Coarctation of the aorta (CoA) treatment in 585 Cardiac surgery clinics worldwide

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585 clinics specializing in Cardiac surgery providing treatment of Coarctation of the aorta (CoA) Coarctation of the aorta (CoA) is a congenital heart defect characterized by a narrowing of the aorta, the main artery carrying blood from the heart. It can cause high blood pressure and may require surgery or other interventions to improve blood flow and prevent complications.
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disease worldwide.

Africa · 4
Americas · 145
Asia · 199
Europe · 211
Oceania · 26
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Africa · 4 Americas · 145 Asia · 199 Europe · 211 Oceania · 26
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Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $1,008
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $4,674
  3. Dual chamber pacemaker insertion
    ≈ $4,655
  4. Coronary artery bypass graft (CABG)
    ≈ $8,740
  5. Off-pump coronary artery bypass
    ≈ $10,092
  6. Heart valve replacement
    ≈ $8,834
  7. Heart valve repair
    ≈ $9,355
  8. Aortic valve replacement (AVR)
    ≈ $9,599
  9. Mitral valve replacement (MVR)
    ≈ $8,535
photo
Lajeado, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Bruno Born Hospital is a philanthropic institution, with more than 80 years. It is registered with the National, State and Municipal Councils of Social Assistance read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $1,008
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $4,674
  3. Coronary artery bypass graft (CABG)
    ≈ $8,740
  4. Off-pump coronary artery bypass
    ≈ $10,092
  5. Radiofrequency ablation (RFA)
    ≈ $6,898
  6. Percutaneous ASD closure
    ≈ $4,305
  7. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $5,352
  8. Coronary catheterization
    ≈ $1,003
  9. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $3,942
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ Hospital São Camilo Pompeia has followed, over the years, the growth of the population and the scientific and technological advances aimed at medical and read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $1,008
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $4,674
  3. Coronary artery bypass graft (CABG)
    ≈ $8,740
  4. Off-pump coronary artery bypass
    ≈ $10,092
  5. Radiofrequency ablation (RFA)
    ≈ $6,898
  6. Percutaneous ASD closure
    ≈ $4,305
  7. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $5,352
  8. Coronary catheterization
    ≈ $1,003
  9. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $3,942
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Integrated into the São Camilo de São Paulo Hospitals Network in March 1979, the Santana Unit has an agile and modern structure implemented to offer read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $1,008
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $4,674
  3. Radiofrequency ablation (RFA)
    ≈ $6,898
  4. Percutaneous ASD closure
    ≈ $4,305
  5. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $5,352
  6. Coronary catheterization
    ≈ $1,003
  7. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $3,942
  8. Catheter cardiac ablation
    ≈ $3,620
  9. Catheter cryoablation
    ≈ $8,265
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
A member of the Network since 2000, Hospital São Camilo Ipiranga has an emergency room for patients aged 12 years and over, an Intensive Care read more
Prices for popular procedures:
  1. Coarctectomy in children
    ≈ $8,604
  2. Cardiac catheterization
    ≈ $1,008
  3. Balloon angioplasty and stenting of aorta coarctation
    ≈ $4,674
  4. Coronary artery bypass graft (CABG)
    ≈ $8,740
  5. Off-pump coronary artery bypass
    ≈ $10,092
  6. Heart valve replacement
    ≈ $8,834
  7. Heart valve repair
    ≈ $9,355
  8. Aortic valve replacement (AVR)
    ≈ $9,599
  9. Mitral valve replacement (MVR)
    ≈ $8,535
photo
Rio de Janeiro, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Quinta D'Or Hospital opened in September 2001 and is located opposite Quinta da Boa Vista, in Rio de Janeiro. It emerged from the renovation read more
Prices for popular procedures:
  1. Coarctectomy in children
    ≈ $8,604
  2. Cardiac catheterization
    ≈ $1,008
  3. Balloon angioplasty and stenting of aorta coarctation
    ≈ $4,674
  4. Dual chamber pacemaker insertion
    ≈ $4,655
  5. Coronary artery bypass graft (CABG)
    ≈ $8,740
  6. Off-pump coronary artery bypass
    ≈ $10,092
  7. Heart valve replacement
    ≈ $8,834
  8. Heart valve repair
    ≈ $9,355
  9. Aortic valve replacement (AVR)
    ≈ $9,599
photo
Belo Horizonte, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Lifecenter Hospital stands out among the most sophisticated and renowned health institutions in Minas Gerais. Its activities cover urgent and emergency medical care, surgeries, read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $1,008
