the coarctation of the aorta (coa) is rare in adulthood. diagnosis is made by clinical suspicion and physical findings such as blood pressure difference between the upper and lower extremities, pulse delay in the femoral artery, and systolic murmur over the thoracic spine.the coa in adulthood and in patients with associated aneurysm is challenging and different complications even with proper tr...

t rue saccular aneurysm is exceptional in coarctation of aorta in children. a 6-year-old girl with headache and systemic arterial hypertension referred to our center for cardiovascular evaluation. physical examination revealed high blood pressure and weak lower extremity pulses. two-dimensional and doppler echocardiography and angiography demonstrated a saccular aneurysm of the descending aorta...

Combination of ruptured sinus of Valsalva aneurysm (SVA), and a coexisting asymptomatic adult aortic isthmic coarctation is extremely rare. The timing and sequence of surgical and/or interventional repair of these two pathologies are controversial. We present a case of a 37-year-old male who was admitted to our department because of severe acute congestive heart failure and signs of ruptured an...

OBJECTIVES We sought to identify the predictors of aneurysmal formation after surgical correction of aortic coarctation. BACKGROUND In 9% of patients, aneurysms develop late after corrective surgery of coarctation of the aorta, with a 36% mortality rate if left untreated. However, the predictors of postsurgical aneurysmal formation are unknown. METHODS Of 25 aortic aneurysms requiring corre...

RATIONALE Coarctation of aorta in adulthood is usually complicated by other cardiovascular anomalies, posing great technical challenge for intervention. PATIENT CONCERNS Here, we report an extremely rare case of aortic arch coarctation combined with a poststenotic biloculated calcified aneurysm and hypoplastic left subclavian artery. INTERVENTIONS First, an extra-anatomic bypass was establi...

A case of Turner's syndrome is described associated with bicuspid aortic stenosis and fatal rupture of a thoracic dissecting aortic aneurysm. Histology of the aneurysm showed severe cystic medial necrosis. This association has not been previously described in the absence of coarctation. In view of the possibility of surgical repair, dissecting aortic aneurysm should be considered in all patient...

The intraluminal stent-graft placement is preferred for alleviation of symptoms as well prolonging life span adult aortic coarctation.
 We presented here the interventional treatment option a 44 years old coarctation patient with complex isthmic anatomy: long segment stenosis beginning before left subclavian artery ostia, proximal aneurysm, multilobulated aneurysm descending aort, poststen...

balloon angioplasty for aortic coarctation was introduced in 1979 for the fust time.1 this procedure soon became the choice treatment for restenosis of operated coarctation,2-5 but remains controversial for native (unoperated) coarctation. however, it seems to be rapidly becoming the intervention of choice for relief of unoperated coarctation as well. in this study, we evaluate the outcome of t...

It is well known that about one-third of the patients with Turner's syndrome have coarctation of the aorta; however, only a relatively small number of patients with Turner's syndrome and coarctation of the aorta have been found to also have an aortic aneurysm Patients with Turner's syndrome and aortic aneurysm but without coarctation of the aorta have been documented even less frequently.'" We ...

BACKGROUND The mechanism of the late complications after coarctation repair remains unclear, and this common congenital heart disease affects patients and perplexes physicians in terms of prevention and treatment. METHODS From 2004 to 2008, 13 patients (1 adolescent and 12 adults) with repaired or unrepaired coarctation of the aorta were operated on in this department due to valve disorder or...