Key result
Surgical correction of aortic coarctation in adolescents and adults involves various techniques, requiring careful selection to prevent early and late postoperative complications.
Why the study?
Despite modern interventional technologies and variable surgical techniques for correction of aortic coarctation, optimal treatment strategy selection remains needed in adolescents and adults.
This review outlines the current surgical and interventional treatment options and complication management for aortic coarctation in adults and adolescents.
Aortic coarctation review in adults with upper-lower BP discrepancy supports screening; leaves open optimal long-term management strategies.
Coarctation of the aorta is a congenital heart disease (CHD) characterized by proximal narrowing of descending thoracic aorta. Coarctation of the aorta accounts for 6—8% of all CHDs. Considering the theory of embryonic development of aortic obstruction, this disease may be asymptomatic for a long time. As a rule, aortic coarctation is diagnosed in adolescence and adults, when arterial hypertension occurs in the upper extremities and arterial hypotension in the lower ones. Despite modern interventional technologies and variable surgical techniques for correction of aortic coarctation, there is a need to choose optimal treatment strategy. This review examines options for surgical correction for coarctation of the aorta in adolescents and adults. The authors present possible complications in early and late postoperative period, as well as their intraoperative prevention.
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Amansakhatova et al. (2025) conducted a review in Coarctation of the aorta. Surgical correction was evaluated. Surgical correction of aortic coarctation in adolescents and adults involves various techniques, requiring careful selection to prevent early and late postoperative complications.
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