Perioperative and Anesthetic Management of Coarctation of the Aorta. (June 2019)

• Record Type: Journal Article
• Authors: Fox, Eric B.; Latham, Gregory J.; Ross, Faith J.; Joffe, Denise
• Is Part Of: Seminars in cardiothoracic and vascular anesthesia. Volume 23:Number 2(2019)
• Page Start: 212
• Page End: 224
• Publication Date: 2019-06
• Subjects: coarctation of the aorta -- anesthetic management -- cardiac anesthesia -- congenital heart disease -- pediatrics; Cardiovascular system -- Surgery -- Methods -- Periodicals; Chest -- Surgery -- Methods -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Cardiovascular Surgical Procedures -- methods -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; 617.96
• DOI: 10.1177/1089253218821953
• Languages: English
• ISSNs: 1089-2532

Abstract

Isolated coarctation of the aorta is a relatively common form of congenital heart disease that is characterized by variable degrees of obstruction to aortic outflow. The clinical presentation varies from asymptomatic arterial hypertension to cardiogenic shock. The treatment options include surgical repair or interventional therapy with aortic balloon dilation and stent placement. This article will summarize the pathophysiology as well as describe the surgical and interventional procedures. The anesthetic management for those interventions will be reviewed.