Endovascular Management of Coarctation of the Aorta

ABSTRACT

Untreated thoracic aortic coarctation leads to early death predominantly because of hypertension and its cardiovascular sequelae. Surgical treatment has been available for > 50 years and has improved hypertension and survival. More recently, endovascular techniques have offered a minimally invasive alternative to traditional open repair. Early and intermediate results suggest angioplasty and stenting have an important role in the management of aortic coarctation, particularly in adults and older children.

Coarctation - endovascular - angioplasty - stenting

REFERENCES

• 1 Campbell M. Natural history of coarctation of the aorta.  Br Heart J. 1970;  32 633-640
• 2 Hoffman J I, Kaplan S. The incidence of congenital heart disease.  J Am Coll Cardiol. 2002;  39 1890-1900
• 3 Mullen M J. Coarctation of the aorta in adults: do we need surgeons?.  Heart. 2003;  89 3-5
• 4 Jenkins N P, Ward C. Coarctation of the aorta: natural history and outcome after surgical treatment.  QJM. 1999;  92 365-371
• 5 Warnes C A. Bicuspid aortic valve and coarctation: two villains part of a diffuse problem.  Heart. 2003;  89 965-966
• 6 Marx G R. “Repaired” aortic coarctation in adults: not a “simple” congenital heart defect.  J Am Coll Cardiol. 2000;  35 1003-1006
• 7 Cohen M, Fuster V, Steele P M, Driscoll D, McGoon D C. Coarctation of the aorta: long-term follow-up and prediction of outcome after surgical correction.  Circulation. 1989;  80 840-845
• 8 Radegran K. The early history of cardiac surgery in Stockholm.  J Card Surg. 2003;  18 564-572
• 9 Carr J A. The results of catheter-based therapy compared with surgical repair of adult aortic coarctation.  J Am Coll Cardiol. 2006;  47 1101-1107
• 10 Daniels S R. Repair of coarctation of the aorta and hypertension: does age matter?.  Lancet. 2001;  358 89
• 11 Walhout R J, Lekkerkerker J C, Oron G H, Bennink G B, Meijboom E J. Comparison of surgical repair with balloon angioplasty for native coarctation in patients from 3 months to 16 years of age.  Eur J Cardiothorac Surg. 2004;  25 722-727
• 12 Shaddy R E, Boucek M M, Sturtevant J E et al.. Comparison of angioplasty and surgery for unoperated coarctation of the aorta.  Circulation. 1993;  87 793-799
• 13 Johnson M C, Canter C E, Strauss A W, Spray T L. Repair of coarctation of the aorta in infancy: comparison of surgical and balloon angioplasty.  Am Heart J. 1993;  125 464-468
• 14 Rao P S, Chopra P S, Koscik R, Smith P A, Wilson A D. Surgical versus balloon therapy for aortic coarctation in infants < or = 3 months old.  J Am Coll Cardiol. 1994;  23 1479-1483
• 15 Hanley F L. The various therapeutic approaches to aortic coarctation: is it fair to compare?.  J Am Coll Cardiol. 1996;  27 471-472
• 16 Cowley C G, Orsmond G S, Feola P, McQuillan L, Shaddy R E. Long-term, randomized comparison of balloon angioplasty and surgery for native coarctation of the aorta in childhood.  Circulation. 2005;  111 3453-3456
• 17 Head C E, Jowett V C, Sharland G K, Simpson J M. Timing of presentation and postnatal outcome of infants suspected of having coarctation of the aorta during fetal life.  Heart. 2005;  91 1070-1074
• 18 Liberman L, Gersony W M, Flynn P A, Lamberti J J, Cooper R S, Stare T J. Effectiveness of prostaglandin E1 in relieving obstruction in coarctation of the aorta without opening the ductus arteriosus.  Pediatr Cardiol. 2004;  25 49-52
