Question

A 14-year-old female goes to her primary care physician because her mother is worried about her short stature and lack of secondary sex characteristics. She was found to have low estrogen levels. Upon cardiovascular imaging, the patient was found to have a narrowing of the aorta known as coarctation of aorta. How should the physician treat this patient?

a) Hormone replacement therapy with estrogen
b) Surgical correction of coarctation of the aorta
c) Beta-blocker therapy
d) Blood transfusion

Answer 1

The physician should opt for the surgical correction of the coarctation of the aorta to address the patient's cardiovascular issues. Separate treatment may later be considered for the low estrogen levels, potentially through hormone replacement therapy after evaluation.

Step-by-step explanation:

For a 14-year-old female with coarctation of the aorta and low estrogen levels, the appropriate treatment for her cardiovascular condition would be surgical correction of coarctation of the aorta. Coarctation of the aorta is a life-threatening congenital condition that restricts blood flow which can lead to serious complications if not treated properly. Surgery, such as resecting the narrowed section of the aorta or angioplasty, is typically used to correct the abnormal narrowing and improve blood flow. The low estrogen levels may be a separate issue, potentially related to puberty and growth, and this could be addressed by the physician through hormone replacement therapy, if indicated, after a thorough evaluation.