COARCTATION OF

THE AORTA
CLARA JIMENEZ
 Information of the
patiente
The following clinical case presents the
7-month-old boy David Iguaran, who
presents a congenital defect of
narrowing of the aorta, for which it was
decided to perform a coarctation of the
aorta.

Blood type: B(+)

Height:69
Weight: 6.7kg
Age: 7 months
 Medical History

The child David Iguaran

previously underwent a
catheterization for the correction
of aortic coarctation
 Anatomy
THE AORTA
FUNCTION: IS TO CARRY OXYGENATEDBLOOD FROM THE HEART TO
THE REST OF T HE BO

THE AORTA ARISES DIRECTLY FROM THE LEFT

VENTRICLE OF THE HEART. IT IS THE LARGESTARTERY IN THE
HUMAN BODY AND CONSISTSOF THREE SEGMENTS:

ASCENDING AORTA: THE ASCENDING AORTA IS THE FIRST

SEGMENTOF THE AORTA THAT BEGINS AT THE ORIFICE OF THE
AORTA AT THE BASE OF THE LEFT VENTRICLE.

branches:
left and right coronary arteries

AORTIC ARCH (ARCH): THE AORTIC ARCH IS THE SECONDSEGMENT

OF THE AORTA THAT BEGINS ATTHE BRANCH POINT OF THE
BRACHIOCEPHALIC TRUNK.

branches: the brachiocephalic trunk, the left common

carotidartery, and
the left subclavianartery.

DESCENDING AORTA: THE DESCENDING AORTA IS THE

LARGEST PORTION OF THE AORTA. IT ARISES AS A
CONTINUATION OF THE AORTIC ARCH AFTER THE
BRANCHINGOF THE LEFT SUBCLAVIAN ARTERY.

The visceral branches: the pericardial, bronchial,

esophageal, and mediastinal branches the parietal
branches: the intercostal, subcostal, and superior
phrenicarteries.

 Surgical Objective
THE SURGICAL OBJECTIVEIS TO BE
ABLE TO CORRECT A CONGENITAL
DEFECT,THE NARROWING OF THE
AORTA BY MEANS OF A
COARCTATION.
Check list
Arrangement of mayo tables
and reservavation
Patient position
Location of the
surgical team
Type of anesthesia:
general
incision:
thoracotomy

 Surgical procedure
THORACOTOMY INCISION, INCISE WITH BLADE #15

THEY SEPARATE WITH FARABEUF AND CONTINUE TO AFFECT WITH

ELECTROSURGICAL UNIT• THEY PLACE A SELF-STATIC SEPARATOR

REPAIRS THE PERICARDIUM SILK 4/0

DISSECT THE SUBCLAVIAN ARTERY AND THE DUCTUS AND PLACE

COLLATERAL CLIPS

LIGATE THE DUCTUS WITH 5/0 POLYPROPYLENE

THEY GIVE YOU HEPARIN

CLIPS THE ABERRANT ARTERY AND CUTS

THE AORTA IS CLAMPED WITH A CLAMP

CUT THE COARCTATION OF THE AORTA TO MAKE THE

ANASTOMOSIS

AORTIC ANASTOMOSIS IS PERFORMED WITH 7/0 VASCULAR

POLYPROPYLENE
THEY REMOVE THE CLAMP

PROCEED TO CLOSE THE PERICARDIUM

WITH 4/0 SILK

THEY MAKE AN INCISION TO PLACE BLAKE'S

DRAIN AND FIX IT WITH 2/0 POLYESTER

PERFORM INTERCOSTAL CLOSURE WITH

POLYGLACTIN 910 0

THEN CLOSE FASCIA WITH POLYGLACTIN

910 3/0

INFILTRATE WITH LIDOCAINE WITHOUT

EPINEPHRINE

SKIN IS CLOSED WITH MONOCRYL 4/0

 Bibliography
https://www.kenhub.com/es/library/anatomia-es/aorta-es

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