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Aortic Coarctation

 Syn. Coarctation of aorta , CoA

Signs & Symptoms

 Short height Gr. Adult
Note: If there is concurrent Turner syndrome
Ref: Uptodate [ Pathogenesis and etiology]
Short height
Note: If there is concurrent Turner syndrome
Ref: Uptodate [ Pathogenesis and etiology]
Widely spaced nipples
Note: If there is concurrent Turner syndrome
Ref: Uptodate [ Pathogenesis and etiology]
Prominent right ventricular impulse Gr. Infants
Note: Infants with with heart failure
Ref: Uptodate [ Pathogenesis and etiology]

Physical Examination

 Widely spaced nipples Gr. Adult
Note: If there is concurrent Turner syndrome
Ref: Uptodate [ Pathogenesis and etiology]
Prominent right ventricular impulse Gr. Infants
Note: Infants with with heart failure
Ref: Uptodate [ Pathogenesis and etiology]
Widely spaced nipples
Note: If there is concurrent Turner syndrome
Ref: Uptodate [ Pathogenesis and etiology]

Lab / Serology

Imagin Study

 Discrete narrowing in the thoracic aorta
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Key highlights/tests]
Right ventricular hypertrophy Gr. Infants
Note: Some times biventricular hypertrophy is seen
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Tests]
Biventricular hypertrophy Gr. Infants
Note: Some times biventricular hypertrophy is seen
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Tests]

Complication

 Upper extremity hypertension
Note: Presenting at young age or resistant to therapy(difficult-to-treat hypertension)
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Key highlights/Definition/vignette/Pathophysiology/Key factors]
Hypertension
Note: Presenting at young age or resistant to therapy(difficult-to-treat hypertension)
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Key highlights/Definition/vignette/Pathophysiology/Key factors]
Shock Gr. Neonates #Critical_coarctation
Note: due to PDA closure and inadequate systemic perfusion
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Key highlights/definition/pathophysiology]

Risk Factors

 Male
Ref: Epocrates [ Aortic coarctation: epidemiology/other factors]

Cause

 Congenital malformation #Congenital_CoA
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Etiology]
Inflammatory diseases of the aorta #Acquired_CoA
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Etiology]
Takayasu arteritis #Acquired_CoA
Ref: Uptodate [ Pathogenesis and etiology] Epocrates [ Etiology]

Other