[Management of aortic coarctation in adult].

Coarctation of the aorta accounts for 7% of congenital heart diseases. It is estimated that currently approximatively 10,000 adult patients have been operated on for coarctation in France. Bicuspid aortic valve occurs in more than 50% of patients. Once operated, patients are not cured. Long-term cardiovascular complications are frequent and have leaded to the concept of systemic arterial disorder. Non-invasive imaging of the aortic arch with MRI or CT scan must be proposed to all adult patients. In the adult, stent placement for discrete coarctation or re-coarctation is the first choice treatment.