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $4,674
  3. Dual chamber pacemaker insertion
    ≈ $4,655
  4. Coronary artery bypass graft (CABG)
    ≈ $8,740
  5. Off-pump coronary artery bypass
    ≈ $10,092
  6. Permanent pacemaker implantation
    ≈ $3,756
  7. Radiofrequency ablation (RFA)
    ≈ $6,898
  8. Percutaneous ASD closure
    ≈ $4,305
  9. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $5,352
photo
Serra, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Founded in 2001, Vitória Apart Hospital is a center of excellence in high complexity medicine in Espírito Santo, prepared to take care of people's health read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $2,042
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $7,622
  3. Coronary artery bypass graft (CABG)
    ≈ $17,315
  4. Off-pump coronary artery bypass
    ≈ $16,921
  5. Fontan procedure
    ≈ $18,235
  6. Percutaneous ASD closure
    ≈ $9,250
  7. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $9,238
  8. Coronary catheterization
    ≈ $1,511
  9. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $7,029
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Hospital "Prof. Dr. Juan P. Garrahan" is the pediatric center of reference in public health, free and highly complex in Argentina. Since its inauguration, read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $2,042
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $7,622
  3. Dual chamber pacemaker insertion
    ≈ $6,735
  4. Permanent pacemaker implantation
    ≈ $7,623
  5. Percutaneous ASD closure
    ≈ $9,250
  6. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $9,238
  7. Coronary catheterization
    ≈ $1,511
  8. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $7,029
  9. Single chamber pacemaker insertion
    ≈ $7,520
photo
Posadas, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery, Oncology
The Health Park of the Province of Misiones "Dr. Ramón Madariaga" was created through Law XVII Nº70, approved by the majority of the legislative body read more
Prices for popular procedures:
  1. Coarctectomy in children
    ≈ $11,417
  2. Dual chamber pacemaker insertion
    ≈ $6,735
  3. Coronary artery bypass graft (CABG)
    ≈ $17,315
  4. Off-pump coronary artery bypass
    ≈ $16,921
  5. Heart valve replacement
    ≈ $24,885
  6. Heart valve repair
    ≈ $21,634
  7. Aortic valve replacement (AVR)
    ≈ $23,180
  8. Mitral valve replacement (MVR)
    ≈ $18,325
  9. Transcatheter aortic valve replacement (TAVR)
    ≈ $32,318
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery
Inaugurated on March 1, 1991, the Suizo Argentina Clinic and Maternity began its history with a revolutionary vision in the concept of care and comfort read more
Prices for popular procedures:
  1. Coarctectomy in children
    ≈ $11,417
  2. Coronary artery bypass graft (CABG)
    ≈ $17,315
  3. Off-pump coronary artery bypass
    ≈ $16,921
  4. Radiofrequency ablation (RFA)
    ≈ $15,064
  5. Catheter cardiac ablation
    ≈ $9,658
  6. Electrophysiology study (EPS)
    ≈ $2,721
  7. Alcohol septal ablation in hypertrophic obstructive cardiomyopathy
    ≈ $5,210
  8. Pulmonary artery thromboendarterectomy
    ≈ $8,352
  9. Redo heart surgery
    ≈ $19,938
photo
Rosario, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
More than 100 years ago, on June 24, 1912, the Spanish Hospital was inaugurated in Rosario, driven by the demand for health care from Spanish read more
Prices for popular procedures:
  1. Coarctectomy in children
    ≈ $11,417
  2. Dual chamber pacemaker insertion
    ≈ $6,735
  3. Coronary artery bypass graft (CABG)
    ≈ $17,315
  4. Off-pump coronary artery bypass
    ≈ $16,921
  5. Heart valve replacement
    ≈ $24,885
  6. Heart valve repair
    ≈ $21,634
  7. Aortic valve replacement (AVR)
    ≈ $23,180
  8. Mitral valve replacement (MVR)
    ≈ $18,325
  9. Transcatheter aortic valve replacement (TAVR)
    ≈ $32,318
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Pueyrredon Private Clinic was born in response to the need of Mar del Plata doctors who worked at that time as professionals in mutual read more
Prices for popular procedures:
  1. Coarctectomy in children
    ≈ $11,417
  2. Cardiac catheterization
    ≈ $2,042
  3. Balloon angioplasty and stenting of aorta coarctation
    ≈ $7,622
  4. Dual chamber pacemaker insertion
    ≈ $6,735
  5. Coronary artery bypass graft (CABG)
    ≈ $17,315
  6. Off-pump coronary artery bypass
    ≈ $16,921
  7. Heart valve replacement
    ≈ $24,885
  8. Heart valve repair
    ≈ $21,634
  9. Aortic valve replacement (AVR)
    ≈ $23,180
photo
Córdoba, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We are a benchmark health care network in Argentina and we are committed to offering the world excellent medicine. Our Hospital is among the main read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $2,042
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $7,622
  3. Dual chamber pacemaker insertion
    ≈ $6,735
  4. Permanent pacemaker implantation
    ≈ $7,623
  5. Percutaneous ASD closure
