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Doctor insights on: Why Would You Treat Children With Coarctation Of The Aorta

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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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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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How do you solve coarctation of the aorta surgery as an adult?

How do you solve coarctation of the aorta surgery as an adult?

Coarctation: There is nothing to solve. If there is coarctation of aorta, it should be corrected through surgical procedure. ...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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What is coarctation of the aorta and how do you treated?

What is coarctation of the aorta and how do you treated?

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

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Can you cure coarctation of the aorta?

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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How common is it for somebody to get coarctation of the aorta?

1 in 1500 births: Coarctation of the aorta is a congenital heart defect and occurs in 6-8% of patients with congenital heart disease. ...Read more

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How does blood get to your legs in case of coarctation of the aorta?

How does blood get to your legs in case of coarctation of the aorta?

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 more

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

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 more

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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

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 more

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What happens to children who have a transposition of the great arteries?

What happens to children who have a transposition of the great arteries?

With immediate...: With immediate switch surgery, they do very well, usually without any consequences at all. Delayed surgery carries significant risks, however. ...Read more

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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?

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

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What are the symptoms of coronary heart disease and how do you get it in the first place?

What are the symptoms of coronary heart disease and how do you get it in the first place?

CAD: Coronary artery disease occurs as a result of progressive obstruction of the lumen by atherosclerotic process. Sometimes it may end up in an acute myocardial infarction if the obstruction is more than 70%, with death of heart muscle. ...Read more

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Both carriers of the sickle-cell disease, would you take this risk or decide not to have children?

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 more

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Could you or anyone you know have a coarctation of the aorta and pulmonary hypertension that did/does not require surgery?

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

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Can u see all of the thoracic aorta with echocardiogram or just the root, ascendens and arch? if u ask the doc if ha can look at all of the aorta?

No: Echocardiogram can evaluate aortic root and part of ascending aorta/arch and part of descending aorta. Depending on quality of images, echocardiogram maybe sufficient sometimes. If you want the whole aorta evaluated MRI or CT scan is recommended. ...Read more

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Can you please explain why coronary and carotid are the first arteries to be affected, not subclavian or others?

Can you please explain why coronary and carotid are the first arteries to be affected, not subclavian or others?

Symptoms: Because of the sensitivity of what is being perfused, we notice disease in heart, brain and kidney vessels more than others. Atherosclerosis doesn't necessarily affect them earlier however. ...Read more

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What is the cause of single umbelical artery and would you recommend to terminate?

What is the cause of single umbelical artery and would you recommend to terminate?

See below: Most cases of single umbilical artery are random occurrence and associated anomalies found in genitourinary tract or in gastrointestinal tract are usually not serious in nature. ...Read more

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Can you describe coarctation of the aorta?

Narrowing: It is narrowing of the aorta (largest artery in the body). It is classified by severity (size of narrowing and pressure difference across it) as well as location (relative to the head-and-neck vessels). ...Read more

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