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Published on: October 6, 2022
Current management of coarctation of the aorta
Hussam Suradi1, Ziyad M Hijazi2
1Rush Center for Congenital & Structural Heart Disease, Rush University Medical Center, ChicagoIL, USA; St Mary Medical Center, Community Healtare Network, HobartIN, USA.
Insights
Coarctation of the aorta, a common congenital heart defect, presents persistent risks despite surgical repair. This review details optimal management strategies for coarctation of the aorta throughout life.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Adult Congenital Heart Disease
Background:
- Coarctation of the aorta is a significant congenital heart defect, affecting approximately 6th most common lesion.
- It involves narrowing of the aorta, ranging from discrete to tubular hypoplasia.
- Historically considered curable with repair, persistent morbidity and mortality risks remain post-intervention.
Purpose of the Study:
- To outline optimal management strategies for coarctation of the aorta.
- To provide insights for managing this complex condition from neonatal to adult life.
- To address the persistent challenges associated with coarctation of the aorta repair.
Main Methods:
- This is a review article.
- It synthesizes current knowledge on coarctation of the aorta management.
- Focuses on a lifelong approach from infancy to adulthood.
Main Results:
- Coarctation of the aorta management requires a comprehensive, lifelong strategy.
- Despite repair, ongoing surveillance and management are crucial.
- Optimal care involves addressing anatomical and physiological aspects post-intervention.
Conclusions:
- Coarctation of the aorta is a complex condition requiring lifelong management.
- Effective strategies mitigate persistent risks and improve outcomes.
- A multidisciplinary approach is essential for successful coarctation of the aorta care.
Abstract:
Coarctation of the aorta (C) is the sixth most common lesion in congenital heart disease and represents a spectrum of aortic narrowing that varies from a discrete entity to tubular hypoplasia. This condition was once thought to be a relatively simple lesion that would be "cured" upon repair of the narrowing, however, despite relief of the anatomical obstruction the subsequent risk of early morbidity and death persists. This review outlines the optimal management strategy of this disease from neonatal to adult life and provides insights to approach this straightforward but challenging condition.
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