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Thoracic aorta coarctation in the adults: open surgery is still the gold standard

Antonio Bozzani1, Vittorio Arici, Franco Ragni

  • 1Division ofVascular Surgery, Foundation I.R.C.C.S. Policlinico San Matteo, 27100 Pavia, Italy. a.bozzani@smatteo.pv.it

Vascular and Endovascular Surgery
|February 9, 2013
PubMed

Insights

Aortic coarctation, a common congenital heart defect, can be treated with open surgery. This case study highlights open surgical repair as a time-stable and effective treatment for adult aortic coarctation.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Surgical Innovation

Background:

  • Aortic coarctation (CoA) is a significant congenital heart defect, affecting 6-8% of live births with congenital heart disease.
  • Traditional treatment involves open surgical repair, with endovascular procedures emerging as alternatives.
  • Adult presentation of CoA often includes symptoms like hypertension and claudication.

Observation:

  • A 50-year-old male presented with mild lower limb claudication and hypertension.
  • Computed tomography confirmed postductal aortic coarctation.
  • The patient underwent aortoplasty with a Dacron patch for repair.

Findings:

  • Open surgical repair, specifically aortoplasty with a Dacron patch, was successfully performed.
  • The case demonstrates the feasibility of surgical intervention in adult aortic coarctation.

Implications:

  • Open surgical repair of aortic coarctation offers a time-stable and effective long-term outcome.
  • Surgical intervention remains a preferred method for treating adult aortic coarctation.
  • This approach ensures durable results for patients with congenital heart defects.

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