through your child's blood vessels to the narrowed area. The team takes X-ray pictures and measurements of the coarctation. Then the team threads a deflated balloon on the tip of the catheter to the area of the coarctation. The balloon is then inflated to open up the narrowed area. Sometimes a second larger balloon is used to dilate the area further. </p> <p>Sometimes the doctor may choose to put in a stent. A stent is a small metal tube made of stainless steel or another type of metal. The stent helps widen the narrowed passage by supporting the walls of the blood vessel to keep it open. </p> <p>After the coarctation is opened up, the team takes a second set of pictures and measurements. The doctor then takes out the balloons and catheters and covers the cuts on your child's legs with a bandage. </p> <h2>The procedure will take two to three hours</h2> <p>The procedure usually takes two to three hours, but it can take longer. After the procedure, your child will go to the recovery room to wake up from the anesthetic.</p><h2>After the procedure</h2> <p>The cardiologist will let you know when your child can go home. Your child will stay in the hospital for at least four to six hours after the procedure. Some children can go home on the same day as the procedure, but some children will need to stay in the hospital overnight. If your child needs to stay overnight, they will be transferred to the inpatient unit. </p> <p>For information on what to do after your child goes home, please see <a href="/Article?contentid=1214&language=English">Heart catheterization: Caring for your child after the procedure</a>.</p>
Coarctation et recoarctation de l'aorte : Angioplastie percutanée transluminale dans un laboratoire de cathétérisme cardiaqueCCoarctation et recoarctation de l'aorte : Angioplastie percutanée transluminale dans un laboratoire de cathétérisme cardiaqueCoarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization labFrenchCardiologyChild (0-12 years);Teen (13-18 years)NAArteriesProceduresCaregivers Adult (19+)NA2009-11-06T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc8.0000000000000059.0000000000000848.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Une angioplastie percutanée transluminale sert à rouvrir un secteur de l'aorte qui est étranglé en raison d'une coarctation ou d'une recoarctation.<br></p><h2>Qu'est-ce qu'une coarctation de l'aorte?</h2><p>L'aorte est un gros vaisseau sanguin qui transporte le sang du cœur vers le reste du corps. Une coarctation de l'aorte désigne un rétrécissement de ce vaisseau sanguin. Lorsqu'il y a coarctation de l'aorte, cela signifie que la quantité de sang qui circule dans la partie inférieure du corps est réduite. Cela entraîne également une élévation de la pression artérielle dans les bras.</p><p>Chez certains enfants, le rétrécissement se reproduit après une correction. On appelle cela une recoarctation.</p><p>Une coarctation ou une recoarctation de l'aorte doit être élargie afin d'augmenter la quantité de sang qui circule dans le vaisseau sanguin.</p><h2>Qu'est-ce qu'une angioplastie percutanée transluminale?</h2><p>Une angioplastie percutanée transluminale est une intervention qui vise à dilater (ouvrir) le vaisseau sanguin étroit et augmenter ainsi le flux sanguin. L'intervention se pratique dans un laboratoire de cathétérisme cardiaque (pour le cœur).</p> <figure><span class="asset-image-title">Angioplastie avec ballon en cas de coarctation aortique <img src="https://assets.aboutkidshealth.ca/akhassets/Coarctation_aorta_balloon_angio_MED_ILL_FR.png" alt="" /> <figcaption class="asset-image-caption">On insère un cathéter muni d'un ballon dégonflé à l'une des extrémités dans un vaisseau sanguin et on achemine ce cathéter jusqu'au cœur. Lorsque le ballon atteint l'endroit de la coarctation aortique, on le gonfle afin d'ouvrir l'espace étroit. On dégonfle le ballon et on retire le cathéter.</figcaption></span></figure> <h2>Qu'est-ce qu'un cathétérisme cardiaque?</h2><p>Pendant un <a href="/Article?contentid=59&language=French">cathétérisme cardiaque</a>, le médecin place prudemment un long tube fin appelé un cathéter dans une veine ou une artère dans le cou ou l'aine de votre enfant. L'aine est la région en haut de la cuisse. Ensuite, le cathéter est acheminé par la veine ou l'artère jusqu'au cœur de votre enfant.</p><p>Le médecin qui effectue l'intervention s'appelle un cardiologue, c'est-à-dure un médecin spécialiste du cœur et des vaisseaux sanguins. Il se peut qu'il ne s'agisse pas du cardiologue habituel de votre enfant.