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Case of the Week 289



What's the most likely diagnosis?

  • 63 year-old female with syncope

  1. Mitral stenosis
  2. Pulmonic stenosis
  3. Aortic stenosis
  4. Mitral regurgitation
  5. Double aortic arch

Additional image - Lateral view of the chest

 

Additional Image



Lateral view of the chest


Answer:

 


3. Aortic stenosis

 

 

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Aortic Stenosis


General Considerations 

  • Most often as result of degeneration of bicuspid aortic valve
  • Less commonly rheumatic heart disease or secondary to degeneration of a tricuspid aortic valve in person > 65 


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