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''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
__NOTOC__
[[Image:164px-Coarct_3d.gif‎|Left|thumb|250px|Coarctation of aorta by CMR]]
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
{{Aortic coarctation}}


{{Template:Aortic Coarctation}}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]][mailto:psingh13579@gmail.com], {{CZ}}; '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]][mailto:kfeeney@elon.edu]


{{CMG}}
{{SK}} coarct; coarctation of the aorta


'''Associate Editor-In-Chief:''' {{CZ}}
== [[Aortic coarctation overview|Overview]] ==


==[[Aortic coarctation overview | Overview]]==
== [[Aortic coarctation historical perspective|Historical Perspective]] ==


==[[Aortic coarctation history | History]]==
== [[Aortic coarctation classification|Classification]] ==


==[[Aortic coarctation epidemiology and demographics | Epidemiology and demographics]]==
== [[Aortic coarctation pathophysiology|Pathophysiology]] ==


==[[Aortic coarctation classification | Classification]]==
== [[Aortic coarctation causes|Causes]] ==


==[[Aortic coarctation anatomy | Anatomy]]==
== [[Aortic coarctation differential diagnosis|Differentiating Aortic Coarctation from other Diseases]] ==


==[[Aortic coarctation pathophysiology | Pathophysiology]]==
== [[Aortic coarctation epidemiology and demographics|Epidemiology and Demographics]] ==


==[[Aortic coarctation natural history | Natural History]]==
== [[Aortic coarctation risk factors|Risk Factors]] ==


==[[Aortic coarctation genetics | Genetics]]==
== [[Aortic coarctation screening|Screening]] ==


==[[Aortic coarctation complications | Complications]]==
== [[Aortic coarctation natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==


== Diagnosis ==


==[[Aortic coarctation associated conditions | Associated conditions]]==
[[Aortic coarctation history and symptoms|History and Symptoms]] | [[Aortic coarctation physical examination|Physical Examination]] | [[Aortic coarctation electrocardiogram|Electrocardiogram]] | [[Aortic coarctation chest x-ray|Chest X Ray]] | [[Aortic coarctation CT|CT]] | [[Aortic coarctation MRI|MRI]] | [[Aortic coarctation angiography|Angiography]] | [[Aortic coarctation echocardiography|Echocardiography]]


==Diagnosis==
== [[Aortic coarctation treatment|Treatment]] ==
[[Aortic coarctation symptoms | Symptoms]] | [[Aortic coarctation physical examination | Physical examination]] | [[Aortic coarctation electrocardiogram | Electrocardiogram]] | [[Aortic coarctation chest x-ray | Chest x-ray]] | [[Aortic coarctation echocardiography | Echocardiography]] | [[Aortic coarctation angiography | Angiography]] | [[Aortic coarctation MRI | MRI]] | [[Aortic coarctation CT | CT]]  


[[Aortic coarctation medical therapy|Medical Therapy]] | [[Aortic coarctation surgery|Surgery]] | [[Aortic coarctation primary prevention|Primary Prevention]] |  [[Aortic coarctation secondary prevention|Secondary Prevention]] | [[Aortic coarctation cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Aortic coarctation future or investigational therapies|Future or Investigational Therapies]]
==Case Studies==
[[Aortic coarctation case study one|Case #1]]




