Coarctation of aorta (CoA) in adults is often diagnosed incidentally during the work up for secondary or resistant hypertension causes, making it one of the treatable causes of hypertension. Treatment option ranges from surgery to transcatheter interventions. We present two cases of complex coarctation anatomy managed successfully with a transcatheter approach, facilitated by meticulous planning using advanced imaging techniques. The first case had long segment CoA, which required deployment of a custom-made 120 mm long Cheatham platinum stent. The second case had coarctation associated with a hypoplastic arch and left subclavian ostial stenosis which was managed with a combination of covered and uncovered stent. Both patients showed good post-procedural outcomes, confirmed by 3-month follow-up computed tomography (CT) scans, demonstrating well-expanded stents, no endoleak, complete exclusion of aneurysms, and well-perfused great vessels.
JACC Case Reports Interim Editors-in-Chief
Gilbert H. L. Tang, MD, MSc, MBA
CME Editor
Kenneth A. Ellenbogen, MD
Author
Nadira Hamid, MD
Important Dates
Date of Release: June 4, 2025
Term of Approval/Date of CME/MOC Expiration: June 3, 2026