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Doctor insights on: Aortic Coarctation In Children

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Aortic coarctation, does it have many symptoms?

Aortic coarctation, does it have many symptoms?

A few: Coarctation of the aorta may have no symptoms and be diagnosed after hypertension is detected. When severe, infants may present with shock or congestive heart failure. Other symptoms: headaches, chest pain, fainting, leg cramps during exercise, and cold feet. ...Read more

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Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


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What is the definition or description of: aortic coarctation?

What is the definition or description of: aortic coarctation?

Narrowing...: Of the aorta, usually between the aortic arch and left subclavian artery takeoff. Results in difference of BP between the left and right arms. Can cause chest pain and other symptoms, including very high bp. It can be treated with a stent of the thoracic aorta. ...Read more

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Rib notching and aortic coarctation, what to do?

Repair: A cardiovascular surgeon would be the most appropriate consultant for addressing a coarctation. ...Read more

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Can you tell me what "femoral pulses to exclude aortic coarctation" mean?

Can you tell me what "femoral pulses to exclude aortic coarctation" mean?

Yes: Coarctation of the aorta (coa) refers to a heart defect characterized by a narrowing of the aorta that interferes with blood flow to the lower part of the body. This results in strong pulses in the arms (brachial pulse) but weak or absent pulses in the legs (femoral pulse). The finding of normal femoral pulses makes significant coa unlikely. ...Read more

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Can you please explain to me how aortic coarctation can cause nothing of the ribs?

Can you please explain to me how aortic coarctation can cause nothing of the ribs?

Notching: Notching. Because blood can't reach the left arm and lower body, the intercostal arteries (which run between the ribs) enlarge to bypass the area of blockage. Over time, this interferes with rib growth causing notches. ...Read more

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Can anyone tell me what's the auscultation-related sign of the aortic coarctation? I hear a thick harsh systolic sound in the aorta area. Is it?

Can anyone tell me what's the auscultation-related sign of the aortic coarctation? I hear a thick harsh systolic sound in the aorta area. Is it?

Coarctation: There may be a click or systolic ejection murmur over the aortic area, but that would be related to a bicuspid AV, which can occur with the coarctation. The most common and indicative findings are hypertension or elevated pressures in the upper extremities with lower pressure and diminished pulses in the lower extremities. The actual findings depend on the location of the narrowing. ...Read more

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How does a doctor check femoral pulses for aortic coarctation?

How does a doctor check femoral pulses for aortic coarctation?

Using fingers:: During a physical exam, the doctor may find that a person with a coarctation has higher blood pressure in the arms than in the legs. The doctor also might hear a heart murmur or notice that the pulses felt in the groin area or on the feet are weak or even absent. ...Read more

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What is the treatment for aortic coarctation?

See below: Surgery can very effectively repair a narrowing of the aorta, usually by removing the narrow section and reconnecting the two good ends of the aorta. In some, drs. Perform a procedure known as balloon dilation (also called balloon angioplasty). A cardiologist may also implant a device called a stent, which is a tube made of metal meshwork, to keep the area open after the procedure. ...Read more

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A 1 week old baby had a surgery for aortic coarctation. Isn't it extremely likely after end to end anastomosis that thelayers of aortic artery become prone to problems?

Not Extremely: Only ~10-20% of patients develop significant re-coarctation after surgical repair in infancy. Those can often be treated in the cath lab. So I would respectfully disagree that the aorta is extremely prone to problems. We certainly need to monitor the child's growth/cardiovascular development, but the majority go on to do well. ...Read more

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Why would you treat children with coarctation of the aorta?

Why would you treat children with coarctation of the aorta?

Why or how?: The how is already answered by dr. Rubin. If your question is why treat coarctation it is to improve blood flow to the organs of the lower part of the body, prevent severe high blood pressure in upper part of body causing headache, dizziness, nosebleeds, shortness of breath and to prevent eventual development of enlarged heart and heart failure. ...Read more

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Is it common for children to be diagnosed with coarctation of the aorta?

15/100, 000 births: Coarctation of the aorta represents roughly 7% of congenital heart disease. It is more common in males & sometimes associated with other anomalies. I would have to call this a less than common defect. ...Read more

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Can you cure coarctation of the aorta?

Can Correct: No congenital heart disease can be "cured". We can fully correct some types though, and coarctation is one of those. But we can never make the heart/vessel the same as if the lesion never occurred (which is the definition of cure). Again, semantic but important point because anyone with coarctation should have life-long follow-up with a cardiologist. ...Read more

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What does coarctation of the aorta mean?

Congenital defect: It is a narrowing of the aorta, the major blood vessel that branches off your heart and delivers blood to your body. It is usually congenital, and may range from mild to severe. Surgery may be required as a newborn if critical. It may not be detected until older, depending on severity. It often occurs along with other heart defects. It requires surgery or catheter balloon and/or stenting. ...Read more

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When is coarctation of the aorta a problem?

Depends: It depends on whether it is severe enough to cause symptoms or other health problems like hypertension. A very, very mild coarctation may not cause any problems (though this is rare). So it become a problem when it becomes a problem. For some, this occurs in infancy while others make only develop problems as an adult. ...Read more

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When is coarctation of the aorta diagnosed?

It depends: Coarctation is usually detected routinely by noting a marked discrepancy in blood pressure between the arms and legs. This frequently is part of a work-up for severe hypertension--i.e. Resistant to medications, or occuring in an unusually young patient--which is a result of the obstruction to blood flow through the aorta (with build-up of pressure in the arms, where BP is routinely measured). ...Read more

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What test is used to diagnose coarctation of the aorta?

A few: A simple, but effective way is to measure blood pressure in both arms and at least one leg. We now most commonly first check with an echocardiogram. Depending on the quality of those images, a ct or MRI may help. But again, good old fashioned blood pressure is the best way to start. ...Read more

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Which drugs are used to manage coarctation of the aorta?

Depends: Blood pressure medications are generally the primary medicines for coarctation diagnosed in adults. The ultimate treatment nearly always requires either surgery or a catheterization. Please discuss this with your cardiologist. ...Read more

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What are some of the symptoms of coarctation of the aorta?

Many: Coarctation symptoms depend on the severity. Many people have no symptoms. But symptoms may include leg/abdominal pain, abdominal cramps, headache (from hypertension), and possibly chest pain if severe. If concerned, please discuss this with your cardiologist. ...Read more

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Can you join the us military with a coarctation of the aorta?

Aorta coarctation: I do not believe that the army will allow you to join ranks. Aortic coarctation is a condition that often requieres surgery at early age and patients need a very good blood pressure control often with medications. You might need to choose a different carreer. ...Read more

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Dr. Creighton Wright
23 Doctors shared insights

Aortic Coarctation (Definition)

Of the aorta, usually between the aortic arch and left subclavian artery takeoff. Results in difference of BP between the left and right arms. Can cause chest pain and other symptoms, including very high bp. It can be treated with a stent ...Read more