Coarctation of the Aorta - Usually occurs proximal to the origin of the left subclavian artery. The murmur is best heard with the stethoscope positioned Posteriorly in the left suprascapular region using the diaphragm mode. A thrill may be palpable over the left ribs posteriorly due to collateral arteries involving the intercostals arteries.

Contributed by Dr. Darryl A Smith FCP (SA) Cardiology