A 30 year old patient has right upper limb BP of 180/95 mm Hg and left upper limb BP of 130/90 mm Hg. He also has early diastolic murmur in right 2 intercostal space. Which of the following would be LEAST likely associated with these findings?
Supravalvular aoic Stenosis
Coarctation of aoa
Takayasu aeritis
Aoic dissection
Supra valvular AS - pulse disparity (Coanda effect) - Systolic pressure in the right arm> left arm Streaming of the jet toward the innominate, RCCA, and right SCA Option B - Continuous murmur /systolic murmur Option C - MC blood vessel involved in Takayasu aeritis is Subclan aery. - DIASTOLIC murmur is seen. Option D -unequal BP may be present