    ≈ $9,250
  6. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $9,238
  7. Single chamber pacemaker insertion
    ≈ $7,520
  8. Cardiac resynchronization therapy with pacemaker (CRT-P)
    ≈ $10,888
  9. Cardiac resynchronization therapy with defibrillator (CRT-D)
    ≈ $20,431
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Thoracic surgery, Orthopedic surgery, Oncology
As of March 14, 1994, the Alexander Fleming Institute opened its doors to medical and scientific excellence. Maximum technical-scientific level and comfort in one of read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $2,042
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $7,622
  3. Dual chamber pacemaker insertion
    ≈ $6,735
  4. Coronary artery bypass graft (CABG)
    ≈ $17,315
  5. Off-pump coronary artery bypass
    ≈ $16,921
  6. Heart valve replacement
    ≈ $24,885
  7. Heart valve repair
    ≈ $21,634
  8. Aortic valve replacement (AVR)
    ≈ $23,180
  9. Mitral valve replacement (MVR)
    ≈ $18,325
photo
San Fernando del Valle de Catamarca, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Sanatorio Junín offer the entire population of Catamarca and the NOA integrated health care at levels of low to high complexity, with a highly qualified read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $5,245
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $22,521
  3. Dual chamber pacemaker insertion
    ≈ $19,679
  4. Permanent pacemaker implantation
    ≈ $16,298
  5. Radiofrequency ablation (RFA)
    ≈ $31,433
  6. Percutaneous ASD closure
    ≈ $17,519
  7. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $23,421
  8. Coronary catheterization
    ≈ $4,121
  9. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $11,142
photo
Footscray, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Footscray Hospital is an acute teaching hospital with approximately 290 beds (following recent relocation of a number of services to Sunshine Hospital). It provides the read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $5,245
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $22,521
  3. Dual chamber pacemaker insertion
    ≈ $19,679
  4. Permanent pacemaker implantation
    ≈ $16,298
  5. Radiofrequency ablation (RFA)
    ≈ $31,433
  6. Percutaneous ASD closure
    ≈ $17,519
  7. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $23,421
  8. Coronary catheterization
    ≈ $4,121
  9. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $11,142
photo
Saint Albans, Australia
Specializations: Cardiac surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Sunshine Hospital is an acute and sub-acute teaching hospital with approximately 600 beds(including Mental Health beds managed by North West Mental Health). Sunshine Hospital has read more
Prices for popular procedures:
  1. Coarctectomy in children
    ≈ $33,247
  2. Coronary artery bypass graft (CABG)
    ≈ $36,432
  3. Off-pump coronary artery bypass
    ≈ $42,043
  4. Heart valve replacement
    ≈ $41,494
  5. Heart valve repair
    ≈ $37,134
  6. Aortic valve replacement (AVR)
    ≈ $41,967
  7. Mitral valve replacement (MVR)
    ≈ $34,325
  8. Transcatheter aortic valve replacement (TAVR)
    ≈ $76,496
  9. Totally endoscopic coronary artery bypass (TECAB)
    ≈ $18,704
photo
Camperdown, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: Portuguese, Russian, Turkish
Royal Prince Alfred Hospital is one of Australia's premier tertiary referral hospitals and is recognised as a worldwide leader in healthcare excellence and innovation. RPA read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $5,245
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $22,521
  3. Dual chamber pacemaker insertion
    ≈ $19,679
  4. Permanent pacemaker implantation
    ≈ $16,298
  5. Radiofrequency ablation (RFA)
    ≈ $31,433
  6. Percutaneous ASD closure
    ≈ $17,519
  7. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $23,421
  8. Coronary catheterization
    ≈ $4,121
  9. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $11,142
photo
Southport, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Oncology
We’re located on the corner of Parklands Drive and Olsen Avenue in Southport and provide public health services for the Gold Coast and wider community. read more
Prices for popular procedures:
  1. Cardiac catheterization
    ≈ $5,245
  2. Balloon angioplasty and stenting of aorta coarctation
    ≈ $22,521
  3. Coronary artery bypass graft (CABG)
    ≈ $36,432
  4. Off-pump coronary artery bypass
    ≈ $42,043
  5. Percutaneous ASD closure
    ≈ $17,519
  6. Percutaneous closure of ventricular septal defect (VSD)
    ≈ $23,421
  7. Percutaneous coronary intervention (PCI) with stent insertion
    ≈ $11,142
  8. Septal myectomy
    ≈ $34,272
  9. Fractional flow reserve (FFR)
    ≈ $2,542
photo
Woolloongabba, Australia
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
Princess Alexandra Hospital (PAH) is a tertiary health care centre, providing care in all major adult specialties, with the exception of obstetrics. We are read more

