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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
The importance of the early diagnosis of aorta coarctation
Luana Resende Cangussú1, Matheus Rodrigues Lopes2, Romero Henrique de Almeida Barbosa2
1Medical student, Federal University of Vale do São Francisco, Paulo Afonso, Bahia, Brasil.
Insights
Early diagnosis of coarctation of the aorta (CoA), a congenital narrowing of the aorta, is crucial. Despite well-elucidated pathophysiology, delayed diagnosis in childhood leads to severe complications and high mortality rates.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Coarctation of the aorta (CoA) is a congenital narrowing of the aortic artery, occurring with an incidence of 3 per 10,000 births.
- It is a common cardiopathy associated with high mortality and morbidity, primarily due to delayed diagnosis.
Purpose of the Study:
- To highlight the significance of early diagnosis in improving patient prognosis for coarctation of the aorta.
- To underscore the importance of physical examination in identifying this condition.
Main Methods:
- A literature review was conducted using PubMed, SciELO, and Lilacs databases.
- Keywords included: coarctation, aorta, diagnosis, heart diseases, congenital abnormalities.
Main Results:
- The pathophysiology and systemic implications of CoA are understood, but diagnosis in childhood is often missed.
- Lack of routine pulse palpation and differential blood pressure measurements contributes to underdiagnosis.
- Untreated coarctation can lead to aneurysms, heart failure, coronary disease, and stroke, significantly reducing survival rates.
Conclusions:
- Coarctation of the aorta is a critical congenital malformation with significant incidence and mortality risk.
- Early diagnosis is paramount for a better patient prognosis and improved survival outcomes.
Introduction:
Coarctation of the aorta is a congenital heart disease characterized by a narrowing that occurs in the aortic artery. This constriction can occur anywhere along its entire length; however, it is more common between the origin of the left subclavian artery and the ductus arteriosus. Its incidence corresponds to 3 cases per 10,000 births. Thus, it is a common cardiopathy, but with high mortality and morbidity rates, which are related to a failure in the early diagnosis.
Method:
In the research, articles of the national and international literature in Pubmed, Scielo and Lilacs databases were selected using the following descriptors: coarctation, aorta, diagnosis, heart diseases, congenital abnormalities.
Results:
The pathophysiology of CoA and its systemic implications in the life of newborn and adults are well elucidated. However, due to the lack of habit to palpate pulses and to check the blood pressure in both upper and lower limbs during the physical examination, it is still a pathology little diagnosed in childhood. There are several techniques used in the repair of coarctation, each with their specifics, although, when not treated, aneurysms, heart failure, coronary diseases, and stroke are the main complications arising from the evolution of this pathology, which explains the low survival rate of these patients.
Conclusion:
Coarctation of the aorta is, therefore, a cardiac malformation of significant importance due to its incidence and its significant mortality risk. In this sense, the early diagnosis stands out as an essential piece for better prognosis of the patient.
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