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Coarctation of Aorta in M/33 Years.
Coarctation of Aorta present : gradient across descending aorta-70 mm HG. Normal Size Aortic Root.
All four valves are structurally normal.
There is 3cm segment of diffuse narrowing of the descending thoracic aorta approximately 1.6cm distal to origin of left subclavian artery.
Diameter of the stenotic segment at its narrowest part measures 0.7cm. prestenotic and poststenotic dilated segments measure 1.7 cm and 2.1 cm respectively
There is a mild hypodense wall circumferential wall thickening
Answers (1)
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There are two options here-:
1) Open heart surgery
2) Coarctoplasty
Both are equally good options. I did a coarctoplasty for an 18 yrs old girl in 2013. She continues to do well. No restenosis, gradients ~10 mm of ABG. Normal life.
Ideally this requires surgery, as per literature and guidelines, however trans-catheter intervention is equally good.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.