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Current Cardiology Reviews

Eiditor-in-Chief

ISSN (Print): 1573-403X
ISSN (Online): 1875-6557

Coarctation of the Aorta - The Current State of Surgical and Transcatheter Therapies

Author(s): Jeffrey E. Vergales, James J. Gangemi, Karen S. Rhueban and D. Scott Lim

Volume 9 , Issue 3 , 2013

Page: [211 - 219] Pages: 9

DOI: 10.2174/1573403X113099990032

Price: $58

Abstract

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 long-term outcomes.

Keywords: Balloon angioplasty, coarctation of the aorta, stent, surgery.


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