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Primary-care management of patients with coarctation of the aorta*

Published online by Cambridge University Press:  02 February 2017

Jeffrey R. Boris*
Affiliation:
Children’s Hospital of Philadelphia, Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
*
Correspondence to: J. R. Boris, MD, Children’s Hospital of Philadelphia, Department of Pediatrics, Division of Cardiology, Perelman School of Medicine, University of Pennsylvania, 3401 Civic Center Boulevard, Philadelphia, PA 19104, United States of America. Tel: 215 590 3180; Fax: 267 426 5324; E-mail: [email protected]

Abstract

Coarctation of the aorta is a congenital cardiac defect that results in a variable degree of obstruction to the left side of the heart. It can present with either acute shock in the neonatal period as a critical lesion or it can appear more insidiously with hypertension or other findings later in life. This article summarises aspects of outpatient care of patients with this lesion, including clinical history and physical examination, ancillary testing, and issues associated with long-term follow-up and management. Increasing knowledge and experience with this group of patients have allowed for a higher level of evidence-based care over the long term.

Type
Original Articles
Copyright
© Cambridge University Press 2017 

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Footnotes

*

Presented at the Johns Hopkins All Children’s Heart Institute 16th International Symposium on Congenital Heart Disease, Special Focus: Pediatric and Congenital Diseases of the Aorta, Co-Sponsor: The American Association for Thoracic Surgery (AATS), Saint Petersburg, Florida, United States of America, Saturday 13 February, 2016 to Tuesday 16 February, 2016.

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