A wide pulse pressure on the aortic pressure tracing could be due to the following EXCEPT:

a) Aortic stenosis

b) A large Left-to-Right shunt

c) High cardiac output states

d) AV malformation

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Answer

Answer a. A wide aortic pulse pressure is usually present with large left to right shunts (diastolic runoff) and in high cardiac output states (including systemic AV malformations). It is not typical of aortic stenosis.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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