August 9th, 2020
A previously healthy 16-year-old boy is brought to the physician for a pre-participation sports physical. He reports frequent headaches. Physical examination shows a blood pressure is 180/120 mm Hg in the right arm and 130/80 mm Hg in the right leg. Cardiac examination shows a systolic murmur in the left infraclavicular area. Femoral pulses are difficult to palpate and are delayed in comparison to the radial pulses. X-ray of the chest shows cardiomegaly. Which of the following is the most likely diagnosis?