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Inferior rib notching can be associated with aortic coarctation (as a result of dilatation of intercostal arteries [1]), superior vena caval obstruction, arteriovenous fistula, or following a Blalock Taussig shunt. Causes of inferior rib notching by etiology:
Coarctation of the aorta (CoA) [1] [2] is a congenital condition whereby the aorta is narrow, usually in the area where the ductus arteriosus (ligamentum arteriosum after regression) inserts. The word coarctation means "pressing or drawing together; narrowing".
Coarctation’s a fancy way of saying “narrowing”, so a coarctation of the aorta means a narrowing of the aorta. If we look at the heart, we’ve got the right and left atria, the right and left ventricles, the pulmonary artery leaving the right ventricle to the lungs, and the aorta leaving the left ventricle and going to to the body.
An aortic coarctation is a narrowing of the aorta, which is split into infant and adult forms. In the infant form, it's often accompanied by patent ductus arteriosus, and mixing of deoxygenated and oxygenated blood, whereas in the adult form, the ductus arteriosus has closed off.
The aortic arch, arch of the aorta, or transverse aortic arch (English: / eɪ ˈ ɔːr t ɪ k / [1] [2]) is the part of the aorta between the ascending and descending aorta. The arch travels backward, so that it ultimately runs to the left of the trachea .
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