A 38 year old man is evaluated for exertional dyspnea. He has no history of rheumatic fever. Physical examination reveals a systolic ejection click and a harsh crescendo decrescendo murmur at the right upper sternal border radiating to the carotids. Which of the following congenital abnormalities most likely predisposed this patient to early valve calcification?
- A)Patent ductus arteriosus
- B)Ebstein anomaly
- C)Atrial septal defect
- D)Patent foramen ovale
- E)Bicuspid aortic valveGABARITO
Explicação
Bicuspid aortic valve is correct. A bicuspid aortic valve predisposes to premature calcific aortic stenosis, often presenting decades earlier than age related degenerative disease. The systolic ejection click in a relatively young adult is a classic clue. Ver explicação completa e trilha adaptativa →