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October 1964

Coarctation Of the AortaDiagnostic and Surgical Problems

Arch Surg. 1964;89(4):741-751. doi:10.1001/archsurg.1964.01320040157028

Coarctation of the aorta is a potentially curable cause of hypertension which can be detected by a thorough history and a complete physical examination. In some patients, particularly infants, special studies are necessary, supplemental to chest x-rays and an electrocardiogram. Treatment depends on the patient's age and his symptoms, the severity of the coarctation, and the presence of associated cardiac defects.

A few of the unfamiliar and variable symptoms of congenital heart disease frequently observed in early infancy will be mentioned. McNamara1 recently discussed the management of infants with heart failure and hypoxemia. The excellent results following surgical therapy2 in those young infants after proper diagnosis of their congenital cardiac defects are admirable.

The purpose of this paper is to report our experiences with three unusual cases in a series of 22 patients with coarctation, and as a corollary to emphasize the need for early diagnosis and surgery