Post-coarctation HTN — RACP Paediatrics MCQ

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HardNephrologyPost-coarctation HTNRACP Paediatrics

A neonate post coarctation repair develops severe hypertension on day 3 with abdominal distension. What complication should be considered?

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Correct answer: E — IV hydralazine

Post-coarctation paradoxical hypertension can cause mesenteric arteritis. IV hydralazine or labetalol for BP control. Abdominal distension suggests mesenteric arteritis.

Reference: RACP Paediatric Curriculum – Cardiology/Nephrology