A 27 year old man in noted to have blood pressure of 170/100 mmHg. He has prominent aoic ejection click and murmurs heard over the ribs on the both sides anteriorly and over the back posterioly. In addition.the pulses in the lower extremities are feeble and he complains of mild claudication with exeion. The most likely diagnosis is
Answer is C (Coarctation of aoa) Hypeension in upper extremity with absence, dimunition or delay in pulsations in lower extremity suggests the diagnosis of coarctation of aoa. Other options have been explained in the previous questions.
Aial septal defect
Aoic stenosis
Coarctation of the aoa
Cardiomyopathy