What is the follow-up care of patients with coarctation of the aorta (CoA) repair?

Updated: Nov 20, 2018
  • Author: Syamasundar Rao Patnana, MD; Chief Editor: Stuart Berger, MD  more...
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Focus early outpatient follow-up care on wound healing, resolution of lung atelectasis, and adjustment of antihypertensive medications.

Assess postoperative BP response to exercise prior to discontinuation of antihypertensive therapy.

Many patients may be weaned from antihypertensive therapy over months or years following repair of coarctation. Other patients may require some form of ongoing antihypertensive therapy.

Search for late complications of coarctation repair, including recurrent coarctation and aneurysm formation.

Patients should receive antibiotic prophylaxis before undergoing any bacteremia-producing surgery or procedures, especially in view of reported incidence of bacterial endocarditis during follow-up. [158]

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