A 16-year-old male is found to have a blood pressure of 160/95 mmHg in both upper extremities and 120/70 mmHg in the lower extremities. He has diminished femoral pulses and reports intermittent claudication in his legs during football practice. Cardiac auscultation reveals an ejection systolic murmur at the right upper sternal border. Which of the following is the most likely diagnosis?
- A)Aortic stenosis from bicuspid aortic valve
- B)Takayasu arteritis
- C)Coarctation of the aortaGABARITO
- D)Interrupted aortic arch
- E)Atrial septal defect
Explicação
Coarctation of the aorta is a narrowing of the aorta, typically occurring at the level of the ligamentum arteriosum just distal to the left subclavian artery. This causes upper extremity hypertension with reduced blood pressure in the lower extremities, dimini... Ver explicação completa e trilha adaptativa →