• 19 Niwa K, Perloff J K, Bhuta S M et al.. Structural abnormalities of great arterial walls in congenital heart disease: light and electron microscopic analyses.  Circulation. 2001;  103 393-400
• 20 Sehested J, Baandrup U, Mikkelsen E. Different reactivity and structure of the prestenotic and poststenotic aorta in human coarctation: implications for baroreceptor function.  Circulation. 1982;  65 1060-1065
• 21 Isner J M, Donaldson R F, Fulton D, Bhan I, Payne D D, Cleveland R J. Cystic medial necrosis in coarctation of the aorta: a potential factor contributing to adverse consequences observed after percutaneous balloon angioplasty of coarctation sites.  Circulation. 1987;  75 689-695
• 22 de Divitiis M, Pilla C, Kattenhorn M et al.. Vascular dysfunction after repair of coarctation of the aorta: impact of early surgery.  Circulation. 2001;  104(suppl 1) I165-I170
• 23 Gardiner H M, Celermajer D S, Sorensen K E et al.. Arterial reactivity is significantly impaired in normotensive young adults after successful repair of aortic coarctation in childhood.  Circulation. 1994;  89 1745-1750
• 24 Franklin S S, Gustin W T, Wong N D et al.. Hemodynamic patterns of age-related changes in blood pressure. The Framingham Heart Study.  Circulation. 1997;  96 308-315
• 25 Hoffman J I, Kaplan S, Liberthson R R. Prevalence of congenital heart disease.  Am Heart J. 2004;  147 425-439
• 26 de Divitiis M, Rubba P, Calabro R. Arterial hypertension and cardiovascular prognosis after successful repair of aortic coarctation: a clinical model for the study of vascular function.  Nutr Metab Cardiovasc Dis. 2005;  15 382-394
• 27 Ward K E, Pryor R W, Matson J R, Razook J D, Thompson W M, Elkins R C. Delayed detection of coarctation in infancy: implications for timing of newborn follow-up.  Pediatrics. 1990;  86 972-976
• 28 Ing F F, Starc T J, Griffiths S P, Gersony W M. Early diagnosis of coarctation of the aorta in children: a continuing dilemma.  Pediatrics. 1996;  98 378-382
• 29 Rhodes A B, O'Donnell S D, Gillespie D L et al.. The endovascular management of recurrent aortic hypoplasia and coarctation in a 15-year-old male.  J Vasc Surg. 2005;  41 531-534
• 30 Ramnarine I. Role of surgery in the management of the adult patient with coarctation of the aorta.  Postgrad Med J. 2005;  81 243-247
• 31 Sechtem U. Imaging of aortic coarctation: difficult choices.  Eur Heart J. 1995;  16 1315-1316
• 32 Mendelsohn A M, Banerjee A, Donnelly L F, Schwartz D C. Is echocardiography or magnetic resonance imaging superior for precoarctation angioplasty evaluation?.  Cathet Cardiovasc Diagn. 1997;  42 26-30
• 33 McCrindle B W. Coarctation of the aorta.  Curr Opin Cardiol. 1999;  14 448-452
• 34 Engvall J, Sjoqvist L, Nylander E, Thuomas K A, Wranne B. Biplane transoesophageal echocardiography, transthoracic Doppler, and magnetic resonance imaging in the assessment of coarctation of the aorta.  Eur Heart J. 1995;  16 1399-1409
• 35 Marx G R, Allen H D. Accuracy and pitfalls of Doppler evaluation of the pressure gradient in aortic coarctation.  J Am Coll Cardiol. 1986;  7 1379-1385
• 36 Rao P S, Carey P. Doppler ultrasound in the prediction of pressure gradients across aortic coarctation.  Am Heart J. 1989;  118 299-307
• 37 Lim D S, Ralston M A. Echocardiographic indices of Doppler flow patterns compared with MRI or angiographic measurements to detect significant coarctation of the aorta.  Echocardiography. 2002;  19 55-60
