Coarctation of the aorta: Management from infancy to adulthood.

Published

Journal Article (Review)

Coarctation of the aorta is a relatively common form of congenital heart disease, with an estimated incidence of approximately 3 cases per 10000 births. Coarctation is a heterogeneous lesion which may present across all age ranges, with varying clinical symptoms, in isolation, or in association with other cardiac defects. The first surgical repair of aortic coarctation was described in 1944, and since that time, several other surgical techniques have been developed and modified. Additionally, transcatheter balloon angioplasty and endovascular stent placement offer less invasive approaches for the treatment of coarctation of the aorta for some patients. While overall morbidity and mortality rates are low for patients undergoing intervention for coarctation, both surgical and transcatheter interventions are not free from adverse outcomes. Therefore, patients must be followed closely over their lifetime for complications such as recoarctation, aortic aneurysm, persistent hypertension, and changes in any associated cardiac defects. Considerable effort has been expended investigating the utility and outcomes of various treatment approaches for aortic coarctation, which are heavily influenced by a patient's anatomy, size, age, and clinical course. Here we review indications for intervention, describe and compare surgical and transcatheter techniques for management of coarctation, and explore the associated outcomes in both children and adults.

Full Text

Duke Authors

Cited Authors

  • Torok, RD; Campbell, MJ; Fleming, GA; Hill, KD

Published Date

  • November 26, 2015

Published In

Volume / Issue

  • 7 / 11

Start / End Page

  • 765 - 775

PubMed ID

  • 26635924

Pubmed Central ID

  • 26635924

International Standard Serial Number (ISSN)

  • 1949-8462

Digital Object Identifier (DOI)

  • 10.4330/wjc.v7.i11.765

Language

  • eng

Conference Location

  • United States