Coarctation of the Aorta: Open Your Heart to Me, Baby

  • Christopher Jones
  • Jennifer Mitzman


This chapter reviews undiagnosed congenital heart disease. The most common is coarctation of the aorta. This life-threatening condition requires prompt recognition and intervention. A patient with critical coarctation may present suddenly at the time a patent ductus arteriosus suddenly closes. This presence of a heart murmur in conjunction with weak pulses in the lower extremities, listlessness, and a history of poor feed can be big clues to the diagnosis. The EKG may show right ventricular hypertrophy, and the chest X-ray may show cardiomegaly. Prompt resuscitation is paramount, and the initiation of prostaglandin E1 (PGE1) should be done immediately upon suspicion of the diagnosis.


Coarctation of the aorta  Cyanotic heart disease  Congenital heart disease 


Disclosure Statement

The authors of this chapter report no significant disclosures.


  1. 1.
    Bohan JS, Kosowsky JM, Dolbec K, Mick NW. Congenital heart disease. Emerg Med Clin North Am. 2011;29(4):811–27.CrossRefGoogle Scholar
  2. 2.
    Tanous D, Benson LN, Horlick EM. Coarctation of the aorta: evaluation and management. Curr Opin Cardiol. 2009;24:509–15.CrossRefGoogle Scholar
  3. 3.
    Hastings LA, Nichols DG. 27: Coarctation of the aorta and interrupted aortic arch. In: Critical heart disease in infants and children. 2nd ed. Philadelphia: Mosby; 2006. p. 625–49.CrossRefGoogle Scholar
  4. 4.
    Head CE, Jowett VC, Sharland GK, Simpson JM. Timing of presentation and postnatal outcome of infants suspected of having coarctation of the aorta during fetal life. Heart. 2005;91:1070.CrossRefGoogle Scholar
  5. 5.
    Johnson WH, Moller JH. Conditions affecting blood flow in children. In: Pediatric cardiology: the essential pocket guide. 3rd ed. Oxford: Wiley; 2014. p. 150–8.CrossRefGoogle Scholar
  6. 6.
    Horeczko T, Inaba AS. Cardiac disorders. In: Marx JA, Hockberger RS, Walls RM, Biros MH, et al., editors. Rosen’s emergency medicine: concepts and clinical practice. 8th ed. Philadelphia: Saunders, an imprint of Elseiver Inc; 2009.Google Scholar
  7. 7.
    Park MD. Obstructive lesions. In: Park’s pediatric cardiology for practitioners. 6th ed. Philadelphia: Elsevier Saunders; 2014. p. 184–206.Google Scholar
  8. 8.
    Meckler GD, Lowe C. To intubate or not to intubate? Transporting infants on prostaglandin E1. Pediatrics. 2009;123(1):e 25–30.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Christopher Jones
    • 1
  • Jennifer Mitzman
    • 2
    • 3
  1. 1.Nationwide Children’s HospitalColumbusUSA
  2. 2.Nationwide Children’s HospitalColumbusUSA
  3. 3.Department of Emergency Medicine, Wexner Medical Center at The Ohio State UniversityColumbusUSA

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