{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T17:05:21Z","timestamp":1789405521274,"version":"build-2803163510"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Critical neonatal coarctation of the aorta (CoA) may present with cardiogenic shock and severe ventricular dysfunction, rendering immediate surgical repair high risk. In such situations, transcatheter interventions may be used as a temporary stabilizing strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 10-day-old male neonate with critical CoA presented in cardiogenic shock and severe left ventricular dysfunction. Balloon angioplasty resulted in only transient improvement due to elastic recoil, necessitating rescue implantation of a bioresorbable vascular scaffold. This led to rapid haemodynamic stabilization and recovery of ventricular function. Follow-up computed tomography angiography revealed late scaffold fracture with distal embolization to the proximal abdominal aorta. The child remained clinically stable and subsequently underwent successful elective surgical repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although bioresorbable vascular scaffolds can provide short-term haemodynamic stabilization in critically ill neonates with CoA, their use is limited by mechanical vulnerability in the neonatal aorta, as illustrated by late scaffold fracture in this case. Their role should therefore be highly selective, with close imaging surveillance and early definitive surgical correction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s43044-026-00778-9","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:27:22Z","timestamp":1789403242000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stent fracture and embolization: an unusual late complication of neonatal coarctation of aorta stenting with bioresorbable vascular scaffold"],"prefix":"10.1186","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1753-4824","authenticated-orcid":false,"given":"Qayoom","family":"Yousuf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aamir","family":"Rashid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Purra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed","family":"Bilal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehraj","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"778_CR1","doi-asserted-by":"publisher","first-page":"2607","DOI":"10.1161\/CIR.0b013e31821b1f10","volume":"123","author":"TF Feltes","year":"2011","unstructured":"Feltes TF, Bacha E, Beekman RH, Cheatham JP, Feinstein JA, Gomes AS, American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Council on Clinical Cardiology; Council on Cardiovascular Radiology and Intervention; American Heart Association et al (2011) Indications for cardiac catheterization and intervention in pediatric cardiac disease: a scientific statement from the American Heart Association. Circulation 123:2607\u20132652","journal-title":"Circulation"},{"key":"778_CR2","first-page":"120","volume":"71","author":"P Ewert","year":"2008","unstructured":"Ewert P, Peters B, Nagdyman N, Miera O, Kuhne T, Berger F (2008) Early and mid-term results with the Growth-Stent\u2014a possible concept for transcatheter treatment of aortic coarctation from infancy to adulthood by stent implantation? Cathet Cardiovasc Intervent 71:120\u2013126","journal-title":"Cathet Cardiovasc Intervent"},{"key":"778_CR3","doi-asserted-by":"publisher","first-page":"e1281","DOI":"10.4244\/EIJ-D-19-00157","volume":"16","author":"RJ van Kalsbeek","year":"2021","unstructured":"van Kalsbeek RJ, Krings GJ, Molenschot MMC, Breur JMPJ (2021) Early and midterm outcomes of bare metal stenting in small children with recurrent aortic coarctation. EuroIntervention 16:e1281\u2013e1287","journal-title":"EuroIntervention"},{"key":"778_CR4","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1007\/s12471-020-01371-8","volume":"28","author":"T Krasemann","year":"2020","unstructured":"Krasemann T, van Beynum I, Dalinghaus M, van Leuwen W, Bogers A, van de Woestijne P (2020) Indications for stenting of coarctation of the aorta in children under 3 months of age. Neth Heart J 28:546\u2013550","journal-title":"Neth Heart J"},{"key":"778_CR5","first-page":"100170","volume":"4","author":"W Knirsch","year":"2021","unstructured":"Knirsch W, Schweiger M, Quandt D, Dave H, Kretschmar O (2021) Comparing acute and long-term outcome of critical