16 year old boy with hypertension
 Aortic Coarctaction

• Congenital stenosis of the aorta, can be associated with CHD, presents with hypertension and diminished lower extremity pulses
• Pseudocoarctation – redundancy of the aorta near the isthmus at the insertion of the ligamentum arteriosum, usually no hemodynamic obstruction, or collateralization