coarctation of aorta

Question 1

key structural abnormality

Answer 1

narrowing of aortic arch near the ductus arteriosus

Question 2

pathology

Answer 2

• narrowing in the aorta near the ductus arteriosus
• means the LV was to push harder to get the blood into the circulation - increased afterload
• LVH
• hypertension in upper body, poor perfusion to lower body

Question 3

symptoms

Answer 3

upper body hypertension
weak / absent pulse in femoral
rib notching bc IC arteries grow to bypass

Question 4

diagnosis

Answer 4

BP difference - high in arms and low in legs
chest xray shows rib notching
echo / mri shows narrowing

Question 5

differentiating factors

Answer 5

• hypertension in upper half of body
• weak pulse in femoral artery
• rib notches

Question 6

murmur?

Answer 6

yes