• 38 Carvalho J S, Redington A N, Shinebourne E A, Rigby M L, Gibson D. Continuous wave Doppler echocardiography and coarctation of the aorta: gradients and flow patterns in the assessment of severity.  Br Heart J. 1990;  64 133-137
• 39 Araoz P A, Reddy G P, Tarnoff H, Roge C L, Higgins C B. MR findings of collateral circulation are more accurate measures of hemodynamic significance than arm-leg blood pressure gradient after repair of coarctation of the aorta.  J Magn Reson Imaging. 2003;  17 177-183
• 40 Godart F, Labrot G, Devos P, McFadden E, Rey C, Beregi J P. Coarctation of the aorta: comparison of aortic dimensions between conventional MR imaging, 3D MR angiography, and conventional angiography.  Eur Radiol. 2002;  12 2034-2039
• 41 Didier D, Saint-Martin C, Lapierre C et al.. Coarctation of the aorta: pre and postoperative evaluation with MRI and MR angiography: correlation with echocardiography and surgery.  Int J Cardiovasc Imaging. 2006;  22 457-475
• 42 Nielsen J C, Powell A J, Gauvreau K, Marcus E N, Prakash A, Geva T. Magnetic resonance imaging predictors of coarctation severity.  Circulation. 2005;  111 622-628
• 43 Rao P S, Galal O, Smith P A, Wilson A D. Five- to nine-year follow-up results of balloon angioplasty of native aortic coarctation in infants and children.  J Am Coll Cardiol. 1996;  27 462-470
• 44 Toro-Salazar O H, Steinberger J, Thomas W, Rocchini A P, Carpenter B, Moller J H. Long-term follow-up of patients after coarctation of the aorta repair.  Am J Cardiol. 2002;  89 541-547
• 45 Piechaud J F. Stent implantation for coarctation in adults.  J Interv Cardiol. 2003;  16 413-418
• 46 Waldman J D, Karp R B. How should we treat coarctation of the aorta?.  Circulation. 1993;  87 1043-1045
• 47 Eicken A, Pensl U, Sebening W et al.. The fate of systemic blood pressure in patients after effectively stented coarctation.  Eur Heart J. 2006;  27 1100-1105
• 48 Deanfield J, Thaulow E, Warnes C et al.. Management of grown up congenital heart disease.  Eur Heart J. 2003;  24 1035-1084
• 49 Allison T G, Cordeiro M A, Miller T D, Daida H, Squires R W, Gau G T. Prognostic significance of exercise-induced systemic hypertension in healthy subjects.  Am J Cardiol. 1999;  83 371-375
• 50 Singh J P, Larson M G, Manolio T A et al.. Blood pressure response during treadmill testing as a risk factor for new-onset hypertension. The Framingham Heart Study.  Circulation. 1999;  99 1831-1836
• 51 O'Sullivan J J, Derrick G, Darnell R. Prevalence of hypertension in children after early repair of coarctation of the aorta: a cohort study using casual and 24 hour blood pressure measurement.  Heart. 2002;  88 163-166
• 52 Seirafi P A, Warner K G, Geggel R L, Payne D D, Cleveland R J. Repair of coarctation of the aorta during infancy minimizes the risk of late hypertension.  Ann Thorac Surg. 1998;  66 1378-1382
• 53 Presbitero P, Demarie D, Villani M et al.. Long term results (15-30 years) of surgical repair of aortic coarctation.  Br Heart J. 1987;  57 462-467
• 54 Dodge-Khatami A, Backer C L, Mavroudis C. Risk factors for recoarctation and results of reoperation: a 40-year review.  J Card Surg. 2000;  15 369-377
• 55 McElhinney D B, Yang S G, Hogarty A N et al.. Recurrent arch obstruction after repair of isolated coarctation of the aorta in neonates and young infants: is low weight a risk factor?.  J Thorac Cardiovasc Surg. 2001;  122 883-890
