Author/Authors :
bassri, hossein ali shaheed rajaie cardiovascular medical and research center - department of interventional cardiology, ايران , abdi, seifollah shaheed rajaie cardiovascular medical and research center - department of interventional cardiology, ايران , sanati, hamid reza shaheed rajaie cardiovascular medical and research center - department of interventional cardiology, ايران , kiani, reza shaheed rajaie cardiovascular medical and research center - department of interventional cardiology, ايران , ojaghi-haghighi, zahra shaheed rajaie cardiovascular medical and research center - department of echocardiography, ايران , noohi, fereidoun shaheed rajaie cardiovascular medical and research center - department of echocardiography, ايران , haghjoo, majid shaheed rajaie cardiovascular medical and research center - department of pacemaker and electrophysiology, ايران
Abstract :
At the present time the treatment of choice for postductal coarctation of aorta is percutaneousangioplasty and stenting. One crucial step for successful stenting of coarctation is accuratepositioning of the stent across the lesion, which is difficult due to high pressure blood flow at thesite of the coarct. To solve this problem, rapid pacing has been used to decrease cardiac output andblood pressure for a few seconds and prevent excessive motion of the stent during deployment.However, if coarctation is combined with pre-excitation syndrome, rapid atrial/ventricular pacingcould cause life-threatening tachyarrhythmias. In this paper, we report a 28-year-old woman withcombined coarctation of aorta and Wolf-Parkinson-White syndrome who underwent radiofrequency catheter ablation of the accessory pathway and then stenting angioplasty of thecoarctation was performed without any complication (Iranian Heart Journal 2009; 10 (3):53-55).
