Due polsi scomparsi in un soffio

Coarctation of the aorta (CoA) is a narrowing of the proximal thoracic aorta typically located at the junction of the aorta with the ductus arteriosus. Clinical presentation varies from heart failure in neonatal period to asymptomatic cases diagnosed later in life. CoA was suspected in a 12-month-old child who showed moderate precordial murmur accompanied by hypertension exclusively present at the upper limbs with absence of the femoral pulses. The evaluation of femoral pulses should be repeated during the child growth because CoA may not be completely developed in the neonatal period.