Surgery for aortic coarctation: a 30 years experience

Abstract

The long-term results of our retrospective study confirm that surgery has to be considered the gold standard for the treatment of aortic coarctation. The interventional angioplasty techniques have to provide long-term outcome at least similar to the results obtained with surgery.

Asymmetric dimethylarginine and vascular indices of atherosclerosis in patients after coarctation of aorta repair

“…The most common cause of premature death in this group is myocardial infarction, which is a problem even in young subjects [2]. It is well established that 30-50% of CoA repaired patients exhibit arterial hypertension (AH) [3,4], which leads to widespread atherosclerosis [2,[5][6][7]. However, recently published data suggests early functional and structural atherosclerotic changes even in normotensive patients after CoA repair [8][9][10][11].…”

Vascular Health and Cardiovascular Prevention in Adult Patients with Congenital Heart Disease

“…[49][50][51][52][53] Early authors speculated that once the CoA was repaired and normal renal perfusion was restored hypertension would resolve. However, it quickly became apparent that an anatomical relief of obstruction did not obviate the long-term vascular and hypertensive risks associated with CoA.…”

Simple Congenital Heart Lesions

“…Coarctation in infants is treated surgically in the majority of centers because of the lower risk of residual obstruction or recurrence compared with percutaneous interventions (37). For isolated coarctation, the surgical mortality approaches zero (38). In the event of recurrent coarctation following surgical repair, balloon angioplasty with or without stent placement is often the first line of therapy.…”