Provide a detailed step-by-step mechanism that would account for the formation of the product in the following reaction. 
Definitions:
Bruits
Sounds heard through a stethoscope over blood vessels, indicating turbulence due to narrowing or blockage.
Amplitude
The magnitude or extent of change in a variable or oscillation, often used in physics to denote the maximum displacement from equilibrium.
Dyspnea
A subjective experience of breathing discomfort that varies in intensity, commonly described as shortness of breath.
Diaphoresis
Excessive sweating, often as a symptom of a medical condition or result of medication.
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