case_images: PMC11787853_01
case_images: Echocardiography (Eco 2D/ Doppler) on day 1 of life (Case 1): a "gothic" aortic arch with isthmus narrowing (arrow).
case_images: cureus-0017-00000076866-i01.jpg
case_images: PMC11787853_01_cureus-0017-00000076866-i01.jpg
case_images: FIG1
case_images: Echocardiography confirmed right heart chamber and pulmonary artery predominance, a tortuous "gothic" aortic arch with isthmus narrowing and turbulent flow, a patent ductus arteriosus (PDA) with left-to-right shunt, and a patent foramen ovale (PFO) with minimal left-to-right shunt (Figure 1).
case_images: Echocardiography (Eco 2D/ Doppler) on day 3 (Case 1): turbulence distal to the subclavian artery with a gradient of 18 mmHg, without CoA flow, and a closed ductus arteriosus.. CoA: coarctation of the aorta
case_images: cureus-0017-00000076866-i02.jpg
case_images: PMC11787853_01_cureus-0017-00000076866-i02.jpg
case_images: FIG2
case_images: Echocardiography revealed turbulence distal to the subclavian artery with a gradient of 18 mmHg, though no CoA flow was observed, and the ductus arteriosus had closed (Figure 2).
case_images: Echocardiography (Eco 2D/ Doppler) on day 5 of life (Case 1): CoA flow on aortic isthmus. CoA: coarctation of the aorta
case_images: cureus-0017-00000076866-i03.jpg
case_images: PMC11787853_01_cureus-0017-00000076866-i03.jpg
case_images: FIG3
case_images: Echocardiography confirmed the presence of CoA (Figure 3).
case_images: PMC11787853_02
case_images: Echocardiography (Eco 2D/ Doppler) in the first hours of life (Case 2): "gothic" aortic arch with flow acceleration at the isthmus with a gradient of 15 mmHg.
case_images: cureus-0017-00000076866-i04.jpg
case_images: PMC11787853_02_cureus-0017-00000076866-i04.jpg
case_images: FIG4
case_images: Echocardiography confirmed multiple VSDs and a "gothic" aortic arch with isthmus flow acceleration (Figure 4).
case_images: Echocardiography (2D/ Doppler) at approximately 36 hours of life revealed a patent ductus arteriosus with a left-to-right shunt and evidence of developing CoA flow (Case 2).. CoA: coarctation of the aorta
case_images: cureus-0017-00000076866-i05.jpg
case_images: PMC11787853_02_cureus-0017-00000076866-i05.jpg
case_images: FIG5
case_images: Echocardiography at 36 hours revealed a small "gothic" aortic arch with slight hypoplasia of the transverse and descending aorta and developing CoA flow (Figure 5).