Beyond the guidelines. Advanced endovascular therapies in a most challenging aortic coarctation case

Coarctation of the aorta (CoA) is a congenital narrowing of the aorta, typically located in the aortic isthmus.This condition results in an arterial pressure gradient between the upper and lower body, leading to systemic hypertension in the upper extremities and reduced perfusion in the lower extremities.The incidence of aortic coarctation is approximately 3 in 100,000 live births, representing 5-8% of all congenital heart defects [1,2].CoA is usually detected