Clinics grouping by rating

Clinic with the highest rating of 5 — Clinical Hospital Lapino in Moscow, Russia and 5 more, clinic with the most reviews number of 35612 — Aster CMI hospital in Bengaluru, India.

With rating 4.0 and over — 215 clinics .

Countries with the highest number of clinics treating the diseases:

Coarctation of the aorta (CoA):

Related procedures:

Procedures are likely to be used for Coarctation of the aorta (CoA) treatment: Balloon angioplasty and stenting of aorta coarctation, Cardiac catheterization, and Coarctectomy in children .

Coarctation of the aorta - what is this?

Coarctation of the aorta

Coarctation of the aorta has several types as well as different treatments. In this article, we will talk about what this disease is, in whom it is more common, what complications and features it has. We will also briefly analyze the diagnosis and therapy of this pathology.

The aorta is the largest vessel in the human body. It has several parts and departs from the left ventricle of the heart. The aorta forms many branches that supply blood to all tissues and organs of the human body.

So, coarctation (narrowing) of the aorta is a congenital malformation of the cardiovascular system. With this pathology, the aorta narrows, which entails insufficient blood supply to the lower body, including the kidneys. The latter secrete hormones that increase blood pressure. As a result, the vessels of the upper body and heart are subjected to even more stress.

The defect is usually located below the exit of the left subclavian artery from the aortic arch and above the junction of the descending aorta with the ductus arteriosus or arterial ligament.

Who has this disease most often?

Coarctation of the aorta is more common in certain genetic diseases (for example, Turner syndrome, Williams syndrome), as well as in newborns whose mothers have diabetes or take hydantoin-based drugs (these drugs can be used for epilepsy and other diseases of the nervous system)... Also, coarctation of the aorta occurs twice as often in males.

Classification

The disease is classified depending on the localization of the narrowing relative to the arterial ligament and there are three types of coarctation of the aorta:

  1. Preductal;
  2. Ductal;
  3. Postductal.

In these types, the narrowing is located above the arterial ligament, at its level and below it, respectively.

An isolated form of the disease, a combination of coarctation of the aorta with a defect of the interventricular septum, and a combination of the disease with complex congenital heart defects are also distinguished.

Less commonly used is the Bonnet classification. In accordance with it, the disease is divided into child and adult types, and the moment of appearance of symptoms that are significant for maintaining health is taken into account.

Could the disease be associated with another pathology?

Yes, the accompanying violations can be:

  • aortic valve with two cusps instead of three;
  • underdevelopment (hypoplasia) of the aortic arch;
  • abnormal withdrawal of the right subclavian artery;
  • intracerebral aneurysms;
  • stenosis (narrowing) of the mitral valve, as well as pathology of other valves;
  • Sean's syndrome (congenital defect of the left heart and aorta).

With the disease, collateral circulation develops bypassing stenosis (mainly from the subclavian, internal thoracic and intercostal arteries), an increase in blood pressure in the left ventricle, as well as in the vessels that are located above the site of narrowing. Over time, the patient develops an enlargement of the left ventricle (hypertrophy), heart failure and atherosclerosis of the coronary arteries.

Coarctation of the aorta causes an increase in blood pressure, and hypertension is one of the main risk factors for atherosclerosis. Therefore, with this disease, atherosclerotic lesions are often observed at an early age.

Symptoms of the disease

The clinical picture of coarctation of the aorta depends on the age of the patient, the location and degree of narrowing of the lumen, the presence and type of concomitant anomalies, as well as the rate of closure of the ductus arteriosus.

In severe preductal or ductal constriction, blood flow through the patent ductus arteriosus maintains blood supply to the lower body. At the same time, there is no difference in pressure and pulse between the upper and lower limbs (but the saturation on the right upper limb is higher than on the lower limb). After the closure of the ductus arteriosus, ischemia (a sharp lack of oxygen) of the abdominal organs occurs and heart failure develops, the heart rate in the lower extremities weakens or disappears.

Symptoms of the disease can be:

  • decreased appetite;
  • shortness of breath;
  • tachycardia;
  • hepatomegaly (enlarged liver);
  • cyanosis of the skin of the lower body;
  • increased sweating;
  • decrease or absence of urine output;
  • a change in the gas composition of blood and a change in its acidity.

