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recommend operation even for patients with mild systemic hypertension. Bouchart et al. w9x retrospectively reviewed outcomes of coarctation surgical repair in 35 adults with preoperative hypertension. They found a highly significant decrease in systolic blood pressure at both early and late follow-up, with most patients now normotensive. They report evi-dence of a mild stenosis in the graft in one patient and describe six patients having developed significant aortic valve disease on long-term follow-up, four of whom had bicuspid aortic valve related to their coarctation. They conclude that a reduction in systolic hypertension is evident following surgical repair of coarctation in patients older than 20 years. Hashemzadeh et al. w10x demonstrated that surgical repair of aortic coarctation in adults leads t