Scribd Logo
Upload

Welcome to Scribd!

  • 458 views

    Coarctation of The Aorta

    Uploaded by

    David Cheng
    Coarctation of the aorta is a narrowing of the aorta, most commonly near the insertion of the ductus arteriosus below the left subclavian artery, and is a congenital heart defect that is more common in boys and occurs in 6-8% of congenital heart defects. It can be managed through surgery or balloon dilation and stenting to open the narrowed area, and complications include hypertension, coronary artery disease, and recoarctation after repair.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Coarctation of The Aorta

    Uploaded by

    David Cheng
    458 views2 pages
    Coarctation of the aorta is a narrowing of the aorta, most commonly near the insertion of the ductus arteriosus below the left subclavian artery, and is a congenital heart defect that is more common in boys and occurs in 6-8% of congenital heart defects. It can be managed through surgery or balloon dilation and stenting to open the narrowed area, and complications include hypertension, coronary artery disease, and recoarctation after repair.

    Original Description:

    Medical student notes on coarctation of the aorta

    Original Title

    Coarctation of the Aorta

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Coarctation of the aorta is a narrowing of the aorta, most commonly near the insertion of the ductus arteriosus below the left subclavian artery, and is a congenital heart defect that is more common in boys and occurs in 6-8% of congenital heart defects. It can be managed through surgery or balloon dilation and stenting to open the narrowed area, and complications include hypertension, coronary artery disease, and recoarctation after repair.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    458 views2 pages

    Coarctation of The Aorta

    Uploaded by

    David Cheng
    Coarctation of the aorta is a narrowing of the aorta, most commonly near the insertion of the ductus arteriosus below the left subclavian artery, and is a congenital heart defect that is more common in boys and occurs in 6-8% of congenital heart defects. It can be managed through surgery or balloon dilation and stenting to open the narrowed area, and complications include hypertension, coronary artery disease, and recoarctation after repair.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    COARCTATION OF THE AORTA DEFINITION Coarctation of the aorta is defined as a narrowing in the aorta Most commonly at the site

    te of insertion of the ductus arteriosus, just distal to the left subclavian artery. (juxta-ductal)

    ECG o May be normal or show RVH or LVH Echocardiogram o Discrete narrowing in the thoracic aorta o Pressure gradient across narrowing CT or MRI-aortogram CXR shows rib notching o Due to dilated intercostal arteries

    MANAGEMENT Surgery Balloon dilatation +/- stenting EPIDEMIOLOGY More common in boys Common congenital heart defect o About 6-8% of all congenital heart defects AETIOLOGY 2 theories: 1. Narrowed segment is under-developed during foetal life due to reduced blood flow across the developing arch 2. Ductal tissue extends into the thoracic aorta, and when the ductus arteriosus constricts and closes postnatally, the thoracic aorta is constricted ASSOCIATIONS Bicuspid aortic valve Turners Syndrome HISTORY AND EXAMINATION Radio-femoral delay Weak femoral pulse Increased BP o Presenting at a young age or resistant to treatment Scapular bruit Systolic murmur (best heart over the left scapula) INVESTIGATIONS

    COMPLICATIONS Coronary artery disease o Secondary to persistent hypertension HTN

    Recoarctation after repair o May occur due to scar formation at the site of intervention o Most of these recoarctation may be managed with balloon angioplasty Aortic aneursym

    You might also like