Coarctation of Aorta

Question 1

What is coarctation of aorta?

Answer 1

• constriction of the aorta, severe obstruction of the left ventricular outflow

Question 2

Symptoms of aortic coarctation?

Answer 2

Breathing -

increased effort and clear on auscultation

Circulation -

• Low blood pressure
• Weak femorals
• Brachiofemoral delay
• Severe heart failure*

Question 3

Ix of Coarctation of Aorta

Answer 3

1. Chest Xray
   - Cardiomegaly and congestion
2. CBG - acidotic
3. 4 limb BP - lower limbs have sign weaker bp
4. Echo - Coarctation

Question 4

When is the first presentation of the coarctation of Aorta

Answer 4

1. Presents at 6 weeks
2. Increased work of breathing
3. Heart failure