Coarctation of the aorta in adults: do we need surgeons?

Results of stent implantation for native and recurrent coarctation of the aorta—follow‐up of up to 13 years

“…A residual gradient of less than 20 mm Hg is considered acceptable after stent implantation. However, even low but persistent gradients are associated with an increase in the risk of cardiovascular events, such as persistent hypertension and decreased left ventricular function [25][26][27]. Although it is possible that transverse arch hypoplasia may not need treatment, as the hypoplastic segment may remodel itself after effective treatment of the coarctation [28], there seems to be a higher incidence of hypertension in those with a tortuous aortic arch compared with those with normal aortic arch geometry, despite similar degrees of residual narrowing at the original site of repair [8].…”

A premounted stent that can be implanted in infants and re‐dilated to 20 mm: Introducing the Edwards Valeo Lifestent

“…IS prevents elastic recoil of the vessel, which is often the reason for failure with BA [4][5][6]8,[12][13][14][15]. In addition, IS decreases the risk of vessel disruption since the balloon diameters used to accomplish superior results are smaller than the diameters used in BA [3,8,12,13,15].…”

“…IS prevents elastic recoil of the vessel, which is often the reason for failure with BA [4][5][6]8,[12][13][14][15]. In addition, IS decreases the risk of vessel disruption since the balloon diameters used to accomplish superior results are smaller than the diameters used in BA [3,8,12,13,15]. Stents can also ''tack up'' intimal flaps, provide a substrate for smooth neointimal growth, and likely prevent the long-term adverse effects of vessel remodeling leading to pseudoaneurysm formation [3,4,9,15,16].…”

Malposition of Stent a Rare Complication in Coarctation of Aorta Corrected with Extraanatomic Aortic Bypass

“…Studies have also shown stenting to have good results with no recoil of vessel wall or re-stenosis or aneurysm formation. Though rare but this procedure can cause major complication such as balloon rupture mal-position of stent, vascular complication of access site and stroke [3].…”