</p><h2>À retenir</h2> <ul> <li>Une angioplastie percutanée transluminale d'une coarctation et recoarctation de l'aorte est une intervention qui vise à élargir la partie étroite de l'aorte. L'aorte achemine le sang depuis le cœur vers le reste du corps.</li> <li>Il existe un faible risque de complications après l'intervention. Le médecin de votre enfant vous expliquera ces risques avant l'intervention.</li> <li>Votre enfant devra prendre un anesthésique. Il devra peut-être passer la nuit à l'hôpital après l'intervention.</li></ul><h2>Que se passe-t-il pendant l'intervention?</h2> <p>L'intervention est effectuée alors que votre enfant est sous anesthésie générale. Cela signifie qu'il dormira pendant l'intervention. </p> <p>Pendant le cathétérisme, le médecin insère un cathéter particulier dans les vaisseaux sanguins de votre enfant jusqu'à la région qui est rétrécie. L'équipe soignante prend alors des radiographies et des mesures de la coarctation. Elle insère ensuite un ballon dégonflé à l'extrémité du cathéter jusqu'à la zone de la coarctation. Le ballon est alors gonflé pour élargir la zone rétrécie. Parfois, on utilise un deuxième ballon encore plus large pour dilater encore plus la zone atteinte.</p> <p>Parfois, le médecin peut choisir de placer un stent, appelé aussi tuteur intravasculaire ou endoprothèse vasculaire. Un stent est un petit tube métallique en acier inoxydable ou un autre type de métal. Le stent permet d'élargir le passage étroit en supportant les parois du vaisseau sanguin pour qu'il reste bien ouvert. </p> <p>Une fois la coarctation élargie, l'équipe soignante prend un deuxième jeu de photos et de mesures. Le médecin retire alors les ballons et les cathéters, et il recouvre les incisions dans la jambe de votre enfant d'un pansement.</p> <h2>L'intervention dure 2 à 3 heures</h2> <p>L'intervention dure habituellement 2 à 3 heures, mais elle peut prendre plus de temps. Après l'intervention, votre enfant devra aller en salle de réveil en attendant de se réveiller après l'anesthésie. </p><h2>Après l'intervention</h2> <p>Le cardiologue vous indiquera le moment où votre enfant pourra retourner à la maison. Il devra probablement rester à l'hôpital au moins 4 à 6 heures après l'intervention. Certains enfants peuvent <a href="/Article?contentid=1214&language=French">retourner à la maison</a> le jour même alors que d'autres doivent passer la nuit à l'hôpital. Si votre enfant doit passer la nuit à l'hôpital, il sera transféré à l'unité des patients hospitalisés.</p>

 

 

Coarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization lab53.0000000000000Coarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization labCoarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization labCEnglishCardiologyChild (0-12 years);Teen (13-18 years)NAArteriesProceduresCaregivers Adult (19+)NA2009-11-06T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc8.0000000000000059.0000000000000848.000000000000Health (A-Z) - ProcedureHealth A-ZBalloon angioplasty is used to reopen an area of the aorta that has become constricted due to coarctation or recoarctation. Read more about angioplasty.<h2>What is a coarctation of the aorta?</h2><p>The aorta is the large blood vessel that carries blood from the heart to the rest of the body. A coarctation of the aorta is a narrowing of this blood vessel. A coarctation of the aorta means that less blood can flow to the lower part of the body. It can also cause high blood pressure in the arms.</p><p>In some children, the narrowing happens again after it has been corrected. This is called recoarctation.</p><p>A coarctation or recoarctation of the aorta needs to be expanded so that more blood can flow through it.</p><h2>What is a balloon angioplasty?</h2><p>A balloon angioplasty is a procedure to dilate (open up) the narrow blood vessel and increase blood flow. The procedure is done in the cardiac (heart) catheterization laboratory.</p> <figure> <span class="asset-image-title">Balloon angioplasty of coarctation of the aorta</span> <img src="https://assets.aboutkidshealth.ca/AKHAssets/Coarctation_aorta_balloon_angio_MED_ILL_EN.png" alt="" /> <figcaption class="asset-image-caption">A catheter with a deflated balloon on its tip is threaded through a blood vessel in the body up to the heart. When the balloon reaches the area of the coarctation it is inflated to open up the narrow area. The balloon is deflated and the catheter is removed.</figcaption></figure> <h2>What is heart catheterization?