{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:13:12Z","timestamp":1788966792261,"version":"build-2803163510"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Coarctation of the aorta (CoA) is characterized by congenital narrowing of the aortic isthmus. Primary treatment modalities include balloon dilatation, stenting, and surgical repair. Here, we present the case of a 37-year-old male with refractory hypertension who underwent successful stenting of a severe postductal CoA, achieving complete resolution of the trans-coarctation gradient. Twenty-four hours later, he developed severe inter-scapular pain, and computed tomography aortography revealed an extensive Stanford type B aortic dissection extending from the distal stent margin to beyond the aortic bifurcation. As there were no signs of end-organ malperfusion, conservative management was pursued with close monitoring and blood pressure control. The dissection stabilized and the patient responded favorably, with sustained stability on the follow-up.<\/jats:p>","DOI":"10.4103\/apc.apc_95_26","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:20:20Z","timestamp":1788949220000},"page":"585-588","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["From stent to stability: Conservative management of post-stenting aortic dissection in coarctation of the aorta"],"prefix":"10.4103","volume":"19","author":[{"given":"Khushmi Amit","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Cardiology, Lokmanya Tilak Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sriram","family":"Easwaran","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lokmanya Tilak Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh Vinayak","family":"Limaye","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lokmanya Tilak Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat V.","family":"Dalvi","sequence":"additional","affiliation":[{"name":"Glenmark Cardiac Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratap J.","family":"Nathani","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lokmanya Tilak Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milind S.","family":"Phadke","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lokmanya Tilak Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"R1-20260909","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1016\/S0735-1097(02)01886-7","article-title":"The incidence of congenital heart disease","volume":"39","author":"Hoffman","year":"2002","journal-title":"J Am Coll Cardiol"},{"key":"R2-20260909","doi-asserted-by":"crossref","first-page":"2664","DOI":"10.1016\/j.jacc.2011.08.053","article-title":"Comparison of surgical, stent, and balloon angioplasty treatment of native coarctation of the aorta: An observational study by the CCISC (Congenital Cardiovascular Interventional Study Consortium)","volume":"58","author":"Forbes","year":"2011","journal-title":"J Am Coll Cardiol"},{"key":"R3-20260909","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1080\/00015385.2020.1838126","article-title":"Covered stent placement for treatment of coarctation of the aorta: Immediate and long-term results","volume":"76","author":"Stassen","year":"2021","journal-title":"Acta Cardiol"},{"key":"R4-20260909","first-page":"276","article-title":"Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: A multi-institutional study","volume":"70","author":"Forbes","year":"2007","journal-title":"Catheter Cardiovasc Interv"},{"key":"R5-20260909","doi-asserted-by":"crossref","first-page":"2448","DOI":"10.1016\/j.jacc.2021.03.303","article-title":"Long-term complications after aortic coarctation stenting","volume":"77","author":"Alvarez-Fuente","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"R6-20260909","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.athoracsur.2007.11.013","article-title":"Outcomes and survival in surgical treatment of descending thoracic aorta with acute dissection","volume":"85","author":"Bozinovski","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"R7-20260909","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1016\/j.jacc.2012.11.072","article-title":"Interdisciplinary expert consensus document on management of type B aortic dissection","volume":"61","author":"Fattori","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"R8-20260909","first-page":"499","article-title":"Endovascular stents for treatment of coarctation of the aorta: Acute results and follow-up experience","volume":"62","author":"Johnston","year":"2004","journal-title":"Catheter Cardiovasc Interv"},{"key":"R9-20260909","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/S0002-9149(98)00877-7","article-title":"Immediate and follow-up findings after stent treatment for severe coarctation of aorta","volume":"83","author":"Su\u00e1rez de Lezo","year":"1999","journal-title":"Am J Cardiol"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_95_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:20:29Z","timestamp":1788963629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_95_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_95_26","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-03-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-31","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}