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A member asked:
Daughter has a corrected postductal coa via sternectomy w/ homograft. undiagnosed til 3.5 m/o, pda dependent. now over 1 yr postop, risk of re-coarc?
2 doctors weighed in across 2 answers
Yes: There is always a risk of re-coarctation when the child needs surgery at young age as your daughter did. It's re-occurrence is getting less over the years as techniques in surgery have improved, but she needs ongoing follow-up with cardiologist to assess for re-coarctation minimum of yearly for right now. Even if re-occurs, the surgery may not be as involved - sometimes can just dilate!
Answered 5/13/2013
5.1k views
10-20%: The recurrence risk of coarctation ranges from 10-20%. The risk goes up if foreign (i.e. Patch) material is used. She should follow-up with a cardiologist at regular intervals for the rest of her life. The majority of re-coarctation can be dealt with in the cath lab (less invasive than surgery).
Answered 9/21/2013
4.9k views
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