Coarctation Of The Aorta

Coarctation of the Aorta • If corrected no special precautions • Arm-leg different < 20mmHg good outcome • Uncorrected high risk of LV failure, aortic rupture or dissection, endocarditis • High mortality rate, ↑ risk of offspring CHD • Risk of having bicuspid aortic valve, aneurysm of circle of Willis • Measure Rt Vs Lt side BP, and upper Vs lower BP • Need Echo and 12-ECG • hemodynamic Goals: o preload→ ↑ o R/R → slightly ↑ maintain sinus o Cont → maintain, avoid cardiodepressant o Afterload→ maintain, avoid sudden ↓ in SVR • Avoid Regional GA is better tolerated for C/S • Monitors → Art-line, CVP, • Ephedrine and dopamine are the best choice since they have choronotropic effect