Surgery>>>>>Congenital Heart Disease
Question 5#

The treatment of choice for recurrent COA (after surgical repair) in a preschool-aged child:

a. Resection and primary anastomosis
b. Resection with interposition graft
c. Balloon dilatation alone
d. Balloon dilatation with stenting

Correct Answer is C

Comment:

Children younger than 6 months with native COA should be treated with surgical repair, while those requiring intervention at later ages may be ideal candidates for balloon dilatation or primary stent implantation. Additionally, catheter-based therapy should be employed for those cases of restenosis following either surgical or primary endovascular management.