Suggest Treatment For Coarctation Of Aorta
Aortic coarctation should be treated promptly.
XXXXXXX you for your question on HCM!
1. Regarding your concern it seems to imply an aortic coarctacion. That is a situation when because a narrowing of the proximal part of the aorta the patient suffers from hypertension in the upper part of the body and reduced blood flow to the lower part. Because of persistent hypertension in young adults they may suffer from cerebral artery aneurysms or even bleeding. Prompt and adequate anti-hypertensive therapy should be instituted immediately comprising negative inotropes (such as beta-blockers). Treatment options depend on the severity of coarctation:
(1) Surgical resection of the narrow segment is an optimal option in severe aortic coarctation.
(2) Angioplasty with balloon dilatation is another option in less severe narrowing.
2. By echocardiography, we can be measure pressure gradient across aortic narrowing, exact location and aortic coarctation, dilatation of adjacent portions, etc, as well as other potential congenital anomalies.
If a surgical strategy is planned then an aortic CT scan is performed to show detailed topography of coarctation.
The associated pathologies should be treated properly.
3. There are no implications of Metformin on cardiac ultrasound exam.
Hope to have been helpful to you!
Feel free to ask me whenever you need! Greetings from Dr. Iliri
An entire aortic exam is necessary.
Seems that cardiac ultrasound doesn't reflect any important associated anomaly. Mild concentric hypertrophy (not a finding to worry about) of the left ventricle is a reflection of hypertension imposed by aortic coarctation. It is important to evaluate the entire aorta comprising the level of narrowing and the proximal and distal parts of the aorta to rule out any associated narrowing or dilatation. Transesophageal echocardiography and aortic angio CT scan would help to clarify those issues.
As I told you before depending on the severity of aortic narrowing and associated findings will be defined the appropriate treatment strategy ( surgery or angioplasty). You have to talk with the attending doctor about that after exam results.
If you bring me detailed information about the severity of aortic coarctation and entire aorta status I would give a more concrete opinion to you.
Feel free to ask me whenever you need! My Best Wishes! Dr. Iliri