Abstract
The coarctation of the aorta (CoA) is a relatively common congenital heart disease, with high mortality if it is not well treated. It is usually associated with other congenital heart defects, such as bicuspid aortic valve or ventricular septal defect. The most common location is in a juxtaductal position and the systemic circulation depends on the permeability of the ductus arteriosus, for this reason it can present with acute circulatory collapse during the neonatal period. The most sensitive and specific diagnostic method is transthoracic echocardiography. Prostaglandin infusions should be started immediately to keep the ductus patent and thus anterograde circulation. The goal of management is the surgical correction as soon as possible. The technique used in neonates is resection of the CoA site with termino-terminal anastomosis. After the surgery, these patients must have an annual follow-up with the cardiologist for the management of systemic arterial hypertension and detection of late onset complications.
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Copyright (c) 2023 Maria Jose Lizano, Javier Alvarez Urbina