Coarctation of the aorta
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“Coarctation of the aorta” means a localised malformation characterised by deformity of the aortic media, causing narrowing of the lumen of the aorta;
- BP in arms > legs, absent femoral but palpable pedal pulses, thrills or bruits over the intercostals arteries
- Rib notching is present on inferior edge of rib
- Arteriography can be used to diagnose
- Usually distal to the origin of the left subclavian artery.
- Most children and young adults with isolated coarctation are asymptomatic.
- Headache, epistaxis, cold extremities, and claudication with exercise may occur.
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