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<p>Vascular access for endovascular procedures can be challenging in pediatric patients with congenital heart disease. We present two patients in which a left mini-thoracotomy was utilized to access the descending aorta for endovascular aortic stenting. The first patient was a 5-year-old male who had undergone a Fontan pathway and developed a significant stenosis of the distal arch. The second patient was a 10-month-old born with a coarctation who developed recurrent stenosis and a pseudoaneurysm around an existing aortic stent. Utilizing this hybrid approach, both underwent successful retrograde, aortic stent deployment. Both stents can be dilated to adult size in the future. To our knowledge these are the first published descriptions of this technique in the pediatric population.</p>

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Mini-thoracotomy Access for Endovascular Aortic Stenting in Pediatric Patients

  • 期刊论文

  • 发表日期：

    2026年5月22日

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  • Neil M. Venardos,
  • Subhrajit Lahiri,
  • Arshid Mir,
  • Randall M. Schwartz,
  • Emilie D. Henry,
  • Harold M. Burkhart

摘要

Vascular access for endovascular procedures can be challenging in pediatric patients with congenital heart disease. We present two patients in which a left mini-thoracotomy was utilized to access the descending aorta for endovascular aortic stenting. The first patient was a 5-year-old male who had undergone a Fontan pathway and developed a significant stenosis of the distal arch. The second patient was a 10-month-old born with a coarctation who developed recurrent stenosis and a pseudoaneurysm around an existing aortic stent. Utilizing this hybrid approach, both underwent successful retrograde, aortic stent deployment. Both stents can be dilated to adult size in the future. To our knowledge these are the first published descriptions of this technique in the pediatric population.