Corrigan Pulse and Fullness of the Neck Vessels in a Neonate

A 3-day-old girl was admitted to the neonatal intensive care unit with symptoms of congestive heart failure. On examination, she was noted to have bounding carotid pulses (Corrigan pulse) (Videos 1 and 2; available at www.jpeds.com), intercostal, subcostal retractions, and bilateral rales over the lungs. A strong continuous bruit was auscultated on the whole skull. The chest radiograph showed an enlarged heart and echocardiography revealed coarctation of the aorta. An urgent balloon dilatation was performed, and cranial arteriovenous malformation was also detected during angiography.

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