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Coarctation of the Aorta: Open Your Heart to Me, Baby

  • Christopher Jones
  • Jennifer Mitzman
Chapter

Abstract

This chapter reviews undiagnosed congenital heart disease. The most common is coarctation of the aorta. This life-threatening condition requires prompt recognition and intervention. A patient with critical coarctation may present suddenly at the time a patent ductus arteriosus suddenly closes. This presence of a heart murmur in conjunction with weak pulses in the lower extremities, listlessness, and a history of poor feed can be big clues to the diagnosis. The EKG may show right ventricular hypertrophy, and the chest X-ray may show cardiomegaly. Prompt resuscitation is paramount, and the initiation of prostaglandin E1 (PGE1) should be done immediately upon suspicion of the diagnosis.

Keywords

Coarctation of the aorta  Cyanotic heart disease  Congenital heart disease 

Notes

Disclosure Statement

The authors of this chapter report no significant disclosures.

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Christopher Jones
    • 1
  • Jennifer Mitzman
    • 2
    • 3
  1. 1.Nationwide Children’s HospitalColumbusUSA
  2. 2.Nationwide Children’s HospitalColumbusUSA
  3. 3.Department of Emergency Medicine, Wexner Medical Center at The Ohio State UniversityColumbusUSA

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