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Coarctation Of The Aorta Repair

What you should know

Coarctation of the aorta repair is surgery to open the aorta by removing the narrow part. This will improve blood flow to your child's body and help his heart work less hard.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

Risks

Your child may bleed more than expected or have trouble breathing. He may develop an infection in the heart muscle or a blood clot in his brain. This can be life-threatening. Without surgery, your child's heart problems may get worse. This can lead to high blood pressure or heart failure.

Getting Ready

The week before your child's surgery:

  • Write down the date, time, and location of your child's surgery.

  • Do not give your child aspirin or ibuprofen before surgery. Ask your child's caregiver before you give your child any over-the-counter medicine.

  • Your child may need blood tests before his surgery. Talk to your child's caregiver about these or other tests he may need. Write down the date, time, and location for each test.

The night before your child's surgery:

Ask caregivers about directions for eating and drinking.

The day of your child's surgery:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery on your child. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may put an IV tube into your child's vein. Your child may be given liquids and medicine through the IV.

  • An anesthesiologist will talk to you and your child before the surgery. Your child may need medicine to keep him asleep or numb an area of his body during surgery. Tell caregivers if anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

An incision will be made between 2 ribs on the left side of your child's chest. The surgeon may cut the narrow area out and sew the edges of the aorta together. If the narrow area is long, he may sew a graft into place where the narrow part was. The graft is usually a piece of another artery. A piece of graft may be sewn into place to widen the narrow area. The incision in your child's chest will be closed with wire and stitches or staples.

After your child's surgery:

Your child will be taken to a room to rest. Do not let your child get out of bed until caregivers say it is okay. When caregivers see that your child is okay, he will be taken to his room. A bandage will cover your child's incision. This keeps the area clean and dry to prevent infection.

Contact a caregiver if

  • Your child cannot make it to his surgery.

  • Your child has a fever.

  • Your child has a cold or the flu.

  • You have questions or concerns about your child's surgery.

Seek Care Immediately if

  • Your child's symptoms or condition get worse.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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