Key result
Surgical and percutaneous repair options for aortic coarctation in adults must be tailored to patient anatomy, age, and concomitant lesions, as demonstrated in four case reports.
The choice between surgical and percutaneous repair of aortic coarctation in adults should be individualized based on anatomy, age, and concomitant lesions.
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Supports individualized adult coarctation repair decisions; leaves open need for comparative trials.
Aortic coarctation can be repaired surgically or percutaneously. The decision should be made according to the anatomy and location of the coarctation, age of the patient, presence of other cardiac lesions, and other anatomic determinants (extensive collaterals or aortic calcification). This article reviews the different therapeutic options available, explaining the differences between children and adults, describing different approaches to the same disease, exemplified by three cases of nonclassic surgical approach and one percutaneous treatment.
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Cardoso et al. (2014) conducted a review in Aortic coarctation (n=4). Surgical or percutaneous repair was evaluated. Surgical and percutaneous repair options for aortic coarctation in adults must be tailored to patient anatomy, age, and concomitant lesions, as demonstrated in four case reports.
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