{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:10:30Z","timestamp":1788966630431,"version":"build-2803163510"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Endovascular Coarctoplasty (CoAP) with stenting is the treatment of choice in Coarctation of Aorta (CoA). Literature on the harms or benefits of CoAP in Eisenmenger\u2019s syndrome (ES) is scarce. There is the hypothetical possibility of an increase in right-to-left intracardiac shunting once the coarctation is relieved. We report a 17-year-old male adolescent who presented with secondary hypertension, cyanosis, and lower limb claudication. He was diagnosed as a case of ventricular septal defect (VSD), patent ductus arteriosus (PDA), and CoA with associated ES. He underwent successful balloon CoAP with no clinical or invasive hemodynamic deterioration. At one-year follow-up, there was no clinical or echocardiographic evidence of complications from ES or restenosis. This case highlights that CoA with ES can be safely managed by CoAP with good long-term results. The proposed pathophysiology for the uneventful procedure is an extension of our understanding of the \u2018shunt dynamics\u2019 in cyanotic spells in patients with congenital cyanotic heart diseases.<\/jats:p>","DOI":"10.4103\/apc.apc_20_26","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:21:30Z","timestamp":1788949290000},"page":"589-592","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Coarctoplasty in a case of ventricular septal defect, patent ductus arteriosus with coarctation of aorta and Eisenmenger\u2019s syndrome: Is it safe?"],"prefix":"10.4103","volume":"19","author":[{"given":"Navreet","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Cardiology, Military Hospital, Jalandhar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Singal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sugam Krishna","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Army Hospital (Research and Referral), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Army Hospital (Research and Referral), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankush","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Command Hospital Air Force, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekambir","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Medicine, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish Kumar","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Military Hospital, Jalandhar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunny","family":"Pathania","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The Army Hospital (Research and Referral), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashutosh Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, AICTS, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"R1-20260909","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"2020 ESC guidelines for the management of adult congenital heart disease","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur Heart J"},{"key":"R2-20260909","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0167-5273(92)90125-M","article-title":"Mechanism of cyanotic spells in tetralogy of Fallot-the missing link?","volume":"37","author":"Kothari","year":"1992","journal-title":"Int J Cardiol"},{"key":"R3-20260909","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.jcct.2013.01.012","article-title":"A rare case of ventricular septal defect associated with patent ductus arteriosus and coarctation of aorta: A multimodality approach","volume":"7","author":"Kaya","year":"2013","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"R4-20260909","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1177\/2150135114522277","article-title":"Coarctoplasty and stenting in a case of ventricular septal defect with Eisenmenger\u2019s syndrome: A clinical dilemma","volume":"5","author":"Mahimaiha","year":"2014","journal-title":"World J Pediatr Congenit Heart Surg"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_20_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:16:31Z","timestamp":1788963391000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_20_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":4,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_20_26","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-01-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}