Cardoso Goncalo, Abecasis Miguel, Anjos Rui, Marques Marta, Koukoulis Giovanna, Aguiar Carlos, Neves José Pedro
Department of Cardiology, Santa Cruz Hospital, CHLO, Carnaxide, Portugal.
J Card Surg. 2014 Jul;29(4):512-8. doi: 10.1111/jocs.12367. Epub 2014 Jun 3.
Aortic coarctation can be repaired surgically or percutaneously. The decision should be made according to the anatomy and location of the coarctation, age of the patient, presence of other cardiac lesions, and other anatomic determinants (extensive collaterals or aortic calcification). This article reviews the different therapeutic options available, explaining the differences between children and adults, describing different approaches to the same disease, exemplified by three cases of nonclassic surgical approach and one percutaneous treatment.
主动脉缩窄可通过手术或经皮介入治疗。应根据缩窄的解剖结构和位置、患者年龄、是否存在其他心脏病变以及其他解剖学决定因素（广泛的侧支血管或主动脉钙化）来做出决策。本文回顾了现有的不同治疗选择，解释儿童和成人之间的差异，描述针对同一疾病的不同治疗方法，并以三例非经典手术方法和一例经皮治疗的病例为例进行说明。
