RT Book, Section
A1 Kiefer, Todd
A1 Granger, Christopher B.
A1 Jackson, Kevin P.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193146856
T1 Coarctation of the Aorta
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193146856
RD 2024/04/20
AB ESSENTIALS  OF  DIAGNOSISUsual  presentation  is  systemic  hypertension.Echocardiography/Doppler  is  diagnostic;  a  peak  gradient  of  >  20  mm  Hg  may  be  significant  due  to  collaterals  around  the  coarctation  reducing  gradient  despite  severe  obstruction.Associated  bicuspid  aortic  valve  in  50–80%  of  patients.Delayed  pulse  in  femoral  artery  compared  to  brachial  artery.Systolic  pressure  is  higher  in  upper  extremities  than  in  lower  extremities;  diastolic  pressures  are  similar.