Aortic narrowing

21:56 - 4 May , 2021

Disease

What is Aortic narrowing?

It is a congenital heart anomaly in which the aorta’s diameter narrows, causing the left side of the heart to work harder to pump blood. The reason why some children are born with this condition is unknown, but it is believed to be due to a genetic alteration at the X chromosomes, being more common in males. 

Symptoms

There are usually no symptoms, but sometimes the following may occur:
  • Chest pain.
  • Fatigue and shortness of breath when doing physical activity.
  • Cold legs and feet.
  • Hypertension.
 

Diagnosis and treatment

This condition is usually diagnosed shortly after birth or in early childhood, but in some cases it is identified as late as adolescence or adulthood. Although serious symptoms do not appear, it is necessary to receive timely treatment because it can cause heart failure, hypertension, increased heart volume, damage or rupture of the aorta, threatening the patient's life.  The pediatrician will physically assess your child and request laboratory and imaging tests, such as X-rays, cardiac ultrasound, MRI, or CT scan. Aortic narrowing repair is done through a surgical technique called angioplasty or balloon dilation, a stent can also be placed to keep the opening achieved.  Once the abnormality is corrected, your child should receive regular medical supervision to monitor his or her blood pressure and rule out the possibility of this condition developing again. It is essential that during the first months after surgery, you do not allow your child to engage in physical activities and prevent him or her from receiving blows to the chest. Our Pediatric Heart Center is the only private center in Mexico to treat heart conditions with an exclusive unit for pediatric surgeries. We have a group of highly trained specialists made up of pediatric cardiologists, echocardiographers, interventional cardiologists, electrophysiologists, pediatric cardiovascular surgeons, pediatric cardiovascular anesthesiologists, pediatric specialists in cardiovascular intensive care, nurses, medical assistants, perfusionists, psychologists, and social workers. Services:
  • Cardiovascular surgery
  • Interventional cardiology
  • Pediatric echocardiography
  • Fetal echocardiography
  • Pediatric electrophysiology
  • Fetal electrophysiology
  • Cardiovascular intensive care unit
  • Pediatric cardiology clinic
  • Univentricular Heart Program

Fuentes:

  • cardiopatiascongenitas.net
  • kidshealth.org
  • aeped.es
  • stanfordchildrens.org
  • medigraphic.com
  • Galván-Román LL, García-Hernández E, Gómez-Calzada G, et al. Reporte de un caso de coartación aórtica severa. Rev Mex Cardiol. 2010;21(2):87-92.
  • García GC, Díaz RF, Ramiro NJC. Diagnóstico ecocardiográfico fetal y posnatal de la ventana aortopulmonar. CorSalud. 2019;11(1):64-65.
  • Vera RD, Santos MY, Gamito GM, et al. Características de los pacientes con disección aórtica aguda en Villa Clara: Estudio multicéntrico. CorSalud. 2019;11(2):97-103.
  • Jiménez HLR, Sainz EV, Hernández MI, et al. Resultados clínicos y quirúrgicos de pacientes sometidos a cambio valvular aórtico con FEVI ‹ 35%. Acta Med. 2019;17(4):350-353.

						
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