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Coarctation of the Aorta

Yalile Perez, MD and Robert Palermo, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Coarctation of the aorta (CoA) is a narrowing of the descending aorta typically at the aortic isthmus, the region where the ductus arteriosus inserts just distal to the left subclavi...

DIAGNOSIS

HISTORY

  • In the neonatal period, patients may present with signs of shock such as hypotension, tachycardia, delayed capillary filling time, apnea and bradycardic events, and temperature instab...

TREATMENT

Treatment options and timing depend on age of diagnosis and severity of narrowing. 

MEDICATION

  • The goals of management are to improve left ventricular function and restore systemic blood flow.

  • ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Lifelong cardiology follow-up; yearly visits are recommended (3)[C].

  • Consider exercise stress testing to assess exercise HTN particularly in athletes (3)[C].

  • SBE pr...

REFERENCES

1
Donofrio MT, Moon-Grady AJ, Hornberger LK, et al; and American Heart Association Adults With Congenital Heart Disease Joint Committee of the Council on Cardiovascular Disease in the Young ...

CODES

ICD10

Q25.1 Coarctation of aorta 

ICD9

747.10 Coarctation of aorta (preductal) (postductal) 

SNOMED

7305005 Coarctation of aorta (disorder) 

CLINICAL PEARLS

  • CoA is notoriously difficult to diagnose in fetal life, and may be missed in the newborn period because most patients are asymptomatic.

  • Screening for “brachial-femoral delay” by simulta...

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