36. Congenital heart disease without shunts.

Question 1

coarcation of the aorta

abstract

CLINIC

Answer 1

• almost always juxta-ductal, may rely on PDA
• CLINIC:
  
  • poor feeding, resp. distress, shock
  • lower BP on legs than on arms
  • weaker and delayed femoral pulses
  • in older children collaterals may have formed

Question 2

coarctation of the aorta

imaging

treatment

Answer 2

ECG & x-ray

right ventricular enlargement