{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:30:12Z","timestamp":1768433412418,"version":"3.49.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Aortic coarctation is a congenital defect which rarely presents in adulthood but results in significant morbidity and mortality. Endovascular techniques present novel therapeutic options for managing this anomaly with comparable results to traditional open surgical repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We convey a case of postductal aortic coarctation in a symptomatic 31-year-old woman, undetected, despite 27 years history of congenital bicuspid valve with aortic incompetence. We staged a successful endovascular repair following presentation with hypertension, abdominal pain, and worsening lower limb claudication. This lady recovered well, eventually giving birth to twins after a successful caesarean section delivery. The anatomical, clinical and technical features of the case are appraised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Aortic coarctation is classified anatomically as preductal (infantile) or postductal (adult) and the morphological spectrum of abnormality ranges from a discrete stenosis distal to the left subclavian to a hypoplastic transverse arch and aortic isthmus presenting in infancy. Its incidence is 0.2\u20130.6 per 100 live births. Traditional open surgical repair of aortic coarctation is associated with high morbidity and mortality. Advances in endovascular techniques with their associated shorter hospital time and lower costs, reduced short term morbidity and mortality mean that they are likely to become mainstays of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>The presentation of aortic coarctation for the first time in an adult is extremely unusual. Error and delayed diagnosis can never be fully exempted in the practice of medicine even with the most advanced diagnostic tools. Follow-up is mandatory by trans-oesophageal echo in all endovascular patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2012.10.012","type":"journal-article","created":{"date-parts":[[2012,10,29]],"date-time":"2012-10-29T20:45:45Z","timestamp":1351543545000},"page":"130-133","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Stenting for infantile adult aortic coarctation with successful conception of zygomatic twins at 4 years\u2019 post-intervention"],"prefix":"10.1097","volume":"4","author":[{"given":"Peadar S.","family":"Waters","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David P.","family":"Mitchell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wael","family":"Tawfick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niamh","family":"Hynes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherif","family":"Sultan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R3-38-20260114","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1136\/hrt.32.5.633","article-title":"Natural history of coarctation of the aorta","volume":"32","author":"Campbell","year":"1970","journal-title":"British Heart Journal"},{"key":"R4-38-20260114","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1016\/0003-4975(95)00557-2","article-title":"Bypass graft for complex forms of isthmic aortic coarctation in adults","volume":"60","author":"Grinda","year":"1995","journal-title":"Annals of Thoracic Surgery"},{"key":"R5-38-20260114","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/S0002-9610(98)00133-0","article-title":"Hume Memorial Lecture. Prevention of spinal cord complications in aortic surgery","volume":"176","author":"Connolly","year":"1998","journal-title":"American Journal of Surgery"},{"key":"R6-38-20260114","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1016\/S0003-4975(00)01999-8","article-title":"Coarctation of the aorta in adults: surgical results and long-term follow-up","volume":"70","author":"Bouchart","year":"2000","journal-title":"Annals of Thoracic Surgery"},{"key":"R7-38-20260114","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s002469900243","article-title":"Transcatheter treatment of coarctation of the aorta: a review","volume":"19","author":"Ovaert","year":"1998","journal-title":"Paediatric Cardiology"},{"key":"R8-38-20260114","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1016\/j.jacc.2003.10.040","article-title":"Long term outcome (up to 15 years) of balloon angioplasty of discrete native aortic coarctation of the aorta in adolescents and adults","volume":"43","author":"Fawzy","year":"2004","journal-title":"Journal of the American College of Cardiology"},{"key":"R9-38-20260114","first-page":"1847","article-title":"Use of balloon expandable stents for coarctation of the aorta: initial results and intermediate term follow-up","volume":"50","author":"Makram","year":"1997","journal-title":"Journal of the American College of Cardiology"},{"key":"R10-38-20260114","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1136\/hrt.74.6.578","article-title":"Should balloon angioplasty be used instead of surgery for native aortic coarctation","volume":"74","author":"Rao","year":"1995","journal-title":"British Heart Journal"},{"key":"R11-38-20260114","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1016\/j.jacc.2005.10.063","article-title":"The results of catheter based therapy compared with surgical repair of adult aortic coarctation","volume":"47","author":"Carr","year":"2006","journal-title":"Journal of the American College of Cardiology"},{"key":"R12-38-20260114","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1016\/S0735-1097(01)01572-8","article-title":"Endovascular stents for coarctation of the aorta: initial results and intermediate term follow-up","volume":"38","author":"Handon","year":"2001","journal-title":"Journal of the American College of Cardiology"},{"key":"R13-38-20260114","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/00000658-195504000-00001","article-title":"Coarctation of the aorta with special reference to the first year of life","volume":"141","author":"Mustard","year":"1955","journal-title":"Annals of Surgery"},{"key":"R14-38-20260114","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1136\/hrt.2004.040071","article-title":"The CP stent\u2014short, long, covered for the treatment of aortic coarctation, stenosis of pulmonary arteries and caval veins, and Fontan anastomosis in children and adults, an evaluation of 60 stents in 53 patients","volume":"91","author":"Ewert","year":"2005","journal-title":"Heart"},{"key":"R15-38-20260114","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1002\/ccd.1249","article-title":"Stenting of coarctation of the aorta","volume":"54","author":"Cheatham","year":"2001","journal-title":"Catheterization and Cardiovascular Interventions"},{"key":"R16-38-20260114","doi-asserted-by":"crossref","first-page":"2173","DOI":"10.1093\/eurheartj\/ehi338","article-title":"Outcome of pregnancy in patients after repair of aortic coarctation","volume":"26","author":"Joris","year":"2005","journal-title":"European Heart Journal"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212001952?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212001952?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304010-00038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:20:59Z","timestamp":1768396859000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304010-00038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2012.10.012","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}