1)Narrowing of aorta just beyond the origin of left subclavian artery insertion, at the insertion of DA
2)Collateral circulation to support distal flow
3)Headache
4)Claudication pain.
5)Radio – femoral delay
6)BP in UL > LL
7)ESM over thoracic spine
8)ESM over AA
9)Pulsation, dilated tortuous arteries over the scapula – Suzman’s sign.
10)CXR: –
a.Dilated aorta, indentation on descending aorta, rib notching
b.‘3 – sign’ is a combination of dilated left subclavian artery above, stenosed, coarcted segment in the middle and dilated post – stenotic arota below.
Treatment: –
a.Balloon dilation / surgery
Complications: –
1)hypertension
2)LVF
3)Cerebral aneurysm and hemorrhage
4)Aortic dissection and rupture of aorta
5)IE at the site of coarctation, bicuspid aortic valve or collateral channels
6)Renal failure.
