Doctor insights on:
Aortic Coarctation In Children
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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