Coarctation Of Aorta

Etiology

  • Congenital narrowing of desending aorta
  • Typically picked up in childhood but can manifest in adulthood, sometimes assoc w/bicuspid AS

Symptoms

  • Sob from chf
  • Fatigue
  • Nose bleeds
  • Head ache
  • Develop over years
  • Leg claudication
  • Stroke or other assoc w/severe htn

Physical Exam Findings

  • Persistent unexplained htn
  • Pulse volume difference btwn upper vs lower extremities
  • Mumur AS if also bicuspid valve
  • Chf findings if severe & prolonged