Matsui Hikoro, Adachi Iki, Uemura Hideki, Gardiner Helena, Ho Siew Yen
Imperial College London and Royal Brompton and Harefield NHS Trust, UK.
Expert Rev Cardiovasc Ther. 2007 Sep;5(5):871-80. doi: 10.1586/14779072.5.5.871.
Obstructive lesions in the aortic arch are comprised of discrete coarctation, tubular hypoplasia and interruption. This review discusses the anatomy of the lesions relevant to interventional treatment. Catheter intervention, using not only balloon angioplasty but also stent implantation for coarctation, has been developed over the past couple of decades as an alternative treatment to surgery. Several studies have reported long-term outcome and the benefits of surgery and catheter intervention for treating obstructive lesions in the aortic arch but more studies are needed for comparable evaluations. The development of imaging and further improvement of surgical and catheter intervention, such as hybrid intervention or new devices, will help in removing the obstruction safely.
