The journal, published since , is the official publication of the Spanish Society of Cardiology and founder of the REC Publications journal family. Articles are published in both English an Spanish in its electronic edition. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same.

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Varies accordingly to the degree of stenosis and the associated abnormalities. Patients may be asymptomatic in a setting of a non-severe stenosis. Children and adults can present with angina pectoris and leg claudication. As with many congenital abnormalities, coarctation of the aorta is associated with other congenital anomalies. Useful in assessing for infantile coarctations. The suprasternal notch-long axis views are considered helpful. The fetal right ventricle can be appear enlarged in severe coarctations although this alone is not a specific feature.

Occasionally an aortic arch view may directly show a narrowing. Best visualized from the suprasternal window with transthoracic echocardiography and the upper esophageal positions with a transesophageal approach. Features commonly present include 8 :. All modalities are capable of delineating the coarctation as well as collateral vessels, most common collateral pathway being subclavian artery to internal mammary artery to intercostal arteries resulting in inferior rib notching to post-coarctation part of descending thoracic aorta.

The urgency of treatment depends on the presence of congestive cardiac failure. This is usually the case in severe coarctations found in infancy. Treatment can be either primary surgical repair with excision of the coarctation and end-to-end anastomosis, or balloon angioplasty. Subclavian flap repair is a common surgical technique used, where the origin and proximal left subclavian artery is excised, opened up and sutured onto the aorta.

If the subclavian is ligated, it is usually anastomosed onto the left common carotid artery. There is more than one way to present the variety of congenital heart diseases. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. Sign Up. Log in Sign up. Articles Cases Courses Quiz. About Blog Go ad-free.

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Please use another browser until we can get it fixed. On this page:. Article: Epidemiology Clinical presentation Pathology Radiographic features Treatment and prognosis Differential diagnosis Related articles References Images: Cases and figures Imaging differential diagnosis. Quiz questions. Nienaber CA, Fattori R. Diagnosis and treatment of aortic diseases. Kluwer Academic Publishers. Read it at Google Books - Find it at Amazon. Related Radiopaedia articles Congenital heart disease There is more than one way to present the variety of congenital heart diseases.

Edit article Share article View revision history Report problem with Article. URL of Article. Article information. Systems: Paediatrics , Vascular , Chest. Synonyms or Alternate Spellings: Aortic coarctation Coarctation of aorta. Support Radiopaedia and see fewer ads. Cases and figures. Case 1: coarctation on chest x ray Case 1: coarctation on chest x ray. Case 1: figure of 3 sign Case 1: figure of 3 sign.

Case 2: coarctation on chest x ray Case 2: coarctation on chest x ray. Case 2: intercostal collaterals Case 2: intercostal collaterals. Case 3 Case 3. Case 4 Case 4. Case 5 Case 5. Case 5: with figure of 3 sign Case 5: with figure of 3 sign.

Case 6 Case 6. Case 7 Case 7. Case 8 Case 8. Case 9: with bilateral inferior rib notching Case 9: with bilateral inferior rib notching.

Case 10 Case Case 11 Case Case 12 Case Case 13 Case Case 14 Case Case 15 Case Case 16 Case Case with figure 3 sign and rib notching Case with figure 3 sign and rib notching. Case intercostal collateral vessels Case intercostal collateral vessels. Case 18 Case Case 19 Case Case 20 Case Case 21 Case Imaging differential diagnosis. Aortic pseudocoarctation Aortic pseudocoarctation. Loading more images Close Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

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Coartación de la aorta

It is now clear that this condition represents a wider vasculopathy that could affect the aortic arch in a highly variable manner. Surgery has proven to be an effective treatment for the management of native aortic coarctation, and remains the treatment of choice in neonates. Balloon angioplasty is the treatment of choice in children with re-coarctation, and currently available immediate results in native coarctation are similar with regards to gradient reduction as compared with surgery. Stent implantation has shown excellent short-term results in both children beyond infancy and in adults with native coarctation. In patients with recurrent coarctation who are at high surgical risk, balloon angioplasty and stent repair offer a less invasive and equally effective method.


Late complications of aortic coarctation treatment: a mexican cohort study with more than year follow-up. Doctores, , Del. Conmutador: , ext. Aortic coarctation's CoA prevalence is 0. Therapeutic options include surgery and, for the last 20 years, interventional cardiology. Objective: To determine the complications of CoA and examine their association with the type of treatment recieved.

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