Aortic Coarctation in India Things You Should Consider While Opting for the Surgery

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What is Aortic Coarctation?

Aortic Coarctation Surgery in India is the narrowing down of the aorta, the large blood vessel that branches off the heart and delivers oxygen rich blood to the body. When such a scenario occurs, the heart must pump all the more harder to pump the blood through the narrow part of the aorta. The coarcation of the aorta occurs along with other heart defects.  Free consultation Aortic Coarctation Surgery in India points to the fact that this condition can be treated by surgery, but during the post recovery period intensive follow up is needed.

Diagnosis of Aortic Coarctation

The age at which aortic coarctation occurs, depends upon the severity of the condition. If the situation is on the severe side, it is diagnosed during the infancy stage. Testing in such cases is not at all possible before birth. In the case of adult diagnosis of aortic may have mild cases and not have any symptoms. One may remain healthy, until and unless the doctor detects the following symptoms

• Delayed or weak pulse in the legs
• High blood pressure in the arms and the legs.

Aortic Coarctation Surgery in India reviews of patients indicates that the following tests are conducted for the effective diagnosis

• Echocardiogram- High pitched waves are used to produce an image of the heart. It can determine the severity and the impact of Aortic Coarctation. After going through the images of it, the surgeons can determine the most appropriate course of treatment.
• Chest X ray- captures images of the lungs and the heart. The image may show an enlarged heart or narrowing down of the aortic.
• Electrocardiogram- the electrical activity of your heart is recorded each time it contracts. If the condition is severe the ECG may show that the walls of the lower heart chamber are enlarged.
• MRI scan- a powerful magnetic field is used along with radio waves to produce detailed images of your heart.

The treatment of aortic surgery depends upon your age and the type along with the condition of the disease.

How to Manage Aortic Coarctation?

Medication may be used to control your blood pressure before surgery. Though this surgery improves blood pressure, many people are required to control their blood. One of the most important complications of coarctation is high blood pressure. In the rarest of cases, the coarctation can reoccur, years after years of treatment. Sometimes, the segment of the aorta that has been repaired will become weak and might eventually rupture. It is possible additional surgeries to treat down the complications.

Results of Aortic Coarctation Treatment:

The doctor may suggest regular follow up for a favorable outcome of the surgery. In these tests the doctors may evaluate you and order imaging tests to monitor the condition. Low cost Aortic Coarctation Surgery in India should be followed with the following conditions

• Get regular amount of exercise- If you exercise regularly, your blood pressure will come down. The doctor will suggest on whether any restriction of physical activities should be kept
• Evaluate the pregnancy aspect- In case of women, before you plan for a baby, women need to ask the doctor whether coarctation will lead to complications

Adult and Adolescent Management

Aortic Coarctation was a condition which was described as an adult and infantile. These forms of descriptions were not considerable all that accurate as they were seen across all age groups. It is known to sometimes occur at multiple sites and the variations depend upon the length of the segment involved.
Why choose an Indian Hospital for Aortic Coarctation Surgery?
There are some steps in the choice of a hospital for Affordable Cost for Aortic Coarctation Surgery in India. In fact, some medical tourists look out for services which extend more than the quality part of the hospitals. Food is an important factor in this regard. Most of the foreign tourists are apprehensive about the quality of food. The food culture varies from country to country. But the silver lining in this regard is that several top quality hospitals in the country have chefs who cater to the tastes of the international community. They cater to the dietary needs of the patients along with their family members. So before you check out the hospitals, check for the matter of the fact on whether they have international cuisine.

Cost for Aortic Coarctation Surgery in India

If there is savings in cost, then only you will choose a hospital in India. When you undertake any surgery in India you tend to become wealthier due to a huge saving, while undertaking the same surgery in a western country. This savings in cost can be used for more productive purposes like visiting a tourist location like Goa or Kerala. The mental agony of the surgery will be a thing of the past when you undertake such a venture.

FAQ’s

• What is coarctation of the aorta?
• Coarctation of the aorta is a narrowing of the aorta that causes a blockage to blood flow. Most coarctations are congenital (meaning they are present at birth) and usually are discovered in infancy; however, some coarctations can develop over time. The narrowing may be discrete or may extend over a long segment. Most coarctations are located in the chest, and rarely they can occur in the abdomen. “Simple” is the term used to describe coarctations that are isolated; “complex” is the term used to describe coarctations that are associated with other congenital heart disease. Types of congenital heart disease associated with coarctation include ventricular septal defect (an abnormal hole between the two ventricles), atrioventricular canal (an abnormal connection between the atrium and the ventricle), and double outlet right ventricle (two exit vessels from the ventricle, rather than one).
• Who gets coarctation of the aorta?
• Coarctation of the aorta is one of the more common forms of congenital heart disease. It is twice as common in boy as in girls. Coarctation rarely runs in families. The only syndrome that has a strong association with coarctation is Turner’s syndrome, a condition in which a girl has only one instead of two X chromosomes.
• What are the effects of this defect on my child’s health?
• Infants with coarctation frequently have congestive heart failure (the heart cannot keep up with its workload, so it starts to fail). A narrowing of the aorta results in a selective elevation in blood pressure in the upper extremity blood vessels and, ultimately, in an increase in heart work. In some newborns with coarctation, closure of the ductus arteriosus results in an acute increase in heart work. If the coarctation is severe, the increased heart work results in the development of congestive heart failure. In infants with milder degrees of coarctation, the heart adapts to the increase in work, and heart failure does not occur.