• 56 Wells W J, Prendergast T W, Berdjis F et al.. Repair of coarctation of the aorta in adults: the fate of systolic hypertension.  Ann Thorac Surg. 1996;  61 1168-1171
• 57 Ozyazicioglu A, Ates A, Yekeler I, Balci A Y, Bozkurt E. Repair of coarctation of the aorta in adults and hypertension.  Cardiovasc Surg. 2003;  11 353-357
• 58 Fawzy M E, Awad M, Hassan W, Al Kadhi Y, Shoukri M, Fadley F. Long-term outcome (up to 15 years) of balloon angioplasty of discrete native coarctation of the aorta in adolescents and adults.  J Am Coll Cardiol. 2004;  43 1062-1067
• 59 Pilla C B, Fontes V F, Pedra C A. Endovascular stenting for aortic coarctation.  Expert Rev Cardiovasc Ther. 2005;  3 879-890
• 60 Marshall A C, Perry S B, Keane J F, Lock J E. Early results and medium-term follow-up of stent implantation for mild residual or recurrent aortic coarctation.  Am Heart J. 2000;  139 1054-1060
• 61 Bauer M, Alexi-Meskishvili V V, Bauer U, Alfaouri D, Lange P E, Hetzer R. Benefits of surgical repair of coarctation of the aorta in patients older than 50 years.  Ann Thorac Surg. 2001;  72 2060-2064
• 62 Siewers R D, Ettedgui J, Pahl E, Tallman T, del Nido P J. Coarctation and hypoplasia of the aortic arch: will the arch grow?.  Ann Thorac Surg. 1991;  52 608-613 discussion 613-614
• 63 Shih M C, Tholpady A, Kramer C M, Sydnor M K, Hagspiel K D. Surgical and endovascular repair of aortic coarctation: normal findings and appearance of complications on CT angiography and MR angiography.  AJR Am J Roentgenol. 2006;  187 W302-W312
• 64 Sakopoulos A G, Hahn T L, Turrentine M, Brown J W. Recurrent aortic coarctation: is surgical repair still the gold standard?.  J Thorac Cardiovasc Surg. 1998;  116 560-565
• 65 Yetman A T, Nykanen D, McCrindle B W et al.. Balloon angioplasty of recurrent coarctation: a 12-year review.  J Am Coll Cardiol. 1997;  30 811-816
• 66 Maheshwari S, Bruckheimer E, Fahey J T, Hellenbrand W E. Balloon angioplasty of postsurgical recoarctation in infants: the risk of restenosis and long-term follow-up.  J Am Coll Cardiol. 2000;  35 209-213
• 67 Gibbs J L. Treatment options for coarctation of the aorta.  Heart. 2000;  84 11-13
• 68 Bacha E A, Almodovar M, Wessel D L et al.. Surgery for coarctation of the aorta in infants weighing less than 2 kg.  Ann Thorac Surg. 2001;  71 1260-1264
• 69 Bhat M A, Neelakandhan K S, Unnikrishnan M, Rathore R S, Mohan Singh M P, Lone G N. Fate of hypertension after repair of coarctation of the aorta in adults.  Br J Surg. 2001;  88 536-538
• 70 Backer C L. Coarctation: the search for the Holy Grail.  J Thorac Cardiovasc Surg. 2003;  126 329-331
• 71 Chessa M, Carrozza M, Butera G et al.. Results and mid-long-term follow-up of stent implantation for native and recurrent coarctation of the aorta.  Eur Heart J. 2005;  26 2728-2732
• 72 Fletcher S E, Nihill M R, Grifka R G, O'Laughlin M P, Mullins C E. Balloon angioplasty of native coarctation of the aorta: midterm follow-up and prognostic factors.  J Am Coll Cardiol. 1995;  25 730-734
• 73 Zabal C, Attie F, Rosas M, Buendia-Hernandez A, Garcia-Montes J A. The adult patient with native coarctation of the aorta: balloon angioplasty or primary stenting?.  Heart. 2003;  89 77-83
• 74 von Kodolitsch Y, Aydin M A, Koschyk D H et al.. Predictors of aneurysmal formation after surgical correction of aortic coarctation.  J Am Coll Cardiol. 2002;  39 617-624
