A 34 year old man presents with progressive exertional dyspnea and reduced exercise tolerance. He has no history of rheumatic fever. Examination shows a crescendo decrescendo systolic murmur at the right upper sternal border radiating to the neck. Echocardiography shows severe aortic stenosis with only two valve cusps. Which of the following additional findings is this patient most likely to have?
- A)Pulmonic valve vegetation after dental work
- B)Tricuspid atresia with cyanosis at birth
- C)Berry aneurysm of the anterior communicating artery
- D)Calcification of the mitral annulus from rheumatic fever
- E)Aortic coarctation or dilation of the ascending aortaGABARITO
Explicação
A bicuspid aortic valve causes premature aortic stenosis in younger adults and is associated with aortopathy, including dilation of the ascending aorta and coarctation of the aorta. The patient's early severe stenosis and echo showing two cusps identify the co... Ver explicação completa e trilha adaptativa →