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In order to repair coarctation, clamps must be placed on the aorta, briefly interrupting blood flow to downstream areas. Potential complications of surgery, although uncommon in children, are damage to downstream organs, particularly the kidneys or the spinal cord.
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www.cincinnatichildrens.org/health/heart-encyclopedia/a...
www.cincinnatichildrens.org/health/heart-encyclopedia/anomalies/coarctation.htm
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The surgery used to repair coarctation of the aorta varies with the individual, depending on many factors, including the patient's overall health and preference; the size, location and severity of the coarctation, and the recommendation of the patient's medical team.
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www.mayoclinic.org/coarctation-aorta/surgery.html
www.mayoclinic.org/coarctation-aorta/surgery.html
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Coarctation of the aorta is usually treated surgically by removing the obstruction. ... The heart is stopped for the surgery, and a heart-lung bypass machine oxygenates the blood and circulates it throughout the body during surgery. An incision is made through the breastbone (sternum) to reach the area of the coarctation.
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www.mayoclinic.org/coarctation-aorta/openheartsurgery.h...
www.mayoclinic.org/coarctation-aorta/openheartsurgery.html
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The outlook after surgery is favorable, but long-term follow-up by a pediatric cardiologist is needed. Rarely, coarctation of the aorta may recur. Then another procedure to relieve the obstruction may be needed. Also, blood pressure may stay high even when the aorta’s narrowing has been repaired.
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www.americanheart.org/presenter.jhtml?identifier=1667
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Shearer WT, Rutman JY, Weinberg WA, Goldring D. Coarctation of the aorta and cerebrovascular accident: a proposal for early corrective surgery. J Pediatr. Dec 1970;77(6):1004-9. [Medline].
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emedicine.medscape.com/article/903965-overview
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Scott HW Jr, Bahnson HT. Evidence for a renal factor in the hypertension of experimental coarctation of the aorta. Surgery. Jul 1951;30(1):206-17. [Medline].
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emedicine.medscape.com/article/895502-overview
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Coarctation of the aorta is a congenital (present at birth) heart defect involving a narrowing of the aorta. The aorta is the large artery that carries oxygen-rich (red) blood from the left ventricle to the body. ... After surgery, the heart will be a little weaker than it was before, and, therefore, the body may start to...
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www.healthsystem.virginia.edu/UVAHealth/peds_cardiac/ca...
www.healthsystem.virginia.edu/UVAHealth/peds_cardiac/ca.cfm
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Postoperative paraplegia is a relatively rare complication in reconstructive surgery for coarctation of the aorta and the operative treatment is usually performed without any adjuncts. ... General Surgery...
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www.medscape.com/medline/abstract/1564347
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On multivariate analysis the severity of the immediate postoperative gradient was the only risk factor for recoarctation. The authors conclude that surgery for coarctation of the aorta is associated with excellent results in children under 1 year of age.
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www.medscape.com/medline/abstract/15966598
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