• 75 Bogaert J, Gewillig M, Rademakers F et al.. Transverse arch hypoplasia predisposes to aneurysm formation at the repair site after patch angioplasty for coarctation of the aorta.  J Am Coll Cardiol. 1995;  26 521-527
• 76 Knyshov G V, Sitar L L, Glagola M D, Atamanyuk M Y. Aortic aneurysms at the site of the repair of coarctation of the aorta: a review of 48 patients.  Ann Thorac Surg. 1996;  61 935-939
• 77 Celermajer D S, Greaves K. Survivors of coarctation repair: fixed but not cured.  Heart. 2002;  88 113-114
• 78 Walhout R J, Lekkerkerker J C, Oron G H, Hitchcock F J, Meijboom E J, Bennink G B. Comparison of polytetrafluoroethylene patch aortoplasty and end-to-end anastomosis for coarctation of the aorta.  J Thorac Cardiovasc Surg. 2003;  126 521-528
• 79 Backer C L, Paape K, Zales V R, Weigel T J, Mavroudis C. Coarctation of the aorta: repair with polytetrafluoroethylene patch aortoplasty.  Circulation. 1995;  92(suppl) II132-II136
• 80 Ince H, Petzsch M, Rehders T et al.. Percutaneous endovascular repair of aneurysm after previous coarctation surgery.  Circulation. 2003;  108 2967-2970
• 81 Preventza O, Wheatley III G H, Williams J et al.. Endovascular approaches for complex forms of recurrent aortic coarctation.  J Endovasc Ther. 2006;  13 400-405
• 82 Ralph-Edwards A C, Williams W G, Coles J C, Rebeyka I M, Trusler G A, Freedom R M. Reoperation for recurrent aortic coarctation.  Ann Thorac Surg. 1995;  60 1303-1307
• 83 Koller M, Rothlin M, Senning A. Coarctation of the aorta-review of 362 operated patients: long-term follow-up and assessment of prognostic variables.  Eur Heart J. 1987;  8 670-679
• 84 Choy M, Rocchini A P, Beekman R H et al.. Paradoxical hypertension after repair of coarctation of the aorta in children: balloon angioplasty versus surgical repair.  Circulation. 1987;  75 1186-1191
• 85 Singer M I, Rowen M, Dorsey T J. Transluminal aortic balloon angioplasty for coarctation of the aorta in the newborn.  Am Heart J. 1982;  103 131-132
• 86 McCrindle B W, Jones T K, Morrow W R et al.. Acute results of balloon angioplasty of native coarctation versus recurrent aortic obstruction are equivalent. Valvuloplasty and Angioplasty of Congenital Anomalies (VACA) Registry Investigators.  J Am Coll Cardiol. 1996;  28 1810-1817
• 87 Macdonald S, Thomas S M, Cleveland T J, Gaines P A. Angioplasty or stenting in adult coarctation of the aorta? A retrospective single center analysis over a decade.  Cardiovasc Intervent Radiol. 2003;  26 357-364
• 88 Suarez de Lezo J, Pan M, Romero M et al.. Percutaneous interventions on severe coarctation of the aorta: a 21-year experience.  Pediatr Cardiol. 2005;  26 176-189
• 89 Paddon A J, Nicholson A A, Ettles D F, Travis S J, Dyet J F. Long-term follow-up of percutaneous balloon angioplasty in adult aortic coarctation.  Cardiovasc Intervent Radiol. 2000;  23 364-367
• 90 O'Laughlin M P, Perry S B, Lock J E, Mullins C E. Use of endovascular stents in congenital heart disease.  Circulation. 1991;  83 1923-1939
• 91 George J C, Shim D, Bucuvalas J C et al.. Cost-effectiveness of coarctation repair strategies: endovascular stenting versus surgery.  Pediatr Cardiol. 2003;  24 544-547
• 92 Sanders S P. Endovascular stent treatment of aortic coarctation.  Am Heart J. 2000;  139 936-938
• 93 Lee M L. Endovascular stent for the aortic coarctation in a 1.7-kg premie presenting intractable heart failure.  Int J Cardiol. 2006;  113 236-238
