Tortuous aortic arch
ICD-10 Q25.46 is a billable code used to indicate a diagnosis of tortuous aortic arch.
Tortuous aortic arch is a congenital malformation characterized by an abnormal twisting or curvature of the aortic arch, which can lead to various hemodynamic complications. This condition may result in obstruction of blood flow, leading to symptoms such as hypertension in the upper body and hypotension in the lower body. It is often associated with other congenital heart defects, including coarctation of the aorta, ventricular septal defects, and tetralogy of Fallot. Diagnosis typically involves imaging studies such as echocardiography, MRI, or CT angiography, which can visualize the aortic arch's anatomy and any associated anomalies. Management may require surgical intervention, particularly if significant obstruction or associated defects are present. Early detection and intervention are crucial to prevent complications such as heart failure or end-organ damage. The condition may also be part of syndromic presentations, necessitating genetic evaluation and counseling.
Detailed pediatric history, including prenatal and postnatal assessments, growth parameters, and developmental milestones.
Infants presenting with failure to thrive, differential diagnosis of murmurs, or symptoms of heart failure.
Consideration of age-specific norms for imaging and hemodynamic assessments.
Family history of congenital heart defects, genetic testing results, and syndromic associations.
Referral for genetic counseling in cases of syndromic presentations or family history of congenital anomalies.
Awareness of chromosomal abnormalities that may be associated with congenital heart defects, such as Down syndrome.
Used in cases where surgical intervention is required for tortuous aortic arch with coarctation.
Operative reports detailing the procedure and any associated findings.
Pediatric cardiology may require specific documentation of preoperative and postoperative assessments.
Tortuous aortic arch is often associated with other congenital heart defects such as coarctation of the aorta, ventricular septal defects, and tetralogy of Fallot. It is important to document any associated conditions for accurate coding.
