Coarctation of the Aorta in Adulthood

Abstract

Coarctation of the aorta in adulthood presents as a number of clinical scenarios relating to residual coarctation from previous surgical or transcatheter therapy, undiagnosed coarctation presenting with hypertension, or the rarer complications relating to endocarditis, aneurysmal dilatation, or congestive heart failure. Today, recoarctation (and in some cases, native coarctation) is usually treated with transcatheter balloon dilation and covered stent interventions, but there are instances in which surgical therapy is preferable for various anatomic reasons.

Figure Credits

• Figs. 4.1–4.4: Backer CL, Mavroudis C, Zias EA, Amin Z, Weigel TJ. Repair of coarctation with resection and extended end-to-end anastomosis. Ann Thorac Surg. 1998;66:1365–71. (Reproduced with permission of Elsevier).

• Figs. 4.5–4.7, 4.10, 4.14, 4.18: Dodge-Khatami A, Backer CL, Mavroudis C. Risk factors for recoarctation and results of reoperation: a 40-year review. J Card Surg. 2000;15:369–77. (Reproduced with permission of John Wiley & Sons, Inc.)

• Figs. 4.8, 4.9, 4.11–4.13: Mavroudis C. Coarctation of the aorta. In: Mavroudis C, Backer CL, editors. Atlas of Pediatric Cardiac Surgery. London: Springer-Verlag; 2015. p. 73–82. (Reproduced with permission from Springer Nature).

• Figs. 4.15–4.17: Backer CL, Kaushal S, Mavroudis C. Coarctation of the aorta. In: Mavroudis C, Backer CL, editors. Pediatric Cardiac Surgery. 4th ed. Hoboken: John Wiley & Sons; 2013. p. 256–82. (Reproduced with permission from John Wiley & Sons)

• Figs. 4.19–4.23: Backer CL, Stewart RD, Kelle AM, Mavroudis C. Use of partial cardiopulmonary bypass for coarctation repair through eft thoracotomy in children without collaterals. Ann Thorac Surg. 2006;82:964–72. (Reproduced with permission of Elsevier).

• Fig. 4.24: Kische S, Schneider H, Akin I, et al. Technique of interventional repair in adult aortic coarctation. J Vasc Surg. 2010;51:1550–9. (Reproduced with permission from Elsevier).