• 94 Schranz D, Zartner P, Michel-Behnke I, Akinturk H. Bioabsorbable metal stents for percutaneous treatment of critical recoarctation of the aorta in a newborn.  Catheter Cardiovasc Interv. 2006;  67 671-673
• 95 Mahadevan V, Mullen M J. Endovascular management of aortic coarctation.  Int J Cardiol. 2004;  97(suppl 1) 75-78
• 96 Ohkubo M, Takahashi K, Kishiro M, Akimoto K, Yamashiro Y. Histological findings after angioplasty using conventional balloon, radiofrequency thermal balloon, and stent for experimental aortic coarctation.  Pediatr Int. 2004;  46 39-47
• 97 Rosenthal E. Stent implantation for aortic coarctation: the treatment of choice in adults?.  J Am Coll Cardiol. 2001;  38 1524-1527
• 98 Rao P S, Wilson A D, Brazy J. Transumbilical balloon coarctation angioplasty in neonates with critical aortic coarctation.  Am Heart J. 1992;  124 1622-1624
• 99 Rao P S, Waterman B. Relation of biophysical response of coarcted aortic segment to balloon dilatation with development of recoarctation following balloon angioplasty of native coarctation.  Heart. 1998;  79 407-411
• 100 Ovaert C, McCrindle B W, Nykanen D, MacDonald C, Freedom R M, Benson L N. Balloon angioplasty of native coarctation: clinical outcomes and predictors of success.  J Am Coll Cardiol. 2000;  35 988-996
• 101 Siblini G, Rao P S, Nouri S, Ferdman B, Jureidini S B, Wilson A D. Long-term follow-up results of balloon angioplasty of postoperative aortic recoarctation.  Am J Cardiol. 1998;  81 61-67
• 102 Walhout R J, Lekkerkerker J C, Ernst S M, Hutter P A, Plokker T H, Meijboom E J. Angioplasty for coarctation in different aged patients.  Am Heart J. 2002;  144 180-186
• 103 Tyagi S, Singh S, Mukhopadhyay S, Kaul U A. Self- and balloon-expandable stent implantation for severe native coarctation of aorta in adults.  Am Heart J. 2003;  146 920-928
• 104 Ledesma M, Alva C, Gomez F D et al.. Results of stenting for aortic coarctation.  Am J Cardiol. 2001;  88 460-462
• 105 Hamdan M A, Maheshwari S, Fahey J T, Hellenbrand W E. Endovascular stents for coarctation of the aorta: initial results and intermediate-term follow-up.  J Am Coll Cardiol. 2001;  38 1518-1523
• 106 Magee A G, Brzezinska-Rajszys G, Qureshi S A et al.. Stent implantation for aortic coarctation and recoarctation.  Heart. 1999;  82 600-606
• 107 Duke C, Rosenthal E, Qureshi S A. The efficacy and safety of stent redilatation in congenital heart disease.  Heart. 2003;  89 905-912
• 108 Suarez de Lezo J, Pan M, Romero M et al.. Immediate and follow-up findings after stent treatment for severe coarctation of aorta.  Am J Cardiol. 1999;  83 400-406
• 109 Ebeid M R, Prieto L R, Latson L A. Use of balloon-expandable stents for coarctation of the aorta: initial results and intermediate-term follow-up.  J Am Coll Cardiol. 1997;  30 1847-1852
• 110 Fejzic Z, van Oort A. Fatal dissection of the descending aorta after implantation of a stent in a 19-year-old female with Turner's syndrome.  Cardiol Young. 2005;  15 529-531
• 111 Harrison D A, McLaughlin P R, Lazzam C, Connelly M, Benson L N. Endovascular stents in the management of coarctation of the aorta in the adolescent and adult: one year follow up.  Heart. 2001;  85 561-566
• 112 Boshoff D, Budts W, Mertens L et al.. Stenting of hypoplastic aortic segments with mild pressure gradients and arterial hypertension.  Heart. 2006;  92 1661-1666
