To the aortic coarctation clinic

Coarctation, or narrowing of the aorta, according to many researchers, occurs in 15-18% of all congenital heart defects and large vessels, and 2-3 times more often in men than in women. The most common localization of narrowing of the aorta in a limited area is its isthmus. In such cases, patients note persistent headaches, dizziness, tinnitus, shortness of breath, palpitations, throbbing in the neck, head, which is explained by increased blood circulation in the upper body, and chilliness, rapid fatigue in the legs due to insufficient blood circulation in the lower parts of the body (O. Yu. Marina - 1961, A. S. Pipko with co-authors — 1961, Yu. E. Berezov with co-authors — 1962). Of the disorders in the cardiovascular system, first of all, it should be noted that the systolic pressure on the upper extremities is increased to 280/120, 200/100, while on the lower extremities it is lowered to 70/60 or not even detected. Discovered left ventricular hypertrophy, with auscultation, the accent of the 2nd tone on the aorta and pronounced systolic murmur, heard in the 2nd or 3rd intercostal space on the left at the sternum. The noise is conducted in the interscapular space, in the carotid arteries and in the subclavian region. A very characteristic sign of coarctation of the aorta in the place of its isthmus is considered to be the usulation of the ribs, caused by the constant pressure of the dilated and tortuous intercostal arteries.