Coarctation of aoa is most commonly associated with?: (A) ASD, (B) PDA, (C) Bicuspid aoic valve, (D) VSD
Answer is C. COARCTATION OF AOA: - Sharp indentation involving anterior, lateral & posterior wall of aoa. - Medial wall - spared - MC associated with bicuspid aoic valve Clinical presentation: - Severe coarctation - Hea failure in neonate with B/L feeble or impalpable femoral pulses - Hypeension - Milder disease: intermittent claudication of lower limbs CXR: Figure of 3 & Notching of inferior margin of 3rd - 9th ribs usually seen >3 years age CONTRAST ESOPHAGOGRAM AND BARIUM SWALLOW: E sign TREATMENT: - Balloon angioplasty - Anti hypeensives for hypeension