TY - CHAP M1 - Book, Section TI - THE ADULT WITH COARCTATION OF THE AORTA A1 - Krieger, Eric V. A1 - Stout, Karen K. A2 - Daniels, Curt J. A2 - Zaidi, Ali N. Y1 - 2016 N1 - T2 - Color Atlas and Synopsis of Adult Congenital Heart Disease AB - A 23-year-old man was seen for difficult-to-control hypertension. On initial presentation he had a blood pressure (BP) of 160/90 mm Hg. Despite initiation of multiple antihypertensive medications including hydrochlorothiazide and lisinopril, the patient remained hypertensive with systolic BP of greater than 140 mm Hg. The patient was asymptomatic but reported a lifelong murmur. Physical examination revealed a right upper extremity BP of 146/82 mm Hg. Cardiovascular examination was significant for a grade II/VI systolic ejection murmur and a posterior systolic murmur in the left infrascapular region. Lower extremity pulses were diminished. A transthoracic echocardiogram demonstrated a bicuspid aortic valve, mild aortic dilation, and flow acceleration across the aortic isthmus. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesscardiology.mhmedical.com/content.aspx?aid=1128633745 ER -