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THE AORTA
Diane D. Sosa
Case
Miss Sathi, 24 years old, admitted into
the hospital with the complaints of 1) Headache, dizziness and fatigue-2
years
2) Shortness of breath- 2 years.
3) Pain in leg after prolong walking- 2
years.
B.P- 180/90mmHG ( in arm)
Leg- not recordable.
Pulses
Radial
Brachial
Axillary
Carotid
Femoral
Popliteal
Post. Tibial
Dorsalis pedis
Right
+
+
+
+
-
Left
+
+
+
+
-
This narrowing
restricts the
amount of
oxygen-rich
(red) blood
that can travel
to the lower
part of the
body.
Coarctation of aorta
8-10% of CHDs
M:F ratio 2:1
Pathology: indentation involving anterior,
lateral & posterior wall of aorta
Types
PREDUCTAL TYPE
1. PDA is patent and large
and provide blood flow
to lower extremity.
2. Tubular narrowing of
isthmus
3. No shelf like narrowing
in aorta.
4. Minimal post stenotic
dilatation of aorta.
5. Minor enlargement of
intercostal arteries.
POSTDUCTAL TYPE
1. The ductus is closed and
no longer acts as a shunt.
2. No narrowing of isthmus.
3. Shelf like narrowing with
in the aorta in juxtaductal
position.
4. Post stenotic and
prestenotic aorta is
dilated.
5. Intercostal arteries are
grossly dilated.
Preductal type(infantile)
High blood
pressure
Abnormal
differences of
blood pressure and
arterial pulses in
upper and lower
extremities
Murmur
Collateral Circulation
Pressure
Volume
CXR PA View
Chest X ray
Chest X RAY
Echocardiogram
MRI
MANAGEMENT
Management
Treatment in patients with congestive heart failure
(CHF) includes the use of diuretics and inotropic
drugs.
Prostaglandin E1 (0.05-0.15 mcg/kg/min) is infused
intravenously to open the ductus arteriosus.
Ventilatory assistance is provided to patients with
markedly increased work of breathing.
Thank you!