</h2><p>During heart catheterization, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><p>To learn about heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p><h2>Key points</h2> <ul> <li>Balloon angioplasty of coarctation and recoarctation of the aorta is a procedure to widen a narrow part of the aorta. The aorta carries blood from the heart to the rest of the body. </li> <li>There is a small risk that your child will have complications from the procedure. Your child's doctor will explain the risks to you before the procedure. </li> <li>Your child will need to have an anesthetic. Your child may need to stay overnight in the hospital after the procedure. </li> </ul><h2>Your child will need a checkup six months after the procedure</h2> <p>Your child will be given an appointment to see their regular cardiologist six months after the procedure. Your child may have the MRI scan of the dilated area at the same time. </p> <p>Write the date and time of your child's appointment here:</p><h2>What happens during the procedure</h2> <p>The procedure is performed while your child is under a general anaesthetic. This means that your child will be asleep during the procedure. </p> <p>During the catheterization, the doctor threads a special catheter through your child's blood vessels to the narrowed area. The team takes X-ray pictures and measurements of the coarctation. Then the team threads a deflated balloon on the tip of the catheter to the area of the coarctation. The balloon is then inflated to open up the narrowed area. Sometimes a second larger balloon is used to dilate the area further. </p> <p>Sometimes the doctor may choose to put in a stent. A stent is a small metal tube made of stainless steel or another type of metal. The stent helps widen the narrowed passage by supporting the walls of the blood vessel to keep it open. </p> <p>After the coarctation is opened up, the team takes a second set of pictures and measurements. The doctor then takes out the balloons and catheters and covers the cuts on your child's legs with a bandage. </p> <h2>The procedure will take two to three hours</h2> <p>The procedure usually takes two to three hours, but it can take longer. After the procedure, your child will go to the recovery room to wake up from the anesthetic.</p><h2>After the procedure</h2> <p>The cardiologist will let you know when your child can go home. Your child will stay in the hospital for at least four to six hours after the procedure. Some children can go home on the same day as the procedure, but some children will need to stay in the hospital overnight. If your child needs to stay overnight, they will be transferred to the inpatient unit. </p> <p>For information on what to do after your child goes home, please see <a href="/Article?contentid=1214&language=English">Heart catheterization: Caring for your child after the procedure</a>.</p><h2>There are small risks of complications from the procedure</h2> <p>Generally, cardiac catheterization is a fairly low-risk procedure, but it is not risk-free. The doctor will explain the risks of cardiac catheterization to you in more detail before you give your consent for the procedure. The most common risks are: </p> <h3>The catheter may break through a blood vessel</h3> <p>There is a very small risk that the catheter may break through a blood vessel or the heart wall. To reduce this risk, we use a type of X-ray called fluoroscopy to see where the catheters are at all times. </p> <h3>Your child may develop a bulge in the artery wall</h3> <p>The balloon stretches the aorta to enlarge the narrowed area. This can weaken the wall of the artery and cause an aneurysm (a bulge in the artery wall). This complication occurs in about six of every 100 patients treated by this procedure. </p> <p>Your child will have an X-ray after the procedure so that the team can tell right away if this complication happens. Your child will have another test six months to one year after the procedure to monitor the result of the dilation and see if an aneurysm is developing. For the second test, we use magnetic resonance imaging (MRI). This is a technique that uses magnets and a computer to take pictures of the inside of the body. </p> <p>For general information about the risks of heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p>https://assets.aboutkidshealth.ca/AKHAssets/Coarctation_aorta_balloon_angio_MED_ILL_EN.pngCoarctation and recoarctation of the aorta: Balloon angioplasty in the heart catheterization lab

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.