An Insight into Interventions after Previous Coarctation of Aorta Repair

Abstract

After initial intervention for management of coarctation of aorta, recoarctation rates remain variable with different surgical approaches for repair of coarctation of aorta, ranging between 10-41 percent. Various techniques remain prevalent and preferable in different situations and patients of different ages. The most common reintervention is done for restenosis after endovascular balloon dilatation and open surgical repairs. Aneurysmal degeneration is another cause of reintervention, seen after surgical repair and endovascular repair. Endovascular procedures, balloon dilation, stent grafting, and open surgical repairs may be applicable for reintervention. There are specific challenges and risks related to reintervention using either endovascular procedures or open surgical repairs as strategies for restenosis and aneurysms after the previous coarctation of aorta repair.