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Constriction of juxta-ductal aorta and rapid progression of obstruction in a newborn


Department of Pediatric and Congenital Heart Diseases, Escorts Heart Institute and Research Centre, New Delhi, India

Correspondence Address:
Neeraj Awasthy
Department of Pediatric and Congenital Heart Diseases, Escorts Heart Institute and Research Centre, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.74054

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Year : 2010  |  Volume : 3  |  Issue : 2  |  Page : 181-183

 

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A 13-day-old baby girl presenting with features of congestive cardiac failure was found to have coarctation of the aorta (CoA) and patent ductus arteriosus (PDA) by echocardiography. Doppler spectral display revealed moderate CoA. Echocardiogram, 12 hours later, showed severe juxtaductal aortic coarctation with spontaneous closure of PDA. This case emphasises the need to keep a close watch on the progress of CoA in the neonatal period, even if the duct has narrowed to a small size thus demonstrating the role of constriction of juxtaductal aorta in pathogenesis of coaractation. Closure of even asmall PDA can cause acute progression CoA in the presence of posterior shelf.






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Department of Pediatric and Congenital Heart Diseases, Escorts Heart Institute and Research Centre, New Delhi, India

Correspondence Address:
Neeraj Awasthy
Department of Pediatric and Congenital Heart Diseases, Escorts Heart Institute and Research Centre, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.74054

Rights and Permissions

A 13-day-old baby girl presenting with features of congestive cardiac failure was found to have coarctation of the aorta (CoA) and patent ductus arteriosus (PDA) by echocardiography. Doppler spectral display revealed moderate CoA. Echocardiogram, 12 hours later, showed severe juxtaductal aortic coarctation with spontaneous closure of PDA. This case emphasises the need to keep a close watch on the progress of CoA in the neonatal period, even if the duct has narrowed to a small size thus demonstrating the role of constriction of juxtaductal aorta in pathogenesis of coaractation. Closure of even asmall PDA can cause acute progression CoA in the presence of posterior shelf.






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