How to treat descending aortic coarctation

There are two main types of aortic coarctation: type A, which occurs in the ascending aorta, and type B, which occurs in the descending aorta. In the past, the traditional method of treating aortic coarctation was to operate under general anesthesia and replace the diseased vessel with an artificial vessel under extracorporeal circulation. With medical advances, it is possible to replace the traditional surgical approach with a minimally invasive interventional approach. In other words, through a 1cm incision in the inguinal region at the root of the thigh, a membrane stent is delivered to the diseased vessel, and then the diseased vessel is closed throughout the whole process to achieve the purpose of endoluminal bypass, or called endoluminal isolation, which isolates the diseased vessel from the membrane stent to achieve the purpose of cure. Before all surgical and interventional procedures are done, there is a pre-treatment protocol, i.e., the patient must be sedated, the patient’s blood pressure must be controlled, and pre-surgical preparations must be made with drugs that improve circulation, etc.