Cardio

Question 1

Coarctation of Aorta features

Answer 1

• infancy: heart failure
• adult: hypertension
• radio-femoral delay
• mid systolic murmur, maximal over the back
• apical click from the aortic valve
• notching of the inferior border of the ribs (due to collateral vessels) is not seen in young children

Associations:
-Turner’s syndrome
- bicuspid aortic valve
- berry aneurysms
- neurofibromatosis