Fig of 3 signs is seen in?: (A) Mitral Stenosis, (B) Coarctation of Aoa, (C) Transposition of Great Aeries, (D) Aoic Stenosis
Answer is B. Coarctation of Aoa - Juxta-ductal pa of AOA is mostly involved Medial wall of AOA is usually spared Clinical presentation - Hypeension Milder disease - Intermittent claudication of lower limbs Severe disease - Hea failure in neonate with B/L feeble or impalpable femoral pulses CXR - Figure of 3 sign Notching of inferior margin of 3rd - 9th ribs , usually seen in >3 years age Contrast Esophagogram and Barium swallow - E sign Treatment - Balloon angioplasty Anti-hypeensives for HTN