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    Coarctation of The Aorta

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    NadiyaSiddiqui
    Coarctation of the aorta is a narrowing of the aorta between the upper and lower body artery branches. This narrowing causes increased blood pressure in the arms and head, and reduced blood pressure in the legs, seriously straining the heart. Symptoms can include exercise intolerance, headaches, leg pain, and shortness of breath. Diagnosis involves physical exams, imaging tests like MRI and echocardiograms. Treatment is usually surgery to remove the narrowed part of the aorta and reconnect or replace it with a graft. After successful surgery, symptoms quickly improve but there remains a higher risk of heart problems long-term.

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    © All Rights Reserved
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    Coarctation of The Aorta

    Uploaded by

    NadiyaSiddiqui
    157 views15 pages
    Coarctation of the aorta is a narrowing of the aorta between the upper and lower body artery branches. This narrowing causes increased blood pressure in the arms and head, and reduced blood pressure in the legs, seriously straining the heart. Symptoms can include exercise intolerance, headaches, leg pain, and shortness of breath. Diagnosis involves physical exams, imaging tests like MRI and echocardiograms. Treatment is usually surgery to remove the narrowed part of the aorta and reconnect or replace it with a graft. After successful surgery, symptoms quickly improve but there remains a higher risk of heart problems long-term.

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    Coarctation of the Aorta

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    Coarctation of the aorta is a narrowing of the aorta between the upper and lower body artery branches. This narrowing causes increased blood pressure in the arms and head, and reduced blood pressure in the legs, seriously straining the heart. Symptoms can include exercise intolerance, headaches, leg pain, and shortness of breath. Diagnosis involves physical exams, imaging tests like MRI and echocardiograms. Treatment is usually surgery to remove the narrowed part of the aorta and reconnect or replace it with a graft. After successful surgery, symptoms quickly improve but there remains a higher risk of heart problems long-term.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    157 views15 pages

    Coarctation of The Aorta

    Uploaded by

    NadiyaSiddiqui
    Coarctation of the aorta is a narrowing of the aorta between the upper and lower body artery branches. This narrowing causes increased blood pressure in the arms and head, and reduced blood pressure in the legs, seriously straining the heart. Symptoms can include exercise intolerance, headaches, leg pain, and shortness of breath. Diagnosis involves physical exams, imaging tests like MRI and echocardiograms. Treatment is usually surgery to remove the narrowed part of the aorta and reconnect or replace it with a graft. After successful surgery, symptoms quickly improve but there remains a higher risk of heart problems long-term.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 15

    Coarctation of Aorta

    Coarctation of the Aorta

    FUNCTION OF THE AORTA


    It is the bodys
    main artery.
    It distributes
    oxygen-rich blood
    to all body parts
    except lungs.

    Coarctation of the aorta


    It is a narrowing of part of
    the aorta between the
    upper part of the body
    artery branches and the
    branches of the lower
    body.
    Blockage can cause:
    Increase blood pressure in
    arms and head
    Reduce blood pressure in legs
    Seriously strain heart.

    SIGNS & SYMPTOMS


    Usually there arent any
    symptoms, but if
    obstruction is severe,
    then
    Exercise intolerance
    headache
    leg pain after exertion.
    chest pain or palpitation.
    Dizziness, shortness of
    breath, nosebleed, cold feet or
    legs.

    DIAGNOSIS
    Test to diagnose this
    condition may include:
    Physical exam
    Take blood pressure in arms
    and legs
    Check pulse in the femoral
    area
    Chest x-ray
    Electrocardiography
    MRI of the chest
    Cardiac Catheterization and
    aortography
    Doppler ultrasound of the aorta

    Coarctation of Aorta

    Systemic perfusion is dependent on the ductal


    flow and collateralization in severe coarctation.
    There is post stenotic dilatation of
    thedescending AO beyond the site of
    narrowing
    The effects of aortic coarctation on the LV are
    similar to those of systemic hypertension and
    aortic valve stenosis
    Narrowed aorta produces increased left
    ventricular afterload and wall stress, left
    ventricular hypertrophy, and congestive heart
    failure.

    LV hypertrophy occurs due to LV


    systolic (pressure) overload.
    There is thickening of the IV septum
    and LV posterior wall exceeding
    12mm with good LV systolic function.
    Narrowing of aorta is detected from
    the suprasternal notch.

    On PW, with the sample vol moving


    gradually down the aortic arch, High
    velocity signal is detected distal to the
    site of narrowing.
    On CW, there is high velocity jet away
    from the transducer from which the
    pressure gradient across the CO can
    be determined.

    On CF , a mosaic pattern is seen in


    the descending Ao, as flow crosses
    the coarctation.
    Abnormalities associated
    VSD , PDA
    Bicuspid aortic valve
    Aneurysm sinus of valsalva.

    Undiagnosed Coarctation Presentation


    Decreased or absent femoral pulses,
    tachypnea, grunting, poor feeding,
    signs of CHF, abnormal 4 extremity
    blood pressures
    CXR with cardiomegaly, pulmonary congestion

    TREATMENT
    Surgery is usually
    recommended
    The narrowed part of the aorta
    will be removed.
    If the problem area is small, the
    two free ends of the aorta may
    be reconnected. This procedure
    is called Anastomosis.
    If a large part of the aorta is
    removed, a Dacron Graft
    (synthetic material) is used to fill
    the gap.

    In some cases, balloon


    angioplasty may be done
    instead of surgery.

    EXPECTATIONS
    Coarctation of the aorta can be cured with
    surgery. Symptoms quickly get better after
    surgery.
    Theres an increase risk for death due to
    heart problems among those with aorta
    repaired.
    Without treatment, death occurs before age
    40

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