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A 34-year-old member asked:

How is coarctation of the aorta treated for adults?

3 doctor answers9 doctors weighed in
Dr. Alon Gitig
Cardiology 21 years experience
Depends on severity: The severity of aorta coarctation is defined by the pressure gradient it causes--i.e. How much it obstructs blood flow across it. If this is severe enough, surgical correction is often needed. However, sometimes interventional techniques using catheters can be used at specialized centers. Importantly, follow-up care is crucial to detect other problems that are often associated with this diagnosis.
Dr. Mark Rasak
Cardiology 34 years experience
Stent vs surgery: Once diagnosed other defects that are associated need to be found and treated. Berry aneurysms in the brain and bicuspid aortic vales should be looked for and treated. Other defcts like PFO and mitral valve defects should be sought. Otherwise coarctation can be treated with percutaneous ballon angioplasty , stent placement or surgically.Sugical appraoch for infants, stenting for older pts usually.
Dr. Sarosh Batlivala
Pediatric Cardiology 17 years experience
Procedure : The general rule is that coarctation that is significant enough to cause symptoms/signs (e.g. Hypertension) will require a procedure to be corrected. Those options are either surgery or catheterization. Most can dealt with in the cath lab. Please discuss your case with your cardiologist.

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A 31-year-old member asked:

What does it mean for an adult to have coarctation of the aorta?

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Dr. Alon Gitig
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Needs close followup: Coarctation of the aorta is a congenital abnormality, where portion of the aorta (large artery carrying blood out from the heart to rest of the body) is narrowed. It may be narrowed only slightly, so that no obstruction is noted in childhood, but adults may still develop: high blood pressure, early-onset coronary disease, or aorticaneurysm or dissection. Close surveillance is important.
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Last updated May 12, 2015
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