Diminished Femoral Pulses in Pediatrics — 4yo Child | Pediatric Cardiology | SMLE Q#15108

SMLE Question #15108

Pediatrics Pediatric Cardiology

Objective: OBJ-283

Last updated: February 2026
A 4-year-old girl is evaluated for persistently elevated blood pressure noted at a routine well-child visit. Repeated measurements confirm higher systolic blood pressure in the upper limbs than the lower limbs, with diminished femoral pulses. Echocardiography shows a discrete coarctation of the aorta distal to the left subclavian artery without other major structural defects. Which genetic syndrome is most commonly associated with this cardiac lesion?

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