By Erin Sukhu, MD; Casey Sams, MD; Jennifer KE Whitham, MD, MSCR
The patient is a 2-year-old ex-term male with normal growth, development, activity, and appetite, initially presenting to the Cardiac Clinic for evaluation of a murmur. The murmur was noted at his 9-month well child check and had persisted. He had intermittent stridor and difficulties swallowing certain textures, but there were no other medical concerns or problems according to the family. In clinic, a Grade IIIII/VI systolic ejection murmur was noted at the apex and the left sternal border, along with diminished lower extremity pulses and a blood pressure exceeding the 99th percentile for age, sex, and height. There were no other abnormalities on exam, and no difference between upper and lower extremity blood pressures.
To read the full article, please go to the September 2017 Issue of CCT, where it was originally published.