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1. Medical treatment of neonates with severe aortic coarctation may include the following:
2. Medical treatment of less severe aortic coarctation beyond the neonatal period may include the following:
3. The following surgical procedures have been performed to treat aortic coarctation:

Resection of the coarctation site and end-to-end anastomosis to repair coarctation (still the preferred surgical method)

Female patient contemplating pregnancy

Hemodynamically significant aortic stenosis

Patch aortoplasty

Correction of acidosis

Inotropic support to improve symptoms of congestive heart failure (CHF)

Administration of digoxin and diuretics for chronically increased afterload and signs of CHF

Intubation

Infusion of prostaglandin E1 (PGE1) to open the ductus arteriosus

Postponement of intervention (eg, surgery or balloon dilatation) until the patient is hemodynamically stable

Left subclavian flap angioplasty

Significant coarctation or recoarctation of the aorta with long-standing hypertension with or without symptoms

Bypass graft repair bridging the ascending and descending aorta