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(Coarctation of the Aorta—Child)
|Anatomy of the Heart|
|Copyright © Nucleus Medical Media, Inc.|
- Gender: male
- Turner syndrome (genetic disorder)
- Other heart defects
- Heart murmur
- High blood pressure in the arms
- A weak pulse in the legs
- Cold legs and feet
- Shortness of breath, especially with exercise
- Legs that are underdeveloped, but better developed arms
- Chest pain
- Blood tests
- Chest x-ray —a test that uses radiation to take a picture of structures inside the chest
- MRI of the heart—a test that uses magnetic waves to make pictures of structures inside the heart
- CT scan of the heart—a type of x-ray that uses a computer to make pictures of structures inside the heart
- Echocardiogram —a test that uses sound waves (ultrasound) to examine the size, shape, and motion of the heart
- Cardiac catheterization (rarely needed)—a tube-like instrument inserted into the heart through a vein or artery (usually in the arm or leg) to detect problems with the heart and its blood supply
Treatment for Newborns
Treatment for Children
- Resection of the narrowed area in the aorta (the same type of surgery used in infants)
- Subclavian flap aortoplasty—involves using a patch or part of the artery to make the area larger
- Balloon angioplasty —involves using a balloon to widen the narrowed area
American Heart Association http://www.americanheart.org/
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov/
Canadian Cardiovascular Society http://www.ccs.ca/home/index%5Fe.aspx/
Canadian Society for Vascular Surgery http://www.canadianvascular.ca/
Children’s Hospital of Wisconsin. Coarctation of the aorta. Children’s Hospital of Wisconsin website. Available at: http://www.chw.org/display/PPF/DocID/21361/router.asp . Accessed June 2010.
Cincinnati Children’s. Aortic coarctation. Cincinnati Children’s website. Available at: http://www.cincinnatichildrens.org/health/info/heart/diagnose/coarctation.htm . Updated September 2009. Accessed June 30, 2010.
DynaMed Editorial Team. Aortic coarctation. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated June 2010. Accessed June 30, 2010.
McCoy K. Aortic coarctation. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated September 2009. Accessed June 30, 2010.
Rothman A, Galindo A, Evans W, Collazos J, Restrepo H. Effectiveness and safety of balloon dilation of native aortic coarctation in premature and neonates weighing <2,500 grams. Am J of Cardiology . 2010;105:1176-1180.
Vijayalakshmi K, Griffiths A, Hasan A, O'Sullivan J. Late hazards after repair of coarctation of the aorta. BMJ . 2008;336:772-773.
- Reviewer: Michael Woods, MD
- Review Date: 06/2013
- Update Date: 06/03/2013