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Coarctation of the Aorta

Diagnosis, symptoms, and treatment methods.

General Information About Coarctation of the Aorta

Coarctation of the aorta is a congenital narrowing of the aorta, the largest blood vessel carrying clean blood from the heart to the entire body, in a specific region within the rib cage (usually just after the vessel branching to the left arm). Due to this narrowing, high-pressure blood goes to the upper part of the body (arms and head), while less blood reaches the lower part (legs and organs). While it can present with heart failure in infancy, in milder narrowings, it can progress insidiously until childhood or adulthood, manifesting as severe and resistant high blood pressure. Our Cardiology and Cardiac Surgery units repair this structural defect using stent or surgical methods.

Disease Details and Frequently Asked Questions

You can find detailed information about the condition under the headings below.

It is the condition of being born with the aorta vessel constricted (narrowed) in its middle, like an hourglass. The heart exerts excessive effort to push the blood through this narrowing.

It is a congenital heart anomaly resulting from the faulty formation of the vascular system while the baby is developing in the mother's womb. Although the exact cause is unknown, it is frequently seen alongside genetic disorders such as Turner syndrome.

The most typical finding of this disease is measuring very high blood pressure in the arms and head located above the narrowing, while having very low blood pressure (or unpalpable pulse) in the legs located below the narrowing.

In severe cases, respiratory distress, inability to feed, and heart failure develop in newborn babies. In milder cases in children and adults; coldness in the legs, pain and cramps in the legs when running/walking, headache, nosebleeds, constant high blood pressure, and palpitations are observed.

The doctor's inability to feel the groin pulses (femoral pulse) or finding them weak during a physical examination is the biggest clue. A definitive diagnosis is made by clearly imaging the narrowing with Echocardiography (Heart Ultrasound) and Contrast Tomography (CT Angio).

Coarctation of the aorta does not heal on its own or pass with medication; it must be opened mechanically. In suitable cases, the vessel is widened by entering through the groin using an angiography method and placing a Balloon dilation and Stent in the narrowed area. In more complex narrowings, the narrowed section is cut out and removed via chest surgery, and the healthy ends are sewn together.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.

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