The cardiovascular system has two ways to respond to the increased work produced by coarctation of the aorta. The first way the body compensates for the increased cardiac workload is to develop extra heart muscle (myocardial hypertrophy). The second way is to develop collateral vessels to bypass the aortic obstruction. As the child develops these alternate blood channels, the blood pressure and the cardiac work are reduced, and there is an improvement in blood supply to the abdominal organs, such as the liver, the gastrointestinal tract, and the kidneys.

Cardiovascular lesions can aggravate the heart’s burden associated with coarctation. The presence of a coarctation will increase the amount of blood flow across a ventricular septal defect, making a small hole act (as far as the heart is concerned) as if it were a large hole.

• How is this problem diagnosed?
• Clinical features of coarctation: Most children with coarctation have no symptoms. In older children, if symptoms are present, they are usually nonspecific and relate either to high blood pressure (hypertension) in the upper part of the body, causing headaches or frequent nose bleeds, or to reduced blood supply to the lower extremities (e.g., exercise-induced leg pain, claudication).

In infancy, coarctation can be associated with congestive heart failure. Although heart failure can develop in an infant at any time during the first six months, it typically develops during the first six weeks. The major features associated with heart failure are a rapid heart and respiratory rate and poor weight gain. The infant in heart failure needs to be diagnosed and treated immediately, since the infant rapidly can develop shock that can result in death.

Physical findings in coarctation: The hallmarks of coarctation of the aorta are absent leg pulses and a difference in blood pressure between the arms and the legs (i.e., high blood pressure in the arms and low to normal blood pressure in the legs). The typical heart murmur associated with a coarctation is a systolic murmur that is loudest in the back below the left shoulder blade (scapula). If a prominent back murmur is not heard and the child has a blood pressure difference between the arms and the legs, a coarctation located in the abdomen should be considered.

Laboratory findings in coarctation: The chest x-ray can be very helpful in suggesting the presence of coarctation of the aorta. However, the diagnosis usually is confirmed by an echocardiogram (a specialized ultrasound of the heart). A heart catheterization is performed only if the coarctation cannot be adequately documented by the echocardiogram or to treat the coarctation with the use of a balloon angioplasty.

• How is coarctation of the aorta treated?
• Management of a patient with coarctation of the aorta must be individualized. In children without symptoms, in whom a coarctation is diagnosed on routine examination, repair of the coarctation-either surgically or using balloon angioplasty at a cardiac catheterization-is not recommended before 18 to 24 months of age.

In the newborn or infant with coarctation who presents in congestive heart failure, initial treatment consists of stabilizing the infant with medications. These medications include agents that increase the strength of the heartbeat, inotropic agents, and agents that help the body remove excess fluids, diuretics. If the infant is less than two weeks of age, a medicine (prostaglandin E1) will be administered to keep open the ductus arteriosus. The most critically ill babies will require the use of a ventilator to assist with breathing. After a brief period of stabilization, all infants with coarctation and congestive heart failure require surgical repair.

Surgical repair involves removal of the narrowed segment of aorta. In some children, it is necessary to place a piece of an artificial material (e.g., Dacron, Gore-Tex) to enlarge the area of narrowing or to bypass the area of narrowing. A balloon angioplasty is performed at the time of a heart catheterization. The angioplasty involves the placement of a special balloon catheter across the narrowed area and then inflating the balloon, thereby stretching open the aorta.

• Why treat children with coarctation of the aorta?
• Untreated coarctation of the aorta significantly reduces life expectancy, with death frequently occurring within a patient’s fourth to fifth decade. Causes of death in individuals with unoperated coarctation of the aorta include congestive heart failure, aortic rupture (the aorta bursts), bacterial endocarditis (an infection of the heart), and stroke.
• What is the outlook for children with coarctation of the aorta?
• The long-term outlook for children who have had their coarctation repaired, either with surgery or angioplasty, is excellent. Children who have successful repair of coarctation usually can live full and productive lives. Women usually can become pregnant safely. However, medical problems can occur after repair.

Recoarctation: Recoarctation is the redevelopment of a narrowing in the aorta. This problem occurs more commonly in children who have had their coarctation repaired during the first year of life. Recoarctation occurs in approximately 10% to 20% of children who have had their repair in infancy, and in less than 3% of children who have had their repair after 3 years of age. Treatment of recoarctation of the aorta usually is with a balloon angioplasty.

High blood pressure: High blood pressure is one of the most common medical problems seen in patients after successful repair of coarctation. Approximately 60% of people who have had their coarctation repaired will require medication to treat high blood pressure in adulthood.

Other medical problems: Other medical problems, which are seen rarely in people after successful repair of coarctation, include the development of aneurysms in the aorta, the early development of coronary artery disease, the development of disease to the aortic valve, and the development of a stroke.

• How do I make an appointment with the best cardiologist in India?
• All you have to do is send us your medical report and be rest assured. We will choose the best suitable surgeon for you, after consulting the experts.