Coarctation of aorta can be managed either by drug treatment or by balloon dilatation/stenting in cath lab or by surgery.
- Drug therapy is meant only for controlling the high blood pressure.
- In newborn period, surgery is the treatment of choice.
- But in neonates, if left ventricle pumping is poor, balloon dilatation of COA in cath lab is advised (by angiography).
- Balloon dilatation is a procedure of choice in childhood and adolescent.
- If weight of adolescent is more than 25-30 kg then instead of ballooning, we can put a stent across the narrowed segment with good result.
- Stenting is better than balloon as there is almost no chance of re-coarctation of aorta by stent.
- This procedure is generally done in conscious sedation. Patient can be discharged on next day and can perform daily activities without any risk.
- After ballooning/stenting, there is no need of any medication.
- These procedures are safe now a day.