CXR: Coarctation of Aorta
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CXR: Coarctation of Aorta

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CXR: Coarctation of Aorta CXR: Coarctation of Aorta Presentation Transcript

    • PROF.DR.K.H.NOORUL AMEEN’S UNIT M6
    • DR.M.ARIVUMANI
    IMAGE OF THE WEEK
  • 45 Year old male patient Known hypertensive admitted with complaints of chest pain, epistaxis for 2 days duration
    • o/e patient concious oriented
    • BP 180/110mmhg
    • CVS S1,S2 heard,no murmur
    • RS NVBS,no added sounds
    • P/A soft
    • CNS NFND
    • Chest x ray taken
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    • Chest x ray
    • PA view
    • Inspiratory film
    • Normal penetration
    • No rotation
    • Soft tissues normal
    • Lung fields normal
    • Rib notching seen in inferior borders of posterior ribs prominently seen in 3 rd to 8 th ribs.
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  • X Ray changes in coarctatation of aorta
    • Chest X ray
    • Notching of inferior border 3 rd to 9 th posterior ribs due to erosion by dilated collaterals(beween braches of subclavian and posterior intercostal arteries).
    • ‘ 3’ sign-indentation of aorta at the site of coarctation , dilatation of left subclavian artery and poststenotic dilatation of aorta along paramediastinal border.
    • Cardiomegaly
    • Rib erosion seen in lower ribs in case of abdominal coarctation.
    • E sign in barium filled oesophagus
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  • Causes of rib notching
    • Superior border rib notching
    • Normal finding in elderly
    • Rheumatoid arthritis
    • SLE
    • Hyperparathyroidism
    • Marfan syndrome
    • Neurofibromatosis
    • Poliomyelitis
    • Inferior rib notching
    • Unilateral
    • BT shunt
    • Subclavian artery ooclusion
    • Coarctation involving anamalous right
    • subclavian artery
    • Inferior rib notching
    • Bilateral
    • Coarctatation of aorta
    • takayasu arteritis
    • Subclavian atheroma
    • TOF,PS,Truncus arteriosus type 4
    • SVC/IVC obstruction
    • Intercostopulmonary fistula/AV fistula
    • Hyperparathyroidism
    • Neurogenic
    • Idiopathic
    • THANK YOU