Co-Arctation

Exam Cram

• Coarctation of aorta is a congenital narrowing of the aorta

• Presentation: (usually paeds)- sob, reduced exercise tolerance;  L vs R BP difference,

• Diagnosis (imaging): ECHO - assess gradient

• Management: surgical correction

Outline

Background

• Commonly associated with bicuspid aortic valve

Assessment

Presentation

• Usually pediatric

• Shortness of breath, reduced exercise tolerance 

• Later: epistaxis, headaches, 

Examination

• L vs R BP difference

• Pansystolic murmur at left infrascapular region

• Diminished 

Investigations

• ECHO: screening

• MRI thorax- can define lesion

Diagnosis

Diagnostic Criteria: a

Differentials: a

Classification: a

Management

Med Reg Notes

Resources and References

Written in 2024.