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  3. Coarctation of the Aorta

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Paediatric Anaesthesia

Tutorial 265

Coarctation of the Aorta

Dr. Jagdeep Grewal

Westmead Children’s Hospital, Sydney

Correspondence to jaggrew@hotmail.com

23RD JULY 2012

Abstract

Coarctation of the aorta is the fifth most common cardiac defect, occurring in 5% of all congenital heart disease
Mortality approaches 90% if unrepaired by the age of 55. Definitive surgical repair is the gold standard
Paralysis is a rare complication of surgical repair; risk can be minimised by appropriate anaesthetic and surgical measures.
Hypertension occurs in up to 50% of patients post repair and is associated with accelerated cardiovascular mortality.

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