A 49-year-old female presented with chest discomfort, increasing fatigue, and exertional dyspnea. She had a history of tobacco abuse and mild hypertension. She reported that her brother was born with an atrial septal defect. Physical examination A grade of 2/6 systolic murmur in the apex and left second intercostal space that was radiated to the intrascapular area Femoral pulses were palpable bilaterally.
The blood pressure was 130/95 mmHg in the left arm and 100/75 mmHg in the right arm, with a systolic pressure gradient of 25 mmHg between the upper and lower extremities. Image: Doppler echocardiography What is the diagnosis? *This case is from the Docplexus Editorial Team for educative purposes only. Source: Case Reports in Cardiology
