Coarctation of the Aorta - The Current State of Surgical and Transcatheter Therapies
Jeffrey E. Vergales, James J. Gangemi, Karen S. Rhueban and D. Scott Lim
Affiliation: Division of Pediatric Cardiology, P.O Box 800386, Charlottesville, VA 22908.
Aortic coarctation represents a distinct anatomic obstruction as blood moves from the ascending to the descending
aorta and can present in a range of ages from infancy to adulthood. While it is often an isolated and discrete narrowing,
it can also be seen in the more extreme scenario of severe arch hypoplasia as seen in the hypoplastic left heart
syndrome or in conjunction with numerous other congenital heart defects. Since the first description of an anatomic surgical
repair over sixty years ago, an evolution of both surgical and transcatheter therapies has occurred allowing clinicians
to manage and treat this disease with excellent results and low morbidity and mortality. This review focuses on the current
state of both transcatheter and surgical therapies, paying special attention to recent data on long-term follow-up of both
approaches. Further, current thoughts will be explored about future therapeutic options that attempt to improve upon historical
Keywords: Balloon angioplasty, coarctation of the aorta, stent, surgery.
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