cardio- cortication of aorta

Question 1

management of cortication of aorta?

Answer 1

Re-open PDA with Prostaglandin E1 or E2

Resection with end-to-end anastomosis

Subclavian patch repair

Balloon Aortoplasty

Question 2

clinical presentation of cortication of aorta

Answer 2

weak/ absent femoral pulse

radio-femoral delay (only in chronic)

systolic murmur loudest on the back

sudden deterioration and collapse

Tachypnoea and increased work of breathing
Poor feeding
Grey and floppy baby

Left ventricular heave due to left ventricular hypertrophy
Underdeveloped left arm where there is reduced flow to the left subclavian artery
Underdevelopment of the legs

Question 3

test to do?

Answer 3

four limb blood pressure will reveal high blood pressure in the limbs supplied from arteries that come before the narrowing, and lower blood pressure in limbs that come after the narrowing.

Question 4

what med given while waiting for surgery?

Answer 4

Prostaglandin E is used keep the ductus arteriosus open while waiting for surgery