MINI REVIEW article
Front. Surg.
Sec. Vascular Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1518720
Postcoarctectomy syndrome: a contemporary systematic review
Provisionally accepted
Hector R Martinez1,2
Misael Salazar-Alejo1,2
Luis E. Perez-Martínez1,2
Ana Ballesteros-Suarez1
Jose A. Moran-Guerrero1,2
Rogelio E. Flores-Salcido1,2Cecilia Britton-Robles1,3Vicente Jimenez-Franco1,3Mario Benvenutti-Regato1,2
Jose A. Figueroa-Sanchez1,2*- 1Tecnologico de Monterrey, Monterrey, Mexico
- 2Instituto de Neurología y Neurocirugía, Hospital Zambrano Hellion TecSalud, Monterrey, Mexico
- 3Instituto de Cardiología y Medicina Vascular, Centro Médico Zambrano Hellion, San Pedro Garza García, Mexico
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Postcoarctectomy syndrome is a serious but poorly understood complication that can occur following surgical or endovascular repair of coarctation of the aorta. This condition presents with severe abdominal pain, persistent hypertension, and gastrointestinal symptoms that can be life-threatening if not promptly recognized and treated. Despite being a known complication for decades, the underlying mechanisms of postcoarctectomy syndrome remain unclear, creating challenges for both early diagnosis and effective treatment. We present the case of a patient with postcoarctectomy syndrome and a systematic review analyzing the clinical presentation, diagnostic approach, and treatment strategies for this complication. We also conduct a systematic literature review, identify key knowledge gaps, and propose future research priorities to address them.
Keywords: Vascular Medicine, Vascular Surgery, cardiothoracic surgery, adverse events, review - systematic
Received: 10 Jan 2025; Accepted: 22 Oct 2025.
Copyright: © 2025 Martinez, Salazar-Alejo, Perez-Martínez, Ballesteros-Suarez, Moran-Guerrero, Flores-Salcido, Britton-Robles, Jimenez-Franco, Benvenutti-Regato and Figueroa-Sanchez. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jose A. Figueroa-Sanchez, dr.figueroa@tec.mx
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