23rd September 2021

A 5-month-old female is taken to see her general practitioner (GP) with increasing lethargy

A 5-month-old female is taken to see her general practitioner (GP) with increasing lethargy. She was born at 40 weeks, via a spontaneous vaginal delivery, with no complications during the pregnancy or delivery. She has no past medical or family history. On examination, there is radio-femoral delay and a difference of 35 in the systolic blood pressures of her arms and legs. She is referred to secondary care for intervention.

Which of the following is the most appropriate definitive management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.