Upper and lower extremity noninvasive blood pressure measurement is recommended in all patients with unoperated or operated/intervened CoA. 3. Upper body systemic hypertension is prevalent in patients with unoperated coarctation and may be present in up to one third of patients who have undergone operative or transcatheter Systemic hypertension may not consistently be identifiable at rest; therefore, am- bulatory blood pressure monitoring can be use- ful in identifying and appropriately managing patients with ambulatory hypertension. 4. Multiple studies have demonstrated an increased frequency of intracranial aneurysm in adults with CoA. Approximately 10% of patients with CoA have intracranial aneurysms identified on mag- netic resonance angiography or CTA. Increasing age has been identified as a risk factor. Many such identified aneurysms are small; however, the expected outcome and ideal management of such aneurysms are not clear. Providers and patients should be aware of management uncer- tainties when considering routine screening for Additionally, there are some data suggesting that intracranial aneurysms are not commonly found in children and teenagers reinforcing the possibility that coarctation alone may not be sufficient for devel- opment of intracranial aneurysm, and other fac- tors, such as hypertension and/or age, play a role in development and progression of aneurysms. 5. Despite successful surgical repair or transcatheter intervention, hypertension can persist and may not be identified during resting blood pressure meas- urement. Up to 80% of patients with prior CoA in- tervention manifest an abnormally elevated upper extremity exercise blood pressure response, and peak blood pressure is correlated with increased LV Moreover, restenosis of the previously repaired or stented region may be identified by increased peak blood pressure response, increased upper to lower extremity blood pressure gradient with exercise, and increased Doppler velocity across the coarctation site during exercise TTE. 6. 