Doctor insights on:
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 moreSee 3 more doctor answers
Coarctation: There is nothing to solve. If there is coarctation of aorta, it should be corrected through surgical procedure. ...Read more
Narrow artery/surger: By definition coarctation of the aorta is a abnormality of vascular embryology. At birth flow is adequate for the limited activity i the new born and early toddler years, but as children age, their growing bodies and activity out grows the narrowed aorta's ability to supply enough blood fast enough to keep up. Once identified the narrowing is corrected surgically with a bypass procedure. ...Read more
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
Bypass channels: The fetus/baby developed & is more or less normal in appearance at birth.That would only occur with the bodies ability to bypass the narrowing of a coarctation by channeling needed blood flow though other blood vessels(collaterals). A kid may go for a few years before the coarctation is discovered. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 2 more doctor answers
If u have an aneurysm of the thoracic aorta would the BP be the same in both arms and both legs? What other clinical signs would suggest aneurysm? TY
Most often - no symp: A stable aneurysm in the thoracic aorta usually causes no symptoms. It may be suspected by a CXR revealing a prominent aorta and confirmed by a CT scan. If you have been diagnosed with an aneurysm, you should follow with you doctor and have periodic imaging to be sure the aneurysm is not growing. ...Read moreSee 1 more doctor answer
How many patients don’t speak the same language as you?
What is the percentage of the race you see?
How do you think your bedside manner is?
Cultural competence: We all have patients who not only do not speak english but have customs and believes re health care that are different from the average american. It is hard at times to deal this.A good doctor will ask the patient via an interpreter, if needed, what they expect and how they feel about what is going on with them. To give the best care the doctor needs to understand the patients beliefs ...Read more
Both carriers of the sickle-cell disease, would you take this risk or decide not to have children?
Personal choice: People decide on having kids for a variety of important considerations. The risk of sickle cell for 2 parents with trait is a firm 25% for any pregnancy, 50% for passing trait, 25% for normal. Ss disease is chronic, painful & frought with medical issues for a reduced life expectancy. That said, the choice remains personal. Donor sperm from a fertility center could avoid part of the worry. ...Read moreSee 1 more doctor answer
Could you or anyone you know have a coarctation of the aorta and pulmonary hypertension that did/does not require surgery?
Not kikely: The situation you describe would have to be extremely mild to survive w/o surgery. Such surgery is usually done in early chidhood. ...Read more
Excellent: If corrected in a timely fashion.Get a more detailed answer ›
Can you please explain why coronary and carotid are the first arteries to be affected, not subclavian or others?
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