COARCTATION OF AORTA Flashcards

1
Q

Pathology

A

Congenital narrowing of the aorta at distal to insertion of ductus arteriosus causing hypertension due to marked reduction in the perfusion of the kidney

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2
Q

Presentation (6)

A

1- Classic: chest pain, murmur, hypertension in a young patient
2- Hypertension due to reduced renal perfusion
3- Radio-femoral delay: delayed pulses in legs
4- Mid-late systolic murmur
5- 70% of them have a bicuspid aortic valve
6- CXR: rib notching- collateral arteries erode the undersurface of the ribs

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