Excerpt

Aortic coarctation (AoC) is a congenital narrowing of the descending aorta, which is typically located at the insertion of the ductus arteriosus just distal to the left subclavian artery [1]. Severe cases may have complete loss of luminal continuity between the ascending and descending aortic segments. Progression of the luminal stenosis into totally occluded AoC has been reported in the literature [2, 3]. Owing to the close anatomic resemblance, the differential diagnosis of totally occluded AoC from interrupted aortic arch type A should be made before determining the treatment strategy [3]. Although surgical repair is the standard treatment for patients with totally occluded AoC, treatment with percutaneous covered stent implantation has been reported in a few cases in the literature [4]. We describe a totally occluded AoC treated with percutaneous covered stent implantation. …