Coarctation of the Aorta – CoA

Question 1

CoA defect

Answer 1

Congenital narrowing of the aorta

Question 2

on physical examination

Answer 2

• high BP in head + Upper Extremities(radial)
• Low BP in Abdomen + Lower Extremities(femoral)
• Brachiofemoral delay
• Claudication upon phys

Question 3

Types of CoA

Answer 3

Pre-ductal Vs Post ductal
(ductus arteriosus)

Question 4

Associated with syndrome

Answer 4

Turner syndrome

Question 5

• Treatment:

Answer 5

PGE1(initially) ,
Surgery or catheterization & enlargement(defenitive)

Question 6

on chest x-ray

Answer 6

-Notching of inferior borders of
ribs

Question 7

Complications of CoA

Answer 7

• Cerebral hemorrhage [ berry aneurysm ] (from systolic hypertension)
• Aortic dissection and rupture
• Systolic HTN
• Endocarditis
• HF