Cor Vasa 2015, 57(3):e181-e186 | DOI: 10.1016/j.crvasa.2015.03.008

Endovascular management of coarctation of the aorta in adult patients

Jiří Novotný^*, Jan H. Peregrin

Základna radiodiagnostiky a intervenční radiologie, Institut klinické a experimentální medicíny, Praha, Česká republika

Background: Coarctation is a congenital heart defect with an incidence of 5-8%, more frequent in boys; however, the overwhelming majority of patients undergo surgery earlier as pediatric patients. Currently, the treatment of choice in adolescents and adults is endovascular management.

Method: We used all three common catheter-based techniques: simple balloon dilatation, stent placement, and stent-graft placement. All treated patients underwent pre- and postprocedural CT angiography.
Group of patients: Between 2004 and 2014, we treated a total of 10 patients with coarctation. They included seven men and three women, with a mean age of 41.1 (21-59) years. Eight patients were treated for native coarctation, and two for re-coarctation. Dominant features included hypertension (eight patients) and left-sided heart failure (four patients); some patients presented with multiple conditions at a time. Simple dilatation was performed in two patients while four had both stent and stent-graft placement.

Results: All procedures were technically successful, with a long-term beneficial effect seen in all patients. All patients with hypertension showed improvement, with medication either reduced or completely discontinued in four cases.

Keywords: Balloon dilatation; Coarctation of the aorta; Endovascular management; Stent; Stent graft

Received: January 30, 2015; Revised: March 5, 2015; Accepted: March 6, 2015; Published: June 1, 2015  Show citation