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COARTACTION OF AORTA 6th Semester B.SC nursing

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Binanda Moirangthem
Binanda Moirangthem

COARTACTION OF AORTA COARTACTION OF AORTA 6th Semester B.SC nursing

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COARTACTION OF AORTA 6th Semester B.SC nursing
COARTACTION OF AORTA 6th Semester B.SC nursing
COARTACTION OF AORTA 6th Semester B.SC nursing
COARACTION OF AORTA A narrowing of the large blood vessel (aorta) that leads from the heart. TYPES:- ? Infantile or pre-ductal type. ? Post-ductal type.
COARTACTION OF AORTA 6th Semester B.SC nursing
CLINICAL FEATURES Increased blood pressure in the upper part of the body, result in: ? Headache. ? Dizziness. ? Nose bleed. ? Fainting. ? Cerebrovascular accident.(CVA) Decreased blood pressure in lower extremities results in: ? Absent or diminished femoral and pedal pulse.
? Complaints of weakness or pain in legs on exercise. ? Failure to thrive. ? Respiratory distress. ? Poor weight gain. ? Feeding problems. ? Irritability. ? Tachycardia. ? Congestive heart failure. CLINICAL FEATURES
? Mottling in lower extremities. ? Mottling of the skin, a lacy pattern of small reddish and pale areas. ? Due to instability of the blood circulation. CLINICAL FEATURES
COARTACTION OF AORTA 6th Semester B.SC nursing
DIAGNOSTIC EVALUATION ? Cardiac examination ? Electrocardiogram ? Chest radiograph ? Echocardiogram ? MRI & Catheterization.
SURGERY ? End to end anastomosis ? Subclavian flap aortoplasty ? Patch aortoplasty ? Balloon aortoplasty
COARTACTION OF AORTA 6th Semester B.SC nursing
? Antibiotic prophylaxis. ? Cardiology follow up at least 1-2 years is recommended. MEDICAL MANAGEMENT
AORTIC STENOSIS
AORTIC STENOSIS ¡°Narrowing of the aortic valves¡± TYPES:- a. Valvular ¨C Stricture of aortic valve b. Sub-valvular stenosis- Below the valve. c. Supravalvular aortic stenosis ¨C Above the valve.
COARTACTION OF AORTA 6th Semester B.SC nursing
CLINICAL FEATURES ? Fatigue and exercise intolerance. ? Exertional dyspnea. ? Chest pain. ? Syncope. ? Infant with severe aortic stenosis present with cardiac failure in neonatal period or in first few month of life.
? Due to obstruction of blood flow from left ventricle, cause thickening of left ventricular wall in response to increased workload to eject blood. ? Pressure increase in LV as severity in obstruction. ? Heart failure can develop due to excessive workload on LV.
DIAGNOSTIC EVALUATION ? Cardiac examination ? Electrocardiogram ? Cardiac catheterization ? Echocardiogram ? Chest radiograph
? Child with mild to moderate stenosis don¡¯t need surgery. ? Unless their stenosis is progress. MANAGEMENT
Management of Valvular aortic stenosis 1. Aortic Balloon valvuloplasty. 2. Valvular aortic stenosis repaired through median sternotomy. *If the child shoes aortic insuffiency still- Aortic valve replacement to be one.*
b. In Sub-valvular aortic stenosis ? Konno procedure is done to remove the obstructing membrane and fibrous ring below the aortic valve and replacing the valve with artificial valve. MANAGEMENT
VALVE CONDUIT ? If obstruction cannot be relived with either of these procedure. ? A valve conduit may be placed from left ventricles to descending aorta.
c. In Supra-valvular aortic stenosis. ? Surgery is done by incising the narrow segment of aorta and widening the area with a patch graft. MANAGEMENT
PULMONARY STENOSIS. ASSIGNMENT

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COARTACTION OF AORTA 6th Semester B.SC nursing

  • 4. COARACTION OF AORTA A narrowing of the large blood vessel (aorta) that leads from the heart. TYPES:- ? Infantile or pre-ductal type. ? Post-ductal type.
  • 6. CLINICAL FEATURES Increased blood pressure in the upper part of the body, result in: ? Headache. ? Dizziness. ? Nose bleed. ? Fainting. ? Cerebrovascular accident.(CVA) Decreased blood pressure in lower extremities results in: ? Absent or diminished femoral and pedal pulse.
  • 7. ? Complaints of weakness or pain in legs on exercise. ? Failure to thrive. ? Respiratory distress. ? Poor weight gain. ? Feeding problems. ? Irritability. ? Tachycardia. ? Congestive heart failure. CLINICAL FEATURES
  • 8. ? Mottling in lower extremities. ? Mottling of the skin, a lacy pattern of small reddish and pale areas. ? Due to instability of the blood circulation. CLINICAL FEATURES
  • 10. DIAGNOSTIC EVALUATION ? Cardiac examination ? Electrocardiogram ? Chest radiograph ? Echocardiogram ? MRI & Catheterization.
  • 11. SURGERY ? End to end anastomosis ? Subclavian flap aortoplasty ? Patch aortoplasty ? Balloon aortoplasty
  • 13. ? Antibiotic prophylaxis. ? Cardiology follow up at least 1-2 years is recommended. MEDICAL MANAGEMENT
  • 15. AORTIC STENOSIS ¡°Narrowing of the aortic valves¡± TYPES:- a. Valvular ¨C Stricture of aortic valve b. Sub-valvular stenosis- Below the valve. c. Supravalvular aortic stenosis ¨C Above the valve.
  • 17. CLINICAL FEATURES ? Fatigue and exercise intolerance. ? Exertional dyspnea. ? Chest pain. ? Syncope. ? Infant with severe aortic stenosis present with cardiac failure in neonatal period or in first few month of life.
  • 18. ? Due to obstruction of blood flow from left ventricle, cause thickening of left ventricular wall in response to increased workload to eject blood. ? Pressure increase in LV as severity in obstruction. ? Heart failure can develop due to excessive workload on LV.
  • 19. DIAGNOSTIC EVALUATION ? Cardiac examination ? Electrocardiogram ? Cardiac catheterization ? Echocardiogram ? Chest radiograph
  • 20. ? Child with mild to moderate stenosis don¡¯t need surgery. ? Unless their stenosis is progress. MANAGEMENT
  • 21. Management of Valvular aortic stenosis 1. Aortic Balloon valvuloplasty. 2. Valvular aortic stenosis repaired through median sternotomy. *If the child shoes aortic insuffiency still- Aortic valve replacement to be one.*
  • 22. b. In Sub-valvular aortic stenosis ? Konno procedure is done to remove the obstructing membrane and fibrous ring below the aortic valve and replacing the valve with artificial valve. MANAGEMENT
  • 23. VALVE CONDUIT ? If obstruction cannot be relived with either of these procedure. ? A valve conduit may be placed from left ventricles to descending aorta.
  • 24. c. In Supra-valvular aortic stenosis. ? Surgery is done by incising the narrow segment of aorta and widening the area with a patch graft. MANAGEMENT