CLINICAL CASE.

AORTIC COARCTATION
CORRECTION
By: Yuz Hernandez - Andrea Villamizar
SEVENTH SEMESTER
 PRIMARY PATIENT
INFORMATION
The present clinical case is of
patient Johan Sebastian
Delgado who present a
disease called narrow aortic
coarctation, generating
subclavian vein thrombosis.

Patient’s data:

Height: 116 cm
Weight: 23 kilograms
Age: 6 years
Blood type: o+
Hiv: (-)
Hepatitis b: (-)
MEDICAL HISTORY
History of atopy under
management and atopic asthma
with predictor of suspicious
airway

Physical exam :
adequate general condition
Thorax: rhythmic and regular
heart fluids

 ANATOMY

Aorta:
Origin: left ventricle
Branches: ascending aorta:
Left and right coronary arteries

aortic arch:
brachiocephalic trunk
left common carotid artery
left subclavian artery

 ANATOMY

Descending thoracic aorta:

Visceral branches: pericardial, bronchial,
esophageal, mediastinal arteries
Parietal branches: intercostal, subcostal,
and superior phrenic arteries

Descending abdominal aorta:

Anterior group: celiac trunk, superior and
inferior mesenteric arteries
Lateral group: adrenal, renal, gonadal
arteries (testicular in men, ovarian in
women)
Dorsal group: inferior phrenic, lumbar,
and median sacral arteries
Terminal branches: left and right common
iliac arteries.
Irrigation: Whole body

 PATIENT HEART DISEASE

Coarctation of the aorta is a

localized stenosis of the
aortic lumen that causes
hypertension of the upper
limbs, left ventricular
hypertrophy and, if severe,
hypoperfusion of the
abdominal organs and lower
limbs. It is presented by
anomalies in the development
of the aorta before birth.
ASSIGNED
PROCEDURE

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AORTIC
COARCTATION
CORRECTION
CHECK LIST
 TABLE
ARRANGEMENTS
RESERVATION TABLE

1. Water holder
2. Vascular clamps
3. Satinsky Clamps
4. Sutures
5. Clothes package
6. Gloves
7. Chest team
8. Aseptosyringe

9. Pathology Jar

10. Handlebars
11. Electrosurgical
12. Suction rubber
13.Clips
14. probe

 TABLE
ARRANGEMENTS

MAY TABLE

1. Water holder
2. Vascular clamps
3. Satinsky Clamps
4. Sutures
5. Clothes package
6. Gloves
7. Chest team
8. Aseptosyringe

9. Pathology Jar

10. Handlebars
11. Electrosurgical
12. Suction rubber
13.Clips
14. probe

Location of the
Surgical Team

Patient position
Lateral decubitus

 SURGICAL
PROCEDURE

Balloon angioplasty is a procedure that uses

a thin, flexible tube, called a catheter,
which is inserted into a blood vessel and
directed into the aorta. When the catheter
reaches the narrowed area of ​
the aorta, the
balloon at the tip is inflated to widen the
blood vessel. Sometimes a mesh-covered tube
(stent) is inserted to keep the blood vessel
open. The stent is most often used to
initially widen the aorta or to widen it
again if it narrows again after surgery.
During the operation to correct coarctation
of the aorta, the narrowed part is removed
and the aorta is reconstructed or patched to
allow blood to flow normally through it.