Surgical management of adult coarctation of THE aorta

Abstract

The number of adult patients with nowadays coarctation of the aorta is very small. Coarctation of the aorta in the adult is more common in males than in female. Adult of these patients appear with an athletic chest and shoulders but with narrow hips and thin legs, They may complain of headache, lower extremity fatiguability or claudication,epistaxis,lower extremity coldness,exertional dyspneaand angina. In adults, the balloon dilation and stenting of native coarctation have resulted in complications as aortic dissection, so it is recommended only for patients with significant comorbidites. Open repair of native and recurrent adultaortic coarctation has acceptable morbidity and low mortality. Several surgical techniques are used in the management of isolated aortic coarctation.These include resection and end-to-end anastomosis, resection and extended end-to-end anastomosis, prosthetic patch aortoplasty, subclavian flap aortoplasty.