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Congenital Heart Defects: Coarctation of the Aorta (Fixed)



There are several operations to correct Coarctation of the Aorta depending on the severity and the extent of the narrowing.

End-to-End Anastomosis Operation
If the narrowing is very small (discrete area) the narrowed area may be excised and the distal part of the aorta (the part going down to the legs) may be pulled up and sutured to the area (before the narrowing). This operation is shown above.


Gore-Tex Patch
If the narrowed area is long and underdeveloped the doctors may need to reinforce that area by utilizing a material called Gore-Tex.



Subclavian Artery Flap
The doctors sometimes use the left subclavian artery to reconstruct that area.
   

Interrupted Aortic Arch
Sometimes the narrowing at the aorta is so severe that the arch is virtually interrupted (there is no flow between the proximal and distal parts of the aorta) and the blood flow to your child's lower body is maintained by the help of the Ductus Arteriosus. The Ductus Arteriosus is a vessel, which is present before birth that enables the right side of the heart to supply the aorta.

This Ductus Arteriosus normally closes spontaneously after birth, but if this ductus closes in a baby that has Interrupted Aortic Arch he may develop severe shock.

Interrupted Aortic Arch
Doctors therefore will start the baby on a medication called Prostaglandin to keep the ductus open until surgery can be performed to fix the problem.

A child born with Interrupted Aortic Arch may appear normal initially, but when the ductus arteriosus closes he may develop cold feet, legs, and may turn pale and develop shock. This condition requires immediate surgery.

   

Problems with the Walls:
Atrial Septal Defect (ASD) : Fix | Ventricular Septal Defect (VSD) : Fix

Problems with the Doors:
Tricuspid Valve Atresia : Fix 1 | Fix 2 | Fix 3 | Ebstein's Anomaly
Hypoplastic Left Heart Syndrome : Fix 1 | Fix 2 | Fix 3
Pulmonary Valve Stenosis
| Aortic Valve Stenosis

Problems with the Chambers:
Hypoplastic Right Ventricle

Problems with the Hallways:
Coarctation of the Aorta : Fix | Branch Pulmonary Artery Stenosis
Transposition of the Great Arteries : Fixed
Total Anomalous Pulmonary Venous Connection

Problems with the Plumbing:
Anomalous Origin of the Coronary Arteries from the Pulmonary Artery

Problems Involving More Than One Part of the Heart:
Tetralogy of Fallot : Fixed
Truncus Arteriosus : Fixed | Common Atrioventricular Canal : Fix 1 | Fix 2

Ductus Arteriosus : Fix 1 | Fix 2


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The next defect on the Problems with the Hallways tour is Branch Pulmonary Artery Stenosis.

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