Classic manifestations of a systolic ejection murmur, cyanosis of the lower extremities, and decreased or absent femoral pulse are indicative of an older child with which of the following congenital defects?

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Older children may not be diagnosed until hypertension is noted. Hypertension is noted in the upper extremities with decreased or absent pulses in the lower extremities. Children may have cool mottled skin and occasionally leg cramps during exercise. A systolic ejection murmur, heard best at the left interscapular area, is caused by rapid blood flow through the narrowed area.

Classic Manifestations of a Systolic Ejection Murmur, Cyanosis of the Lower