Cardiovascular System - Coarctation of the Aorta
Embryology - 14 Jun 2024 Expand to Translate |
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ICD-11 |
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LA8B.21 Coarctation of aorta
LA8B.22 Interrupted aortic arch - A congenital cardiovascular malformation in which there is an absence of luminal continuity between the ascending and descending aorta. This includes luminal atresia with discontinuity between the aortic segments and also luminal atresia with fibrous continuity between the aortic segments. Interrupted aortic arch is defined as the loss of luminal continuity between the ascending and descending aorta. In most cases, blood flow to the descending thoracic aorta is through a patent arterial duct, and there is a large ventricular septal defect. Arch interruption is further defined by site of interruption. In type A, interruption is distal to the left subclavian artery; in type B, interruption is between the left carotid and left subclavian arteries; and in type C, interruption occurs between the innominate and left carotid arteries. |
ICD-11 Structural developmental anomalies of the circulatory system (draft) |
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ICD-11 Beta Draft - NOT FINAL, updated on a daily basis, It is not approved by WHO, NOT TO BE USED for CODING except for agreed FIELD TRIALS.
20 Developmental Anomalies - Structural Developmental Anomalies Beta coding and tree structure for "structural developmental anomalies" within this section are shown in the table below. |
Structural developmental anomalies of the circulatory system |
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CD-11 Beta Draft - NOT FINAL, updated on a daily basis, It is not approved by WHO, NOT TO BE USED for CODING except for agreed FIELD TRIALS.
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Introduction
- 5-8% of Congenital Heart Disease
- Aortic constriction.
- Treatment aims at maintaining the ductus arteriosus via prostaglandins and by surgical intervention.
- Recent review[1] suggests it may:
- affect the aortic arch in a highly variable manner
- be associated with a host of other left sided heart lesions
- represent a wider vasculopathy within the pre-coarctation arterial tree
- Links: Search PubMed | PMID 21947983 | 2011 Review PDF
Some Recent Findings
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More recent papers |
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This table allows an automated computer search of the external PubMed database using the listed "Search term" text link.
More? References | Discussion Page | Journal Searches | 2019 References | 2020 References Search term: Coarctation of the Aorta |
Older papers |
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These papers originally appeared in the Some Recent Findings table, but as that list grew in length have now been shuffled down to this collapsible table.
See also the Discussion Page for other references listed by year and References on this current page. |
Sex Ratios
Male preponderance | Female preponderance |
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Cardiac defects | |
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Table data[3] Links: abnormal development | cardiovascular abnormalities | USA | Male | Female | cleft lip and palate |
Clinical Imaging
Ultrasound
Echocardiography uses standard two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart.
Echocardiogram Coarctation of the Aorta[4] | |
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A Two-dimensional transthoracic echocardiogram image obtained from the suprasternal notch in an 11-day-old infant demonstrating discrete coarctation (arrow). | B Colour Doppler of the same image with aliasing of flow at the site of coarctation (arrow). |
Magnetic Resonance Imaging
Coarctation of the Aorta MRI[4] | |
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A Magnetic resonance image (steady-state free precession) in a sagittal projection demonstrating transverse arch hypoplasia and long segment coarctation of the aorta distal to the left subclavian artery (arrow) in a 12-year-old male. | B Three-dimensional reconstruction of a gated contrasted angiogram for the same patient, which demonstrates transverse arch hypoplasia, coarctation at the aorta at the distal transverse aortic arch and isthmus (arrow), and dilated intercostal arteries (collaterals). |
References
- ↑ Kenny D & Hijazi ZM. (2011). Coarctation of the aorta: from fetal life to adulthood. Cardiol J , 18, 487-95. PMID: 21947983
- ↑ Erben Y, Oderich GS, Verhagen HJM, Witsenburg M, van den Hoven AT, Debus ES, Kölbel T, Arko FR, Torsello GB, Torsello GF, Lawrence PF, Harlander-Locke MP, Bacharach JM, Jordan WD, Eskandari MK & Hagler DJ. (2019). Multicenter experience with endovascular treatment of aortic coarctation in adults. J. Vasc. Surg. , 69, 671-679.e1. PMID: 30528403 DOI.
- ↑ Michalski AM, Richardson SD, Browne ML, Carmichael SL, Canfield MA, VanZutphen AR, Anderka MT, Marshall EG & Druschel CM. (2015). Sex ratios among infants with birth defects, National Birth Defects Prevention Study, 1997-2009. Am. J. Med. Genet. A , 167A, 1071-81. PMID: 25711982 DOI.
- ↑ 4.0 4.1 Torok RD, Campbell MJ, Fleming GA & Hill KD. (2015). Coarctation of the aorta: Management from infancy to adulthood. World J Cardiol , 7, 765-75. PMID: 26635924 DOI.
Reviews
Law MA & Tivakaran VS. (2018). Coarctation of the Aorta. , , . PMID: 28613663
Batlivala SP & Goldstein BH. (2019). Current Transcatheter Approaches for the Treatment of Aortic Coarctation in Children and Adults. Interv Cardiol Clin , 8, 47-58. PMID: 30449421 DOI.
Doshi AR & Chikkabyrappa S. (2018). Coarctation of Aorta in Children. Cureus , 10, e3690. PMID: 30761242 DOI.
Hoffman JI. (2018). The challenge in diagnosing coarctation of the aorta. Cardiovasc J Afr , 29, 252-255. PMID: 29293259 DOI.
Ghi T, Dall'Asta A, Cavalli C, Galli L, Weiss A, Pedrazzi G, Kaihura CT, Volpe N, Agnetti A & Frusca T. (2018). How often an isolated cardiac disproportion predicts a coarctation of the aorta? Single center experience and systematic review of the literature. J. Matern. Fetal. Neonatal. Med. , 31, 1350-1357. PMID: 28366040 DOI.
Suradi H & Hijazi ZM. (2015). Current management of coarctation of the aorta. Glob Cardiol Sci Pract , 2015, 44. PMID: 26779519 DOI.
Hartman EM, Groenendijk IM, Heuvelman HM, Roos-Hesselink JW, Takkenberg JJ & Witsenburg M. (2015). The effectiveness of stenting of coarctation of the aorta: a systematic review. EuroIntervention , 11, 660-8. PMID: 26499220 DOI.
Buyens A, Gyselaers W, Coumans A, Al Nasiry S, Willekes C, Boshoff D, Frijns JP & Witters I. (2012). Difficult prenatal diagnosis: fetal coarctation. Facts Views Vis Obgyn , 4, 230-6. PMID: 24753914
Articles
Iriart X, Laïk J, Cremer A, Martin C, Pillois X, Jalal Z, Roubertie F & Thambo JB. (2019). Predictive factors for residual hypertension following aortic coarctation stenting. J Clin Hypertens (Greenwich) , 21, 291-298. PMID: 30585428 DOI.
Search Pubmed
Search Pubmed: Coarctation of the Aorta
Search OMIM: Coarctation of the Aorta
External Links
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- MedlinePlus Patent Ductus Arteriosus
- OMIM 607411 Patent Ductus Arteriosus
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Cite this page: Hill, M.A. (2024, June 14) Embryology Cardiovascular System - Coarctation of the Aorta. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Cardiovascular_System_-_Coarctation_of_the_Aorta
- © Dr Mark Hill 2024, UNSW Embryology ISBN: 978 0 7334 2609 4 - UNSW CRICOS Provider Code No. 00098G