Page 55 - #Dr Shahid Merchant Biography
P. 55

INVESTIGATION                                                    COMPLICATIONS


         Urine Dipstick                                               Damage to your arteries
                                                                       Aneurysm.
         Blood urea and electrolytes +/- eGFR
                                                                       Heart failure.
         12 lead ECG
                                                                       Weakened and narrowed blood vessels in
         Fundoscopy                                                      your kidneys.
                                                                       Thickened, narrowed or torn blood vessels
         Blood glucose                                                   in the eyes

         Serum total and HDL cholesterol                              Metabolic syndrome.






        CO-ARCTATION OF AORTA

        Coarctation  of  the  aorta  (CoA)  is  a  relatively
        common  defect  that  accounts  for  5-8%  of  all
        congenital  heart  defects.  Coarctation  of  the  aorta
        may  occur  as  an  isolated  defect  or  in  association
        with  various  other  lesions,  most  commonly
        bicuspid aortic valve and ventricular septal defect
        (VSD).

        Coarctation  of  the  aorta  may  be  defined  as  a
        constricted    aortic   segment     that   comprises
        localized medial thickening, with some infolding of
        the  medial  and  superimposed  neointimal  tissue.
        The  localized  constriction  may  form  a  shelflike
        structure  with  an  eccentric  opening  or  may  be  a
        membranous  curtainlike  structure  with  a  central
        or  eccentric  opening.  The  coarctation  may  be
        discrete,  or  a  long  segment  of  the  aorta  may  be
        narrowed; the former is more common
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