Aortic coarctation

Aortic coarctation is narrowing of the aortain the area where the ductus arteriosus(ligamentum arteriosum after regression) inserts.

Types

There are two types:

1. Preductal coarctation: this occurs in children, with an increased risk in Turner syndrome. The word preductal means that the narrowing is anterior to the ligamentum arteriosum.
2. Post-ductal coarctation: this is mainly seen in adults.

Signs, symptoms and diagnosis

Arterial hypertensionin the left arm with normal to low blood pressure in the right arm is classic. Poor peripheral pulses, especially of with right carotid artery and the femoral arteries, may be found in severe cases.

On chest X-ray, resorption of the lower part of the ribs may be seen, due to increased blood flow over the neurovascular bundle that runs there. Coarctation of the aorta can be accurately diagnosed with magnetic resonance angiographyor echocardiogram.

Therapy

Therapy is conservative if asymptomatic, but may require surgical resection of the narrow segment if there is arterial hypertension. In some cases angioplastycan be performed to dilate the narrowed artery. If the coarctation is left untreated, arterial hypertensionmay become permanent due to irreversible changes in some organs (such as the kidney).

External links

• Aortic Coarctation informationfrom Seattle Children's Hospital Heart Centerit:Coartazione dell'aorta

pl:Koarktacja aorty

This article is licensed under the GNU Free Documentation License.
It uses material from the http://en.wikipedia.org/wiki/Aortic+coarctation Wikipedia article Aortic coarctation.