Coarctation of aorta--intervention from neonates to adult life
Munesh Tomar1, Sitaraman Radhakrishanan
1Department of Pediatrics and congenital Heart Diseases Escorts Heart Institute & Research Centre, New Delhi, India. muneshtomar@yahoo.co.in
Indian Heart Journal
|October 23, 2009
Insights
Management of coarctation of the aorta, a thoracic aorta narrowing, varies by patient factors. This review covers treatment strategies from neonates to adults.
Area of Science:
- Cardiovascular Medicine
- Pediatric Cardiology
- Adult Congenital Heart Disease
Background:
- Coarctation of the aorta is a congenital narrowing of the thoracic aorta, typically near the left subclavian artery.
- Management is complex, influenced by patient age, clinical condition, coarctation type, and associated cardiac anomalies like ventricular septal defects.
Purpose of the Study:
- To provide a comprehensive overview of coarctation of aorta management strategies.
- To discuss the evolution of treatment approaches across different age groups, from neonates to adults.
Main Methods:
- Review of current literature and clinical guidelines on coarctation of aorta management.
- Synthesis of information regarding diagnostic criteria and therapeutic options.
- Discussion of age-specific considerations in treatment planning.
Main Results:
- Treatment decisions for coarctation of aorta are individualized based on multiple clinical and anatomical factors.
- A spectrum of management options exists, tailored to the patient's developmental stage and specific condition.
Conclusions:
- Effective management of coarctation of aorta requires a multidisciplinary approach considering the entire patient lifespan.
- Understanding the nuances of coarctation of aorta treatment from neonatal to adult stages is crucial for optimal outcomes.
Abstract:
Coarctation of aorta is typically a discrete narrowing of the thoracic aorta just distal to the left subclavian artery. Managmnet of Coarctation of aorta depends upon age, clinical presentation, type of coarctation, associated arch hypoplasia, and associated heart defects as ventricular septal defect. In this article we are discussing management of coarctation of aorta from neonatal period to adult.
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