CARDIO: Obstructive Defects (coarctation of the aorta)

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Author:
japanice27
ID:
306967
Filename:
CARDIO: Obstructive Defects (coarctation of the aorta)
Updated:
2015-08-28 00:59:07
Tags:
heartdefectspedia
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pedia
Description:
review about coarctation of the aorta
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  1. COARCTATION OF THE AORTA:
    localized narrowing near the insertion of ductus arteriosus.

  2. S/SX:
    BP is higher in the upper ext than the lower ext, bounding pulses in the arms, and cool lower ext(+)signs of HF (infants and decreased CO)children: headache, dizziness, fainting, episode of epistaxis resulting from hypertension
  3. Management:
    balloon angioplasty in children (restenosis can occur)
  4. Surgical management:
    • mech-vent and medications to improve CO is necessary before surgery
    • resection of the coarcted portion with end-to-end anastomosis of the aorta or enlargement of the constricted section, using a graft
    • cardiopulmonary bypass in not required bec the defect is outside the heart, a thoracotomy incision is used

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