Anatomical variants and innovative surgical approaches in juxtaductal aortic coarctation: Experience from a tertiary care center

Coarctation of the aorta (CoA) is the 6 ^th most common congenital cardiac defect, characterized by a wide spectrum of aortic narrowing that ranges from a discrete constriction to diffuse tubular hypoplasia. This defect leads to obstruction of systemic blood flow and secondary hypertension. Although multiple surgical and endovascular techniques have been developed for the correction of CoA, each procedure has its merit and demerits. Despite their clinical success, these procedures are associated with several limitations. To address some of the documented limitations, we have developed a novel surgical technique specifically designed for pediatric CoA repair. This innovative approach minimizes prosthetic use, preserves native aortic tissue, and allows physiological adaptation with growth. Early clinical experience has demonstrated favorable results. Our innovative methods for the repair of CoA may improve outcomes in children with CoA.