title: Coarctation of the aorta in adults: what is the best treatment? Case report and literature review.
abstract: Coarctation of the aorta is a congenital cardiac malformation that can go undiagnosed until old age with only hypertension as a marker of its presence because clinical signs can be subtle and overlooked if a complete physical exam is not performed. We report the case of a 45 year-old women, diagnosed with severe coarctation of the aorta just distal to the left subclavian artery, with poststenotic dilatation of the descending aorta and difficult control of blood pressure values. The patient was successfully treated interventionally, by balloon angioplasty with deployment of a covered stent. We review here the different methods employed for the treatment of coarctation of the aorta in adults, including surgical or percutaneous balloon angioplasty with or without stent placement, underlying their complications and the factors that influence the choice of the best coarctation repair method.
authors.affiliation: Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. rjurcut@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Jurcut
authors.forename: A M
authors.initials: AM
authors.lastname: Daraban
authors.forename: A
authors.initials: A
authors.lastname: Lorber
authors.forename: D
authors.initials: D
authors.lastname: Deleanu
authors.forename: M S
authors.initials: MS
authors.lastname: Amzulescu
authors.forename: C
authors.initials: C
authors.lastname: Zara
authors.forename: B A
authors.initials: BA
authors.lastname: Popescu
authors.forename: C
authors.initials: C
authors.lastname: Ginghina
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000150:complications / Q000000981:diagnostic imaging; D008875:Middle Aged; D013902:Radiography, Thoracic; D015607:Stents; D014057:Tomography, X-Ray Computed