Rapid Review: Coarctation of the Aorta

Coarctation of the Aorta

  • PE will show higher blood pressure in the arms than in the legs
  • EKG will show LVH
  • CXR will show notching of ribs
  • Diagnosis is made by echo
  • Treatment is balloon angioplasty with stent placement or surgical correction
  • Comments: associated with Turner’s syndrome

 

Sample question:

A 5-year-old girl with Turner syndrome is found to have systolic hypertension. Further examination reveals diminished femoral pulses. Which of the following is the best initial test for establishing the most likely diagnosis?


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