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Coarctation of the aorta is
a congenital cardiovascular disorder marked by a localised constriction
of the aorta, usually situated near the ductus arteriosus. This anatomical
narrowing makes it harder for blood to flow, which raises blood pressure
near the narrowing and lowers perfusion farther away. It is frequently
diagnosed in infancy, youth, or occasionally age, contingent upon
severity.
Clinically, patients may
exhibit hypertension in the upper extremities, attenuated or delayed femoral
pulses, and a disparity in blood pressure between the arms and legs. In
severe neonatal cases, signs like heart failure, poor eating, and trouble
breathing might show up quickly after birth. If not treated, long-term problems
can include left ventricular hypertrophy, aortic rupture, stroke, and early coronary
artery disease.
Imaging techniques like echocardiography
(an ultrasound of the heart), CT angiography (a type of X-ray that
visualises blood vessels), or MRI (magnetic resonance imaging, which
uses magnetic fields to create detailed images of organs) are often used to
confirm a diagnosis. Management techniques depend on the patient's age and the
severity of the condition. These include surgical resection with end-to-end anastomosis,
balloon angioplasty, or stent insertion. Early detection and prompt
treatments markedly enhance prognosis and diminish morbidity linked to this
illness.