Treatment of children with coarctation of the aorta depends on the severity of the narrowing and when it is discovered. In children without symptoms whose coarctation is diagnosed during a routine examination, repair of the coarctation is usually recommended by 18 to 24 months of age.
In a newborn or infant who has congestive heart failure as a result of coarctation of the aorta, initial treatment consists of stabilizing the infant with medications to strengthen the heartbeat and to remove excess fluids. After a brief period of stabilization, infants with coarctation and congestive heart failure require surgical repair.
All diagnosis and treatment options for coarctaion of the aorta described in these pages are available to children at Mayo Clinic in Rochester.
The long-term outlook for children who have their coarctation repaired is very good. Most children will live healthy lives. Activity levels, appetite and growth should eventually return to normal. However, long-term follow-up is required since the coarctation may come back and need to be treated again. See ongoing care issues for patients with coarctation of the aorta.
Pediatric specialists at Mayo Clinic Rochester have extensive experience treating children who have coarctation of the aorta. Patients' care is coordinated through a team of specialists from the Center for Congenital Heart Disease. Children needing hospitalization are cared for at Mayo Eugenio Litta Children's Hospital in Rochester.
Call (507) 284-9969, Monday through Friday between 8 a.m. and 5 p.m. Central time.