Aortic Coarctation

Clinical History

This segment of aorta with a coarctation was removed surgically and the patient made an uneventful recovery. The patient, a 10 week infant, presented with easy fatigability, poor feeding and dyspnoea. On examination he had very weak femoral pulses and marked radiofemoral delay. There was a harsh systolic murmur heard over the entire precordium, also very loud in the interscapular region. All newborns should be examined for any radiofemoral delay in pulse wave to make an early diagnosis before symptoms arise.

Pathology

The specimen is a short segment of aorta which has an irregular thickened intima. The lumen is reduced to 3 mm in diameter. This is a coarctation of the aorta. Most infants who are symptomatic with coarctation of the aorta may have other defects (eg: PDA, VSD, bicuspid aortic valve, congenital aortic stenosis). However this infant was otherwise normal (compare with specimen BA 1).