Which interventions are best for coarctation of the aorta (CoA) by age?

Updated: Nov 20, 2018
  • Author: Syamasundar Rao Patnana, MD; Chief Editor: Stuart Berger, MD  more...
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Answer

At initial presentation, if cardiac failure or hypertension is the presenting problem, it should be addressed to stabilize the patient. Subsequently, the aortic obstruction should be relieved. The available options include surgical and catheter interventional procedures; the latter procedures include balloon angioplasty and bare or covered stents.

In general, surgical intervention in neonates and young infants (extremely ill babies with poor left ventricular function may benefit from balloon angioplasty), balloon angioplasty in children, and stent deployment in adolescents and adults appear to be appropriate options. Of course, the anatomy of the coarcted aortic segment and the aortic arch would greatly influence the method of therapy in a given patient.


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