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What is Coarctation of aoa is most commonly associated with? and explain in detail?
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