Key result
Transcatheter endovascular management using covered and bare-metal stents successfully eliminated pressure gradients and excluded aneurysms in two adult men with complex coarctation of the aorta.
Why the study?
Coarctation of the aorta in adults is a treatable cause of hypertension, with management options ranging from surgery to transcatheter interventions for complex anatomy.
Case Report (n=2)
No
Transcatheter endovascular management with meticulous planning using advanced imaging is a feasible and effective treatment for complex coarctation of the aorta in adults.
Transcatheter repair of complex adult CoA may be feasible with advanced imaging; hypothesis-generating and requires prospective validation.
Coarctation of aorta (CoA) in adults is often diagnosed incidentally during the work-up for secondary or resistant hypertension causes, making it one of the treatable causes of hypertension. Treatment options range from surgery to transcatheter interventions. We present 2 cases of complex coarctation anatomy managed successfully with a transcatheter approach, facilitated by meticulous planning using advanced imaging techniques. The first case had long-segment CoA, which required deployment of a custom-made 120-mm-long Cheatham platinum stent. The second case had coarctation associated with a hypoplastic arch and left subclavian ostial stenosis, which was managed with a combination of covered and uncovered stent. Both patients showed good postprocedural outcomes, which were confirmed by means of 3-month follow-up computed tomography demonstrating well expanded stents, no endoleak, complete exclusion of aneurysms, and well perfused great vessels.
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Gahlan et al. (2025) conducted a case report in Complex coarctation of the aorta (n=2). Transcatheter endovascular stenting was evaluated on Procedural success (reduction in pressure gradient and exclusion of aneurysms). Transcatheter endovascular management using covered and bare-metal stents successfully eliminated pressure gradients and excluded aneurysms in two adult men with complex coarctation of the aorta.
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