neonatal native aortic coarctation treated by combined stent-surgery approach or by primary surgery. Int J Cardiol Congenit Heart Dis 4:100170","journal-title":"Int J Cardiol Congenit Heart Dis"},{"key":"778_CR6","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1016\/j.ijcard.2018.03.009","volume":"261","author":"R Stegeman","year":"2018","unstructured":"Stegeman R, Breur JMPJ, Heuser J, Jansen NJG, de Vries WB, Vijlbrief DC et al (2018) Primary coronary stent implantation is a feasible bridging therapy to surgery in very low birth weight infants with critical aortic coarctation. Int J Cardiol 261:62\u201365","journal-title":"Int J Cardiol"},{"key":"778_CR7","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1177\/21501351221099933","volume":"13","author":"P Grieshaber","year":"2022","unstructured":"Grieshaber P, Merbecks M, Jaschinski C, Fonseca E, Arnold R, Karck M et al (2022) Surgical treatment following stent angioplasty for high-risk neonates with critical coarctation of the aorta. World J Pediatr Congenit Heart Surg 13:426\u2013435","journal-title":"World J Pediatr Congenit Heart Surg"},{"issue":"5","key":"778_CR8","first-page":"671","volume":"67","author":"D Schranz","year":"2006","unstructured":"Schranz D, Zartner P, Michel-Behnke I, Akint\u00fcrk H (2006) Bioabsorbable metal stents for percutaneous treatment of critical recoarctation of the aorta in a newborn. Catheter Cardiovasc Interv 67(5):671\u2013673","journal-title":"Catheter Cardiovasc Interv"},{"issue":"7","key":"778_CR9","first-page":"1340","volume":"93","author":"H Sallmon","year":"2019","unstructured":"Sallmon H, Berger F, Cho MY, Opgen-Rhein B (2019) First use and limitations of magmaris\u00ae bioresorbable stenting in a low birth weight infant with native aortic coarctation. Catheter Cardiovasc Interv 93(7):1340\u20131343","journal-title":"Catheter Cardiovasc Interv"},{"key":"778_CR10","doi-asserted-by":"publisher","first-page":"1578","DOI":"10.1016\/j.jacc.2011.05.050","volume":"58","author":"PW Serruys","year":"2011","unstructured":"Serruys PW, Ormiston JA, Onuma Y, Regar E, Dudek D, Thuesen L et al (2011) Evaluation of the second-generation bioresorbable everolimus-eluting vascular scaffold for treatment of de novo coronary artery stenosis: 12-month clinical and imaging outcomes. J Am Coll Cardiol 58:1578\u20131588","journal-title":"J Am Coll Cardiol"},{"key":"778_CR11","doi-asserted-by":"publisher","first-page":"147","DOI":"10.4103\/apc.apc_187_21","volume":"15","author":"M Che Mood","year":"2022","unstructured":"Che Mood M, Niazy KA, Alwi M, Samion H, Koh GT, Sivalingam S et al (2022) Feasibility, safety, and efficacy of iron bioresorbable scaffold in neonates with duct-dependent pulmonary circulation. Ann Pediatr Cardiol 15:147\u2013153","journal-title":"Ann Pediatr Cardiol"},{"key":"778_CR12","doi-asserted-by":"publisher","first-page":"1410305","DOI":"10.3389\/fcvm.2024.1410305","volume":"11","author":"DI McLennan","year":"2024","unstructured":"McLennan DI, Maldonado JR, Foerster SR, Handler SS, LaDisa JF Jr, Gudausky TM et al (2024) Absorbable metal stents for vascular use in pediatric cardiology: progress and outlook. Front Cardiovasc Med 11:1410305","journal-title":"Front Cardiovasc Med"}],"container-title":["The Egyptian Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-026-00778-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43044-026-00778-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-026-00778-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:27:23Z","timestamp":1789403243000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s43044-026-00778-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["778"],"URL":"https:\/\/doi.org\/10.1186\/s43044-026-00778-9","relation":{},"ISSN":["2090-911X"],"issn-type":[{"value":"2090-911X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,14]]},"assertion":[{"value":"11 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This report describes a single patient and does not constitute research involving human subjects; ethical approval was therefore not sought. The work was conducted in accordance with the Declaration of Helsinki (2013 revision) and the institutional policies of Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India. Written informed consent for publication was obtained from the patient's parent.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"67"}}