title: Coarctation of the Aorta: Strategies for Improving Outcomes.
abstract: Coarctation of the aorta is a common congenital heart defect through which management has rapidly evolved over the last few decades. The role of transcatheter-based therapies is expanding and seems to be an effective treatment option for coarctation, especially in adults. Patients with prior coarctation repair are at risk of long-term complications related to prior surgeries and associated congenital heart defects, in particular, the risk of restenosis and aortic aneurysm development related to the timing and mode of prior intervention. This article outlines the evaluation and management of adults with unrepaired coarctation and patients after coarctation repair.
authors.affiliation: Department of Cardiovascular Medicine, Heart and Vascular Institute, University of Pittsburgh, Scaife Hall S560.1, 200 Lothrop Street, Pittsburgh, PA 15213, USA.
authors.forename: Lan
authors.initials: L
authors.lastname: Nguyen
authors.affiliation: Department of Pediatrics, The Adult Congenital Heart Disease Center, Heart Institute Children's Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Pittsburgh, PA 15224, USA. Electronic address: stephen.cook@chp.edu.
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Cook
mesh_terms: D000328:Adult; D000367:Age Factors; D001017:Aortic Coarctation / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D016896:Treatment Outcome
keywords: Aneurysm; Aorta; Aortic coarctation; Bicuspid aortic valve; Cardiac surgery; Congenital heart disease; Stent; Treatment outcome