textbook coarctation of the aorta Flashcards
1
Q
what is it?
A
narrowing of the aorta at, or just distal to, the insertion of the ductus arteriosus
2
Q
it is associated with ___ syndrome
A
turner’s
3
Q
In 80% of cases the aortic valve is _____
A
bicuspid
4
Q
what are other associations with CofA ?4
A
PAD, VSD, mitral stenosis or regurgitation and circle of willis aneurysms
5
Q
what are the symptoms?
A
often assymptomatic
- Headaches and nosebleeds
- claudication and cold legs (due to poor blood flow in the lower limbs)
6
Q
why do eople get nosebleeds and headcahes?
A
hypertension
7
Q
what are the signs? 5
A
- Radiofemoral delay (femoral pulse later than radial)
- weak femoral pulse
- increased BP
- scapular bruit
- systolic murmur
8
Q
what are the complications? 2
A
HF
IE
9
Q
what investigations should be done?
A
CT or MRI - aortogram
CXR
10
Q
what may the CXR show?
A
rib notching
11
Q
what is the treatment ?
A
surgery or balloon dilatation with or without stenting
