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Images in Clinical Medicine
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Volume 342:249 January 27, 2000 Number 4
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Aortic Coarctation and Bicuspid Aortic Valve

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Figure 1. A 30-year-old farmer was referred for evaluation of a bicuspid aortic valve. He had no history of hypertension. He had no symptoms other than mild dyspnea and aching calves on walking briskly. On examination he had a regular pulse (78 beats per minute) with a pronounced radiofemoral delay. The blood pressure was 148/92 mm Hg in the right arm and 148/76 mm Hg in the left arm while he was sitting upright. A grade 3/6 mid-to-late systolic murmur was present at the apex. Electrocardiography revealed normal sinus rhythm without features of left ventricular hypertrophy. The chest roentgenogram . . . [Full Text of this Article]

 



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