A 15 year old girl is evaluated for headaches and leg fatigue with exercise. Blood pressure in the arms is 162/88 mm Hg and in the legs is 108/66 mm Hg. Femoral pulses are weak and delayed compared with radial pulses. Which of the following is the most likely diagnosis?
- A)Atrial septal defect
- B)Patent ductus arteriosus
- C)Coarctation of the aortaGABARITO
- D)Ventricular septal defect
- E)Tetralogy of Fallot
Explicação
Coarctation of the aorta is correct. Upper extremity hypertension with weak delayed femoral pulses is the classic presentation of juxtaductal coarctation. Adolescents may also develop collateral flow through intercostal arteries, producing rib notching on ches... Ver explicação completa e trilha adaptativa →