• 113 Thanopoulos B D, Hadjinikolaou L, Konstadopoulou G N, Tsaousis G S, Triposkiadis F, Spirou P. Stent treatment for coarctation of the aorta: intermediate term follow up and technical considerations.  Heart. 2000;  84 65-70
• 114 deGiovanni J V, Lip G Y, Osman K et al.. Percutaneous balloon dilatation of aortic coarctation in adults.  Am J Cardiol. 1996;  77 435-439
• 115 Tyagi S, Arora R, Kaul U A, Sethi K K, Gambhir D S, Khalilullah M. Balloon angioplasty of native coarctation of the aorta in adolescents and young adults.  Am Heart J. 1992;  123 674-680
• 116 Hellenbrand W E, Allen H D, Golinko R J, Hagler D J, Lutin W, Kan J. Balloon angioplasty for aortic recoarctation: results of Valvuloplasty and Angioplasty of Congenital Anomalies Registry.  Am J Cardiol. 1990;  65 793-797
• 117 Golden A B, Hellenbrand W E. Coarctation of the aorta: stenting in children and adults.  Catheter Cardiovasc Interv. 2007;  69 289-299
• 118 Mahadevan V S, Vondermuhll I F, Mullen M J. Endovascular aortic coarctation stenting in adolescents and adults: angiographic and hemodynamic outcomes.  Catheter Cardiovasc Interv. 2006;  67 268-275
• 119 Shah L, Hijazi Z, Sandhu S, Joseph A, Cao Q L. Use of endovascular stents for the treatment of coarctation of the aorta in children and adults: immediate and midterm results.  J Invasive Cardiol. 2005;  17 614-618
• 120 Pedra C A, Fontes V F, Esteves C A et al.. Stenting vs. balloon angioplasty for discrete unoperated coarctation of the aorta in adolescents and adults.  Catheter Cardiovasc Interv. 2005;  64 495-506
• 121 Hornung T S, Benson L N, McLaughlin P R. Interventions for aortic coarctation.  Cardiol Rev. 2002;  10 139-148
• 122 Tynan M, Finley J P, Fontes V, Hess J, Kan J. Balloon angioplasty for the treatment of native coarctation: results of Valvuloplasty and Angioplasty of Congenital Anomalies Registry.  Am J Cardiol. 1990;  65 790-792
• 123 Robles P, Olmedilla P, Jimenez J J. Aneurysm formation following stent implantation for aortic coarctation detected by multidetector computed cardiac tomography.  Eur Heart J. 2006;  27 2774
• 124 Ussia G P, Marasini M, Pongiglione G. Paraplegia following percutaneous balloon angioplasty of aortic coarctation: a case report.  Catheter Cardiovasc Interv. 2001;  54 510-513
• 125 Ledesma M, Jauregui R, Ceron C K et al.. Stent fracture after stent therapy for aortic coarctation.  J Invasive Cardiol. 2003;  15 719-721
• 126 Carrozza M, Santoro G, Giovanna Russo M, Caianiello G, Calabro R. Stress stent fracture: is stent angioplasty really a safe therapeutic option in native aortic coarctation?.  Int J Cardiol. 2006;  113 127-128
• 127 Swan L, Goyal S, Hsia C, Hechter S, Webb G, Gatzoulis M A. Exercise systolic blood pressures are of questionable value in the assessment of the adult with a previous coarctation repair.  Heart. 2003;  89 189-192
• 128 Benbassat J, Froom P. Blood pressure response to exercise as a predictor of hypertension.  Arch Intern Med. 1986;  146 2053-2055
• 129 Vriend J W, Mulder B J. Late complications in patients after repair of aortic coarctation: implications for management.  Int J Cardiol. 2005;  101 399-406
• 130 Johnson D, Perrault H, Vobecky S J, Fournier A, Davignon A. Influence of the postoperative period and surgical procedure on ambulatory blood pressure-determination of hypertension load after successful surgical repair of coarctation of the aorta.  Eur Heart J. 1998;  19 638-646
