Summary
Definición
Anamnesis y examen
Principales factores de diagnóstico
- hypertension presenting at a young age or resistant to treatment
- diminished lower extremity pulses
- differential upper and lower extremity blood pressure (BP)
Otros factores de diagnóstico
- systolic ejection murmur
- male sex
- genetic syndrome
- claudication
- headache
- systolic ejection click
- other cardiac anomalies
Factores de riesgo
- male sex
- young age
- family history
- Turner syndrome
- DiGeorge syndrome
- hypoplastic left heart syndrome
- Shone complex
- PHACE syndrome
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- electrocardiogram (ECG)
- chest x-ray (CXR)
- echocardiogram
Pruebas diagnósticas que deben considerarse
- computed tomography (CT) angiography
- magnetic resonance imaging (MRI)/magnetic resonance angiography (MRA)
- cardiac catheterization
Algoritmo de tratamiento
critical coarctation
noncritical coarctation
recurrent coarctation
Colaboradores
Autores
Jeffrey Gossett, MD
Vice President and System Chief of Pediatric Cardiology
Professor of Pediatrics
Division of Pediatric Cardiology
Cohen Children’s Medical Center, Northwell Health
New Hyde Park
NY
Divulgaciones
JG declares that he has no competing interests.
Agradecimientos
Dr Jeffrey Gossett wishes to gratefully acknowledge Dr Anna Kamp, a previous contributor to this topic. AK declares that she has no competing interests.
Divulgaciones
AK declares that she has no competing interests.
Revisores por pares
Sheba John, MD, FAAP
Associate Professor
Pediatric Cardiology/Adult Congenital Cardiology
University of Utah
Salt Lake City
UT
Divulgaciones
SJ declares that she has no competing interests.
Daniel A. Cox, DO, FACC, FAAP, FAHA
Associate Professor
Adult Congenital and Pediatric Cardiology
University of Utah/Primary Children's Hospital
Salt Lake City
UT
Divulgaciones
DAC declares that he has no competing interests.
Sachin Khambadkone, MD, DCH, DNB
Consultant Paediatric Cardiologist and Honorary Senior Lecturer
Great Ormond Street Hospital and Institute of Child Health
London
UK
Divulgaciones
SK declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Erbel R, Aboyans V, Boileau C, et al; Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). 2014 ESC guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. Eur Heart J. 2014 Nov 1;35(41):2873-926.Texto completo
Writing Committee Members, Isselbacher EM, Preventza O, et al. 2022 ACC/AHA Guideline for the diagnosis and management of aortic disease: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 Dec 13;80(24):e223-e393.Texto completo Resumen
Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC guidelines for the management of adult congenital heart disease. Eur Heart J. 2020 Aug 29;ehaa554.Texto completo
Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC Guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. J Am Coll Cardiol. 2019 Apr 2;73(12):e81-192.Texto completo
Writing Committee; Riambau V, Böckler D, Brunkwall J, et al. Editor's choice - management of descending thoracic aorta diseases: clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2017 Jan;53(1):4-52.Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Aortic stenosis (AS)
- Interrupted aortic arch
- Left ventricular outflow tract obstruction
Más DiferencialesGuías de práctica clínica
- ACR appropriateness criteria: congenital or acquired heart disease
- Guidelines for cardiovascular intervention in adults with congenital heart disease
Más Guías de práctica clínica
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