Coarctation of the Aorta

You are incorrect - the best diagnosis in our patient is coarctation of the aorta, bicuspid aortic valve and aortic regurgitation.

Your choice: Primary hypertension, bicuspid aortic valve and aortic regurgitation

Primary hypertension does not explain the presence of substantially higher systolic pressure in the arms than in the legs. In the initial evaluation of a patient with undiagnosed hypertension, it is important to measure blood pressure in both arms and at least one leg.