Which finding is associated with coarctation of the aorta?
A.
Atrial septal defect
B.
Ventricular septal defect
C.
Left ventricular hypertrophy
D.
Right ventricular hypertrophy
The Answer Is:
C
This question includes an explanation.
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Coarctation of the aorta (CoA) causes obstruction of blood flow in the descending aorta leading to increased afterload on the left ventricle. This pressure overload results in left ventricular hypertrophy (LVH) as the heart compensates for the increased resistance.
Atrial septal defect and ventricular septal defect are separate congenital defects not necessarily associated with CoA. Right ventricular hypertrophy occurs mainly with pulmonary hypertension or right heart pressure overload.
LVH is a well-recognized echocardiographic finding in CoA and is used to assess severity and chronic effects of the lesion in adult echocardiography references and ASE congenital heart disease guidelines【16:Textbook of Clinical Echocardiography, 6e†p.550-555】【12:ASE Congenital Guidelines†p.410-420】.
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