Editorial
Treatment options for coarctation of the aorta
| The first 150 words of the full text of this article appear below. |
Surgical treatment for coarctation was introduced over 50 years ago and has steadily been refined, with particular improvements in results over the last 10 years or so. Balloon angioplasty was introduced in the mid 1980s, initially for recoarctation and later for unoperated ("native") coarctation. In this issue Thanopoulos and his colleagues from Athens report their favourable early experience of stent implantation to treat coarctation or recoarctation in a small group of children and adolescents.1 Many factors should be taken into account when deciding upon the best treatment for a patient with coarctation including age, coarctation morphology, whether previous surgery has been undertaken, and local institutional results of each type of treatment. Unfortunately there are no clinical trials of appropriate size or design upon which to base an objective judgement of the optimum form of treatment, but it is helpful to compare approximately contemporary studies of surgery, balloon angioplasty, and stent implantation.
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