===Angiography===
<youtube v=yvwCL3D8MFM />
===MRI===
Magnetic resonance imaging (MRI) can define the location and severity of a coarctation. MRI can also detect associated cardiac abnormalities and is  used for serial follow-up after surgical repair or balloon angioplasty. MR angiography has almost completely replaced invasive catheter based techniques for evaluating re coarctation. In adults with untreated coarctation blood often reaches the lower body through collaterals, eg. internal thoracic arteries via. the subclavian arteries. Those can be seen on MR or [[angiography]].
[[Image:Coarctation and PDA.png|center|thumb|250px|Schematic drawing of alternative locations of a coarctation of the aorta, relative to the ductus arteriosus. A: ductal coarctation, B: preductal coarctation, C: postductal coarctation. 1: Aorta ascendens, 2: Arteria pulmonalis, 3: Ductus arteriosus, 4: Aorta descendens, 5: Trunchus brachiocephalicus, 6:  Arteria carotis communis sinister, 7: Arteria subclavia sinister]]
<div align="left">
<gallery heights="225" widths="225">
Image:Coarctation-of-the-aorta-MRI-003.jpg|[Courtesy of RadsWiki and copylefted]
Image:Coarctation-of-the-aorta-MRI-002.jpg|[Courtesy of RadsWiki and copylefted]
Image:Aortic coarctation MRI 001.jpg|<br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>
</gallery>
</div>
===CT===
<small> CT images shown below are courtesy of Cafer Zorkun and copylefted </small>
<div align="left">
<gallery heights="150" widths="150">
Image:Coarctation-of-the-aorta-CT-002.jpg|Aortic Coarctation 
Image:Coarctation-of-the-aorta-CT-003.jpg|Aortic Coarctation 
Image:Coarctation-of-the-aorta-CT-004.jpg|Aortic Coarctation
Image:Coarctation-of-the-aorta-CT-005.jpg|Aortic Coarctation
</gallery>
</div>
==Therapy==
Therapy is conservative if the patient is asymptomatic. If symptoms or [[hypertension]] are present, treatment for coarctation may be surgical or catheter based.  The treatment choice depends on the patients age, the location of the coarctation and other associated anomalies.  Recoartctaion after previous surgery is treated percutaneously with either balloon dilation and/or stenting.
== References ==
{{reflist}}
==External links==
* A case of coarctation of the aorta was published in the [[New England Journal of Medicine]] in 2007 showing chest X-Rays and MRT Images.<ref>{{cite journal | author = Quiros-Lopez R, Garcia-Alegria J | title = A medical mystery -- high blood pressure | journal = N Engl J Med | volume = 356 | issue = 25 | pages = 2630 | year = 2007 | id = PMID 17582073}}</ref>
* [http://heart.seattlechildrens.org/conditions_treated/coarctation_of_the_aorta.asp Aortic Coarctation information] from Seattle Children's Hospital Heart Center
* [http://www.childrenscentralcal.org/content.asp?id=939&parent=1&groupid=G0044 Overview and diagram at childrenscentralcal.org]
* [http://www.kumc.edu/instruction/medicine/pedcard/cardiology/pedcardio/coarctationdiagram.gif Diagram at kumc.edu]
* [http://www.med.umich.edu/cvc/mchc/parcoa.htm Overview and diagram at umich.edu]
* [http://www.nlm.nih.gov/medlineplus/ency/article/000191.htm]
{{Congenital malformations and deformations of circulatory system}}
{{SIB}}
[[Category:Cardiology]]
[[Category:Pediatrics]]
[[Category:DiseaseState]]
{{Link FA|nn}}
[[de:Aortenisthmusstenose]]
[[fr:Coarctation de l'aorte]]
[[fr:Coarctation de l'aorte]]
[[it:Coartazione dell'aorta]]
[[no:Koarktasjon av aorta]]
[[nn:Koarktasjon]]
[[pl:Koarktacja aorty]]
[[pl:Koarktacja aorty]]
[[sr:Коарктација аорте]]
[[tr:Aort koarktasyonu]]
[[tr:Aort koarktasyonu]]
[[uk:Коарктація аорти]]
[[ro:Coarctaţia de Aortă]]


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Latest revision as of 22:10, 14 March 2016

Coarctation of aorta by CMR

For patient information click here

Aortic coarctation Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic Coarctation from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Electrocardiogram

Chest X-Ray

CT

MRI

Angiography

Echocardiography

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S.[2], Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S.[4]

Synonyms and keywords: coarct; coarctation of the aorta

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic Coarctation from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Electrocardiogram | Chest X Ray | CT | MRI | Angiography | Echocardiography

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1


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