• 131 Sigurdardottir L Y, Helgason H. Exercise-induced hypertension after corrective surgery for coarctation of the aorta.  Pediatr Cardiol. 1996;  17 301-307
• 132 Hauser M. Exercise blood pressure in congenital heart disease and in patients after coarctation repair.  Heart. 2003;  89 125-126
• 133 De Mey S, Segers P, Coomans I, Verhaaren H, Verdonck P. Limitations of Doppler echocardiography for the post-operative evaluation of aortic coarctation.  J Biomech. 2001;  34 951-960
• 134 Baum U, Anders K, Ropers D et al.. Multi-slice spiral CT imaging after surgical treatment of aortic coarctation.  Eur Radiol. 2005;  15 353-355
• 135 Therrien J, Thorne S A, Wright A, Kilner P J, Somerville J. Repaired coarctation: a “cost-effective” approach to identify complications in adults.  J Am Coll Cardiol. 2000;  35 997-1002
• 136 Vriend J W, Oosterhof T, Mulder B. Noninvasive imaging for the postoperative assessment of aortic coarctation patients.  Chest. 2005;  127 2295
• 137 Bogaert J, Kuzo R, Dymarkowski S et al.. Follow-up of patients with previous treatment for coarctation of the thoracic aorta: comparison between contrast-enhanced MR angiography and fast spin-echo MR imaging.  Eur Radiol. 2000;  10 1847-1854
• 138 Ino T, Ohkubo M. Dilation mechanism, causes of restenosis and stenting in balloon coarctation angioplasty.  Acta Paediatr. 1997;  86 367-371
• 139 Pearl J M, Manning P B, Franklin C, Beekman R, Cripe L. Risk of recoarctation should not be a deciding factor in the timing of coarctation repair.  Am J Cardiol. 2004;  93 803-805
• 140 Zoghbi J, Serraf A, Mohammadi S et al.. Is surgical intervention still indicated in recurrent aortic arch obstruction?.  J Thorac Cardiovasc Surg. 2004;  127 203-212
• 141 Younoszai A K, Reddy V M, Hanley F L, Brook M M. Intermediate term follow-up of the end-to-side aortic anastomosis for coarctation of the aorta.  Ann Thorac Surg. 2002;  74 1631-1634
• 142 Fiore A C, Fischer L K, Schwartz T et al.. Comparison of angioplasty and surgery for neonatal aortic coarctation.  Ann Thorac Surg. 2005;  80 1659-1664 discussion 1664-1655
• 143 Sweeney M S, Walker W E, Duncan J M, Hallman G L, Livesay J J, Cooley D A. Reoperation for aortic coarctation: techniques, results, and indications for various approaches.  Ann Thorac Surg. 1985;  40 46-49
• 144 Park Y, Lucas V W, Sklansky M S, Kashani I A, Rothman A. Balloon angioplasty of native aortic coarctation in infants 3 months of age and younger.  Am Heart J. 1997;  134 917-923
• 145 Hassan W, Malik S, Akhras N, Amri M A, Shoukri M, Fawzy M E. Long-term results (up to 18 years) of balloon angioplasty on systemic hypertension in adolescent and adult patients with coarctation of the aorta.  Clin Cardiol. 2007;  30 75-80
• 146 Brouwer R M, Erasmus M E, Ebels T, Eijgelaar A. Influence of age on survival, late hypertension, and recoarctation in elective aortic coarctation repair: including long-term results after elective aortic coarctation repair with a follow-up from 25 to 44 years.  J Thorac Cardiovasc Surg. 1994;  108 525-531
• 147 Ozkokeli M, Gunduz H, Sensoz Y et al.. Blood pressure changes after aortic coarctation surgery performed in adulthood.  J Card Surg. 2005;  20 319-321
• 148 Bulbul Z R, Bruckheimer E, Love J C, Fahey J T, Hellenbrand W E. Implantation of balloon-expandable stents for coarctation of the aorta: implantation data and short-term results.  Cathet Cardiovasc Diagn. 1996;  39 36-42