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Coarctation of the Aorta

Abel Casso Dominguez, MD, Yasmin Herrera, MD and Edgar Argulian, MD, MPH Reviewed 06/2019
 


BASICS

DESCRIPTION

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

DIAGNOSIS

HISTORY

  • Neonatal period: Patients may remain asymptomatic if there is a persistent PDA or if the coarctation is not severe. A neonate with severe coarctation may present with signs of shock s...

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 (2)[C].

  • Ambulatory blood pressure monitoring in adults with CoA can be useful for diagnosis and manage...

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 simultan...

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