Cardio Patho - Coarctation Of The Aorta

Front 1

3 most common causes of cardiac tamponade

Back 1

1. Idiopathic pericarditis
2. neoplastic disease
3. pericardial effusion secondary to renal failure

Front 2

other causes of cardiac tamponade

Back 2

1. bleeding into the pericardial space

2. tuberculosis

3. hemopericardium (acute pericarditis txt with anticoaglants)

Front 3

Procedure done to improve hemodynamic and clinical manifestations of cardiac tamponade

Back 3

pericardiocentesis

Front 4

Coarctation of the aorta is more common in males/females and in patients with _________

Back 4

-males
-gonadal dysgenesis

Front 5

What occurs in up to 10% of patients with COA and inc. the risk of sudden rupture and death?

Back 5

Circle of Willis aneurysms

Front 6

Pertinent PE in COA

Back 6

(presence) heart murmur or hypertension in upper extremities

(absence/marked diminution/ delayed) femoral pulsations

Front 7

Where can you palpate enlarged, pulsatile collateral vessels in COA?

Back 7

-(anteriorly) intercostal spaces

-axillae

-(posteriorly) interscapular area

Front 8

In COA, whatparts of the body are more developed?

Back 8

upper extremities

thorax

(compared to the lower extremities)

Front 9

Characteristic murmur in COA

Back 9

midsystolic murmur in the left interscpaular space (continuous if lumen is narrowed enough)

Front 10

Characteristic ECG finding in COA

Back 10

LV hypertrophy

Front 11

An importantant radiographic sign in COA....and due to what?

Back 11

notching of the ribs (3rd -9th ribs)

due to inferior rib erosion because of dilatation of collateral vessels

Front 12

In COA, how can you identify the SITE and LENGTH of the coarctation?

Back 12

2D echo from para- or suprasternal windows

Front 13

In COA, how do you quantitate pressure gradient?

Back 13

Doppler

Front 14

In COA, how can you VISUALIZE the LENGTH and SEVERITY of the obstruction and associated collateral arteries?

Back 14

-transesophageal echocardiography

-MRI

-3D CT

Front 15

In COA in ADULTS, when is cardiac catherization indicated?

Back 15

-EVALUATION of coronary arteries

-PERFORM catheter based intervention (angioplasty, stent)