Coarctation-Related Aneurysms Should Be Treated Endovascularly

Accessible online at: http://aorta.scienceinternational.org * Corresponding Author: Zvonimir Krajcer, MD Department of Cardiology Texas Heart Institute Baylor College of Medicine, Houston, Texas 77030, USA Tel: +1 713 790 9401, Fax: +1 713 790 0353, E-Mail: [email protected] Abstract For patients with coarctation of the aorta (CoA), surgical intervention results in an overall survival rate nearly twice that of medical management. Therefore, surgical correction of CoA has traditionally been warranted in the majority of patients, even though open repair entails its own complications. With the advent of endovascular technology, many interventionalists hoped that this approach would decrease the complications associated with open surgical repair of CoA. Nevertheless, there is still an ongoing debate about the merits of traditional open surgery versus endovascular therapy. In this review, we discuss the role of these two approaches for the management of CoA, recoarctation, and coarctation-related aneurysms.