A 5-year-old girl with Turner syndrome presents with persistent hypertension (BP 142/88 mmHg in upper extremities, 98/62 mmHg in lower extremities), heart rate 92/min, and a continuous systolic murmur over the left infraclavicular region and back. She denies chest pain or syncope. Chest X-ray shows mild left ventricular hypertrophy. She takes no cardiac medications. Which of the following is the most likely diagnosis?
- A)Mitral regurgitation
- B)Coarctation of the aortaGABARITO
- C)Patent ductus arteriosus
- D)Pulmonary stenosis
- E)Aortic stenosis
Explicação
Coarctation of the aorta is the most common cardiac defect in Turner syndrome. It presents with hypertension, a systolic murmur heard best over the left scapula/posterior chest, and a characteristic blood pressure differential between upper and lower extremiti... Ver explicação completa e trilha adaptativa →