Much less common is postductal aneurysm, in which blood flow to the lower body is disrupted immediately after birth. In a patient with this type of disease, symptoms of heart failure occur quickly and are severe.

In older children and adults, the disease is usually diagnosed when the causes of hypertension are identified. In this case, the following symptoms may occur:

  • headache;
  • dizziness, tinnitus, nosebleeds;
  • intolerance to physical activity;
  • shortness of breath;
  • abdominal pain.

Diagnosis of the disease

Identification of pathology begins with examining the patient and interviewing him (if possible). During the examination, the doctor may find:

  • absence of pulse or its weakening on palpation of the femoral artery;
  • the difference in blood pressure between the upper and lower extremities;
  • strengthening of the second tone at the point of aortic valve auscultation;
  • systolic murmur over the base of the heart or continuous murmur in the interscapular region (a sign of the development of collateral circulation);
  • trembling in the sternum;
  • displacement of the apical impulse to the left and down (a sign of left ventricular hypertrophy).

The following diagnostic methods are also used:

  1. Pulse oximetry. With coarctation of the aorta, oxygen saturation measured in the lower limb will be lower than that measured in the upper limb.
  2. Measurement of blood pressure. This pathology manifests itself in different blood pressure on the arms and legs: the blood pressure on the upper limb will be higher than on the lower one.
  3. ECG. Signs of hypertrophy and overload of the ventricles of the heart can be found.
  4. X-ray of the chest. When carrying out this diagnostic method, it is possible to identify radiological signs characteristic of coarctation of the aorta, for example, an increase in the size of the heart and expansion of the ascending part of the aorta.
  5. Ultrasound. Allows you to visualize the location, structure and degree of narrowing, as well as accompanying violations.
  6. Angio-CT and angio-MRI. They are the most accurate methods for assessing the degree of coarctation, and are also used to determine the effectiveness of treatment and identify complications of surgical interventions.
  7. Cardiac catheterization with aortography. Usually performed before surgery. Allows to measure the pressure gradient at the coarctation level.

Treatment

In newborns with preductal stenosis, surgery is performed immediately. For other types of the disease, planned treatment is possible.

Surgical treatment may include:

  • removal of the narrowed area and connection of parts of the aorta end-to-end (Crawford's method);
  • expansion of stenosis using a section extracted from the left subclavian artery (Waldhausen operation);
  • operations using artificial materials and balloon plastic.

In adults, surgical treatment is indicated in the case of arterial hypertension, accompanied by significant stenosis (with a pressure difference between the right upper and lower extremities of more than 20 mm Hg). In this case, the disease should be confirmed by invasive examination (for example, cardiac catheterization with aortography). Basically, percutaneous procedures are performed (stenting, balloon angioplasty).

Disease prognosis

The pathology has a poor prognosis in newborns and infants with symptoms of heart failure, as well as in young patients who have not been treated. Lack of diagnosis at an early age leads to the persistence of arterial hypertension and the development of complications. Operated and non-operated patients are at increased risk of death from cardiovascular causes. The latter can be:

  • heart failure;
  • myocardial infarction;
  • infections of the mediastinal organs;
  • stroke;
  • rupture, dissection, or infection of the aortic wall.

Summary

Coarctation of the aorta is a congenital heart disease and is of three types: preductal, ductal, and postductal. Most often, the disease occurs together with another pathology - a bicuspid aortic valve.

The clinical picture of coarctation of the aorta depends on several factors: the age of the patient, the location and degree of stenosis, concomitant anomalies, and the rate of closure of the ductus arteriosus. Common symptoms include high blood pressure in the upper body and a lack of pulse in the femoral arteries. In older children and adults, the disease is usually diagnosed when the causes of high blood pressure or headaches are identified.

The leading method of treatment is surgery. The preferred method for infants and young children is the Crawford method. In adults, surgical treatment is indicated in the case of arterial hypertension accompanied by significant stenosis.
With timely access to a doctor and proper treatment for coarctation of the aorta, the life expectancy of patients may not differ in any way from that of healthy people.

References:

  1. Harrison`s Principles of Internal Medicine 19/E (Vol.1). Dennis Kasper, Anthony Fauci, Stephen Hauseret all. McGraw-HillEducation 2015 ISBN: 0071802134 ISBN-13(EAN): 9780071802130.
  2. Interna szczeklika - duży podręcznik. Medycyna praktyczna. 2021. ISBN 9788374306522.
  3. Pediatria do LEK i PES. Anna Dobrzańska, Józef Ryżko. 2018. ISBN: 978-83-7609-855-5.