Coarctation of Aorta and Aortic Dissection

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Authors: Ram B Singh, Galal Elkilany, Jan Fedacko, Osama Elmarghi, Ehab Hamdy, Krasimira Hristova, and Nikolay Tseloy
Page Range: 1-4
Published in: World Heart Journal, 15#1 (2023)
ISSN: 1556-4002

Table of Contents

ABSTRACT

The aorta is the largest artery in the body that moves oxygen-rich blood from the left ventricle to the rest of the body. Coarctation of aorta (CoA) is a narrowing of the aorta, that forces the heart to pump harder to move blood through the aorta [1, 2]. CoA, most commonly occurs, just beyond the left subclavian artery, but it may occur in various other locations of the aortic arch or even in the thoracic or abdominal aorta [2]. It is generally present at birth due to congenital heart defect and its symptoms could be mild to severe; hence, the condition might not be detected until adulthood. CoA often occurs along with other congenital heart defects. The treatment of the disease is usually successful, but the condition requires careful lifelong follow-up. Dissection of the aorta is a lethal condition caused by a tear in the intimal layer of the aorta [3, 4]. Aortic dissection is associated with blood loss within the aortic wall and separation of the layers to full dissection [3]. CoA does not appear to be that rare because it accounts for 4 to 6 percent of all congenital heart defects with a reported prevalence of approximately 4 per 10,000 live births [1]. Aortic dissection occurs in about 2 out of every 10,000 people. It can affect anyone, but is most often seen in men 40 to 70 years of age [3, 4]. According to another estimate, CoA is found in 6% to 8% of patients with congenital heart disease or approximately 0.06% to 0.08% of the general population [2]. CoA may account for a percentage of children diagnosed with systemic hypertension. This communication aims to highlight the awareness about CoA and aortic dissection due to increased possibility of its early diagnosis and treatment.

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