Key result
Endovascular treatment of aortic coarctation safely and effectively eliminated the pressure gradient and increased vessel diameter in two adult patients.
Case Report (n=2)
Endovascular treatment with stenting or balloon angioplasty is an effective and safe approach for managing native and recurrent aortic coarctation in adults, providing immediate hemodynamic benefits.
May support endovascular repair in select adult coarctation; leaves open need for larger prospective studies.
Coarctation of the aorta (CoA) forms 6-8% of congenital heart diseases (CHD). This narrowing typically occurs in the proximal descending aorta, close to the insertion of the patent ductus arteriosus and can be found with a number of concomitant diseases. CoA is a common cause of secondary arterial hypertension in young adults. Although CoA can be an isolated CHD, it is also commonly found in other congenital syndromes and cardiovascular anomalies. Herein this review paper we reported a brief history of management of aortic coarctation, and current treatment modalities concentrated on stent placement supported with two novel cases.
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Budak et al. (2020) conducted a case report in Aortic coarctation (n=2). Endovascular treatment (stent placement and balloon angioplasty) was evaluated on Peak systolic pressure gradient reduction. Endovascular treatment of aortic coarctation safely and effectively eliminated the pressure gradient and increased vessel diameter in two adult patients.
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