Endovascular stent implantation for severe recoarctation of the aorta: case report with angiographic and 18-month clinical follow-up.

A 45-year-old white male, 35-year status postrepair of coarctation of the aorta, presented with symptomatic recoarctation of the aorta. He was treated successfully by implantation of a single Palmaz stent. The pressure gradient was abolished with complete resolution of symptoms. Seven months poststent implant, angiography revealed good lumen diameter and a small pressure gradient. Over an 18-mo follow-up period, there has been no recurrence of symptoms. Primary stenting may have a significant role in the treatment of patients with symptomatic recoarctation of the aorta.