ABSTRACT
In general coarctation can be divided into recurrent or native obstruction. Although recurrent coarctation is now being addressed with angioplasty or stent angioplasty routinely, native coarctation should still be approached cautiously. For selected older patients, stent placement may be considered as the primary intervention for native coarctation but should be considered in light of the need for growth of the aorta and risk for aneurysm formation. However, the long-term outcome into late adulthood after stent placement has yet to be determined, and investigation continues (Fig. 20.8).
