Atresia of aorta
ICD-10 Q25.2 is a billable code used to indicate a diagnosis of atresia of aorta.
Atresia of the aorta is a rare congenital heart defect characterized by the complete obstruction of the aorta, the major artery that carries oxygenated blood from the heart to the body. This condition typically occurs during fetal development when the aorta fails to form properly, leading to significant hemodynamic consequences. Infants with aortic atresia often present with severe cyanosis and respiratory distress shortly after birth due to inadequate blood flow to the systemic circulation. The condition may be associated with other congenital heart defects, such as ventricular septal defects or coarctation of the aorta. Diagnosis is usually confirmed through echocardiography, which reveals the absence of a functional aorta and may show compensatory mechanisms such as the presence of a patent ductus arteriosus (PDA) or collateral circulation. Management often requires surgical intervention, including procedures to create a new pathway for blood flow, such as aortic reconstruction or heart transplantation in severe cases. Long-term follow-up is essential to monitor for complications and ensure optimal growth and development.
Detailed records of clinical findings, imaging studies, and surgical interventions are essential. Documentation should include the infant's clinical status, any associated congenital defects, and the treatment plan.
Common scenarios include newborns presenting with cyanosis, failure to thrive, and respiratory distress, requiring immediate evaluation and intervention.
Coders must be aware of the potential for multiple congenital heart defects and ensure accurate coding of all associated conditions.
Genetic counseling notes and family history documentation are crucial, especially if there is a suspected genetic syndrome associated with the congenital heart defect.
Scenarios may include families seeking genetic counseling after a diagnosis of aortic atresia, particularly if there are other congenital anomalies present.
Consideration of chromosomal abnormalities that may be associated with congenital heart defects is important for accurate coding.
Used in surgical management of aortic atresia to establish blood flow.
Operative reports detailing the procedure and any complications.
Pediatric cardiology and cardiothoracic surgery documentation must be precise.
The primary treatment for aortic atresia is surgical intervention, which may include procedures to reconstruct the aorta or create alternative pathways for blood flow. Early diagnosis and management are critical for improving outcomes.
