Aortic Coarctation
Patient 1:
This is a middle-age man who was admitted to the hospital with cardiogenic shock of unclear etiology. He was discovered to have Corrigan’s pulse on exam, which led to the discovery of Quincke’s pulse, radial-femoral pulse delay, and discrepant blood pressures between the upper and lower extremities. He was subsequently diagnosed with coarctation of the aorta
This patient also has Quincke’s pulse, vigorous peripheral pulses in the upper extremities, radial-femoral pulse delay.
Patient 2:
This is an older man with severe aortic regurgitation. Note the presence of Gallivardin’s phenomenon (radiation to apex with musical quality).