Coarctation of the Aorta Questions & Answers

Updated: Nov 20, 2018
  • Author: Syamasundar Rao Patnana, MD; Chief Editor: Stuart Berger, MD  more...
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Questions & Answers

Overview

How common is congenital coarctation of the aorta (CoA)?

What is coarctation of the aorta (CoA)?

What is the pathologic anatomy of coarctation of the aorta (CoA)?

Which clinically significant defects are associated with coarctation of the aorta (CoA)?

What is the pathogenesis of coarctation of the aorta (CoA)?

What is the pathophysiology of coarctation of the aorta (CoA)?

What is the mechanical obstruction theory of coarctation of the aorta (CoA)?

What is the humoral theory of coarctation of the aorta (CoA)?

What is the role of associated anomalies in the pathophysiology of coarctation of the aorta (CoA)?

Which cardiac drugs may be implicated in the pathophysiology of coarctation of the aorta (CoA)?

How might trauma be a factor in coarctation of the aorta?

What is the prognosis of coarctation of the aorta (CoA)?

What is the role of restrictive LV physiology the prognosis of coarctation of the aorta (CoA)?

What is the morbidity and mortality of coarctation of the aorta (CoA)?

What are complications in coarctation of the aorta (CoA)?

How is recurrent coarctation of the aorta (CoA) characterized?

How is aortic aneurysm in coarctation of the aorta (CoA) characterized?

Why does hypertension persist following repair of coarctation of the aorta (CoA)?

What causes cerebral aneurysms in coarctation of the aorta (CoA)?

What causes paralysis in coarctation of the aorta (CoA)?

How is cardiomyopathy characterized in coarctation of the aorta (CoA)?

What is chylothorax in coarctation of the aorta (CoA) repair?

What is postcoarctectomy syndrome in coarctation of the aorta (CoA) repair?

When do valvar aortic stenosis, membranous subaortic stenosis, and mitral valve stenosis complications occur in coarctation of the aorta (CoA) repair?

Does coarctation of the aorta (CoA) have a racial predilection?

Is coarctation of the aorta (CoA) more common in males or females?

What are the age demographics of coarctation of the aorta (CoA)?

How common is coarctation of the aorta (CoA) in the US?

What is the international prevalence of coarctation of the aorta (CoA)?

Presentation

How is the presentation of coarctation of the aorta (CoA) characterized?

What are the features of early presentation of coarctation of the aorta (CoA)?

What are the features of late presentation of coarctation of the aorta (CoA)?

What are the physical findings in coarctation of the aorta (CoA)?

What are the physical findings in the early presentation of coarctation of the aorta (CoA)?

What are the physical findings in the late presentation of coarctation of the aorta (CoA)?

What causes coarctation of the aorta (CoA)?

DDX

What are the diagnostic considerations in coarctation of the aorta (CoA)?

What are the special considerations in pregnant patients with a history of coarctation of the aorta (CoA)?

What are the differential diagnoses for Coarctation of the Aorta?

Workup

Which lab studies are indicated in the workup of coarctation of the aorta (CoA)?

What is the role of ECG in the workup of coarctation of the aorta (CoA)?

What is the role of chest radiography in the workup of coarctation of the aorta (CoA)?

What is the role of echocardiography in the workup of coarctation of the aorta (CoA)?

What is the role of MRI and CT scanning in the workup of coarctation of the aorta (CoA)?

What is the role of cardiac catheterization in the workup of coarctation of the aorta (CoA)?

What are the histologic findings in coarctation of the aorta (CoA)?

Treatment

What is the medical care in the early presentation of coarctation of the aorta (CoA)?

What is the medical treatment for hypertension in a late presentation of coarctation of the aorta (CoA)?

Which cardiac abnormalities are associated with coarctation of the aorta (CoA)?

What is the role of evaluating the adequacy of the collateral blood vessels in the surgical repair of coarctation of the aorta (CoA)?

How effective are stents in the repair of coarctation of the aorta (CoA)?

When is surgery indicated in the treatment of coarctation of the aorta (CoA)?

Which surgical techniques are used in the repair of coarctation of the aorta (CoA) in infancy and what are the outcomes?

How effective is surgical repair of coarctation of the aorta (CoA)?

What are the long-term results of surgical intervention in coarctation of the aorta (CoA)?

When is balloon angioplasty indicated in the treatment of coarctation of the aorta (CoA)?

What is the technique for balloon angioplasty in the surgical repair of coarctation of the aorta (CoA)?

What are the short-term results of balloon angioplasty in the repair of coarctation of the aorta (CoA)?

What are the intermediate-term results of balloon angioplasty in the repair of coarctation of the aorta (CoA)?

What are the long-term results of balloon angioplasty in the repair of coarctation of the aorta (CoA)?

Is balloon angioplasty used in the repair coarctation of the aorta (CoA) in adults?

How do surgery and balloon angioplasty compare in the repair of coarctation of the aorta (CoA)?

What are the complications of surgical repair in coarctation of the aorta (CoA)?

What studies investigated the efficacy of balloon angioplasty for the treatment of coarctation of the aorta (CoA)?

How does recoarctation occur following repair of coarctation of the aorta (CoA)?

When is balloon angioplasty the treatment of choice for coarctation of the aorta (CoA)?

What is the role of aortic stents in the repair of coarctation of the aorta (CoA)?

What are the advantages of stents over balloon angioplasty for the repair of coarctation of the aorta (CoA)?

What are the indications for stents in the repair of coarctation of the aorta (CoA)?

What are the procedures for inserting a stent in the repair of coarctation of the aorta (CoA)?

What are the immediate results of aortic stents in the repair of coarctation of the aorta (CoA)?

What are complications of stent repair for coarctation of the aorta (CoA)?

What are the long-term outcomes of stents in coarctation of the aorta (CoA) repair?

What are the pearls of surgical repair of coarctation of the aorta (CoA)?

What are the indications for covered stents in coarctation of the aorta (CoA) repair?

What is the best option for repair of coarctation of the aorta (CoA)?

What are the future directions of treatment of coarctation of the aorta (CoA)?

Which interventions are best for coarctation of the aorta (CoA) by age?

Which specialist consultations are indicated for neonates with coarctation of the aorta (CoA)?

Which specialist consultations are indicated in late presentations of coarctation of the aorta (CoA)?

What is the recommended diet for patients with coarctation of the aorta (CoA)?

What is the recommended level of activity for patients with coarctation of the aorta (CoA)?

Medications

What are the goals of drug treatment in coarctation of the aorta (CoA)?

Which medications in the drug class Vasodilators are used in the treatment of Coarctation of the Aorta?

Which medications in the drug class Angiotensin-converting enzyme (ACE) inhibitors are used in the treatment of Coarctation of the Aorta?

Which medications in the drug class Beta-adrenergic blocking agents are used in the treatment of Coarctation of the Aorta?

Which medications in the drug class Diuretic agents are used in the treatment of Coarctation of the Aorta?

Which medications in the drug class Cardiac glycosides are used in the treatment of Coarctation of the Aorta?

Which medications in the drug class Inotropic agents are used in the treatment of Coarctation of the Aorta?

Which medications in the drug class Prostaglandins are used in the treatment of Coarctation of the Aorta?

Follow-up

What is the follow-up care of patients with coarctation of the aorta (CoA) repair?

What is the postsurgical inpatient care for patients with coarctation of the aorta (CoA)?

When is transfer indicated for patients with coarctation of the aorta (CoA)?

Can coarctation of the aorta (CoA) be prevented?

What education should be provided to patients with coarctation of the aorta (CoA)?