Summary

  • Characterised by BP differential between upper and lower extremities (upper >lower).
  • Physical examination may show diminished, absent, or delayed lower extremity pulses compared with upper extremity pulses.
  • Diagnosis is made by demonstration of aortic arch narrowing, typically by echocardiography.
  • Treatment may be surgical repair or percutaneous balloon dilation or stent placement.
  • Long-term complications include persistent hypertension or aneurysm formation at site of surgery or balloon.

Other related conditions

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