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Pediatría (Asunción)

On-line version ISSN 1683-9803

Abstract

GARAY, N et al. Clinical Presentation of Aortic Coarctation: Review of Current Management: a Case Series Report. Pediatr. (Asunción) [online]. 2009, vol.36, n.3, pp.206-215. ISSN 1683-9803.

Aortic coarctation is a congenital heart defect that presents with early congestive heart failure, especially during the neonatal stage, and which if not opportunely diagnosed progresses with a high degree of morbidity and mortality. When patients survive the barrier of early childhood, they continue having such problems as systemic arterial hypertension, and run risks of outcomes such as fatal or incapacitating cerebrovascular accident. We emphasize the importance of a careful and detailed clinical cardiovascular examination, to include adequate taking of the peripheral pulses and measurement of systemic blood pressure, since this always presents with hypertension in the upper limbs and an absence of pulses in the legs. Treated adequately, it presents little risk of complications or mortality.

Keywords : Aortic coarctation; congestive heart failure; systemic arterial hypertension; aortoplasty; heart murmur; headache; cerebrovascular accident.

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