A 12-year-old girl is brought with sho stature, sho webbed neck and widely spaced nipples which is suggestive of a chromosomal abnormality, and is subsequently confirmed by karyotyping. What is the cardiovascular anomaly that is most likely to be present in this child?
Correct Answer: Coarctation of aoa
Description: This child has the typical clinical presentation of Turner's syndrome: sho stature, sho webbed neck and broad chest with widely spaced nipples. Other features include a low posterior hairline, gonadal dysgenesis, infeility and primary amenorrhea, which may occur as the child grows. The associated cardiac anomaly in such patients is coarctation of the aoa (COA) and a bicuspid aoic valve. Physical findings of COA include upper extremity hypeension and a delay in the radio-femoral pulse. Congestive hea failure may be seen in infants with severe cases. The diagnosis is made with an echocardiogram and the treatment is surgery.
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