Question

Surgical management of coarctation of aorta in adults.

Hint:

Surgical treatment of coarctation of the aorta is essential to reduce the risk of complications like hypertension and heart failure.

Answer 1

Step 1: Understanding Coarctation of the Aorta.
Coarctation of the aorta (Co is a congenital narrowing of the aorta, which can lead to increased blood pressure before the site of narrowing and decreased blood flow beyond it. While CoA is typically diagnosed in childhood, it can also present in adulthood, particularly if left untreated.

Step 2: Surgical Management of Coarctation of the Aorta.
The treatment for coarctation of the aorta in adults typically involves surgical intervention, which includes:

Resection and End-to-End Anastomosis: The narrowed portion of the aorta is excised and the two ends of the aorta are surgically reconnected.
Subclavian Flap Aortoplasty: The subclavian artery is used to widen the narrowed segment of the aorta.
Endovascular Stenting: A stent is placed to widen the narrowed portion of the aorta, especially in cases where open surgery is high-risk.

Step 3: Conclusion.
Surgical options are chosen based on the patient's age, the extent of the narrowing, and the presence of other health conditions. Endovascular stenting is less invasive but may not be suitable for all patients.