Advertisement

Coarctation of the Aorta

  • Shafi MussaEmail author
  • David R. Anderson
Chapter
  • 11 Downloads

Abstract

Coarctation of the aorta is a common congenital heart lesion that may occur in isolation or in association with other congenital heart defects. It may present at any age from the neonatal period to adulthood. This chapter will provide surgeons with details of the pathophysiology related to common modes of presentation, diagnostic imaging, initial and definitive management, and surgical strategies and techniques to enable informed decision-making.

Keywords

Coarctation Diastolic tailing Intravenous prostaglandin infusion Patch aortoplasty Resection and end-to-end anastomosis Subclavian flap aortoplasty 

References

  1. 1.
    Campbell M. Natural history of coarctation of the aorta. Br Heart J. 1970;32(5):633–40.CrossRefGoogle Scholar
  2. 2.
    Lopez L, Colan S, Stylianou M, et al. Relationship of echocardiographic Z scores adjusted for body surface area to age, sex, race, and ethnicity: the Pediatric Heart Network Normal Echocardiogram Database. Circ Cardiovasc Imaging. 2017;10(11):e006979.CrossRefGoogle Scholar
  3. 3.
    National Institute of Cardiovascular Outcomes Research. National Congenital Heart Disease Audit Website. https://nicor4.nicor.org.uk/CHD/an_paeds.nsf/vwContent/NCHDA%20Report%20Analyses%202014-17?Opendocument. Accessed 12 Dec 2018.
  4. 4.
    Ungerleider RM, Pasquali SK, Welke KF, et al. Contemporary patterns of surgery and outcomes for aortic coarctation: an analysis of the Society of Thoracic Surgeons Congenital Heart Surgery Database. J Thorac Cardiovasc Surg. 2012;145(1):150–7; discussion 157–8.CrossRefGoogle Scholar
  5. 5.
    Vergales JE, Gangemi JJ, Rhueban KS, Lim DS. Coarctation of the aorta - the current state of surgical and transcatheter therapies. Curr Cardiol Rev. 2013;9(3):211–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Evelina London Children’s HospitalLondonUK

Personalised recommendations