Early detection of critical aortic isthmus stenosis in the neonate
Fressle, R.; Willke, E.; Wyler, F.; Stahl, M.
Monatsschrift Kinderheilkunde Organ der Deutschen Gesellschaft für Kinderheilkunde 141(3): 223-226
1993
ISSN/ISBN: 0026-9298 PMID: 8474470 Document Number: 409047
Between 1985 and 1992 7 newborns with critical coarctation of the aorta were referred with clinical signs of beginning or manifest cardio-vascular shock and subsequently underwent a primary operative correction. All of the children were noticed by their parents as having unspecific clinical symptoms such as poor feeding and tachypnoea. The aim of our clinical effort should be to detect all newborns with critical coarctation of the aorta before manifestation of a cardiogenic shock, i.e. before the complete closure of the ductus arteriosus. This might be possible with a careful clinical examination of the cardio-vascular system between the 3rd and 4th day of life and the correct interpretation of unspecific early symptoms.