Coarctation of Aorta-Management Options and Decision Making

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Coarctation of Aorta-Management Options and Decision Making

Coarctation of the Aorta (CoA) is a congenital cardiac anomaly consisting of a constricted aortic segment with a prevalence of 5 to 8% of all Congenital Heart Defects (CHD). The classic CoA is located in the thoracic aorta distal to the origin of the left subclavian artery, at about the level of the ductal structure. Significant hypertension and/or congestive heart failure are indications of in...

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Current management of coarctation of the aorta

A series of 55 surgically treated cases of coarctation of the thoracic aorta is presented with an operative mortality of 5-4%. The problems encountered in infants are discussed and postoperative complications in adults and children detailed. The advantages of patch graft aortoplasty over resection and end-to-end anastomosis are described.

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Coarctation of the Aorta

Coarctation of the aorta is defined by a discrete narrowing of the aorta. Transcatheter systolic coarctation gradient 20 mm Hg is an indication for intervention with treatment choice guided by patient age and anatomy of obstruction. Follow-up imaging should be tailored to early identification of recoarctation/aneurysm with directed intervention. Hypertension is common in the aging patient with ...

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Coarctation of the aorta

The surgical treatment of an aortic coarctation requires a resection of the stenotic area and direct suture of the aorta. An extended mobilization allows an enlargement of a hypoplastic distal aortic arch. In ductal dependent circulation, the distal aortic arch can be enlarged with a patch before tackling the coarctation itself. Postsurgical aortic arch stenoses often require a surgical interve...

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[Coarctation of the aorta].

Coarctation of the aorta is a cause of hypertension that can present dramatically in the severely ill infant or appear incidentally in the asymptomatic young adult. Coarctation is easily detected and there is good evidence that the extremely poor natural history can be altered favorably by surgical correction. The elevated blood pressure can be lowered in the majority of patients, and there is ...

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ژورنال

عنوان ژورنال: Pediatrics & Therapeutics

سال: 2012

ISSN: 2161-0665

DOI: 10.4172/2161-0665.s5-006