Coarctation of the Aorta: Strategies for Improving Outcomes

Lan Nguyen; Stephen C Cook

doi:10.1016/j.ccl.2015.07.011

Coarctation of the Aorta: Strategies for Improving Outcomes

Cardiol Clin. 2015 Nov;33(4):521-30, vii. doi: 10.1016/j.ccl.2015.07.011. Epub 2015 Aug 29.

Authors

Lan Nguyen¹, Stephen C Cook²

Affiliations

¹ Department of Cardiovascular Medicine, Heart and Vascular Institute, University of Pittsburgh, Scaife Hall S560.1, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
² Department of Pediatrics, The Adult Congenital Heart Disease Center, Heart Institute Children's Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Pittsburgh, PA 15224, USA. Electronic address: stephen.cook@chp.edu.

PMID: 26471817
DOI: 10.1016/j.ccl.2015.07.011

Abstract

Coarctation of the aorta is a common congenital heart defect through which management has rapidly evolved over the last few decades. The role of transcatheter-based therapies is expanding and seems to be an effective treatment option for coarctation, especially in adults. Patients with prior coarctation repair are at risk of long-term complications related to prior surgeries and associated congenital heart defects, in particular, the risk of restenosis and aortic aneurysm development related to the timing and mode of prior intervention. This article outlines the evaluation and management of adults with unrepaired coarctation and patients after coarctation repair.

Keywords: Aneurysm; Aorta; Aortic coarctation; Bicuspid aortic valve; Cardiac surgery; Congenital heart disease; Stent; Treatment outcome.

Publication types

Review

MeSH terms

Adult
Age Factors
Aortic Coarctation / diagnosis*
Aortic Coarctation / etiology
Aortic Coarctation / surgery*
Humans
Patient Selection
Treatment Outcome