This results in cyanosis in the lower extremities, a blue or purple discoloration of the skin; that’s the result of deoxygenated blood mixing with oxygenated blood.
When deoxygenated blood mixes into the systemic circulation, it’ll often present as cyanosis, a bluish-purple discoloration of the skin, which can be seen in a baby within the first days after birth.
Coarctation of the aorta and a bicuspid aortic valve can cause lower extremity cyanosis, meaning a bluish or purplish discoloration of the lower limbs, and can result in congestive heart failure.