A 14 year old girl is evaluated for headaches. She is short with a broad chest and widely spaced nipples. Blood pressure is 158/92 mm Hg in the arms and 108/70 mm Hg in the legs. Femoral pulses are delayed compared with radial pulses. Which of the following is the most likely diagnosis?
- A)Patent ductus arteriosus
- B)Interrupted aortic arch
- C)Renal artery stenosis
- D)Pulmonary valve stenosis
- E)Coarctation of the aortaGABARITO
Explicação
Coarctation of the aorta causes upper extremity hypertension with lower extremity hypotension and weak delayed femoral pulses. It is associated with Turner syndrome and bicuspid aortic valve. The blood pressure differential and phenotype are classic clues. Ver explicação completa e trilha adaptativa →