Question
A 78-year-old man with a history of recurrent syncope undergoes surgery for aortic valve disease. A hard, markedly deformed valve is observed, but the patient expires during surgery. The aortic valve at autopsy is shown in the image. What is the appropriate diagnosis?
| A. |
Bacterial endocarditis
|
| B. |
Bicuspid aortic valve
|
| C. |
Calcific aortic stenosis
|
| D. |
Hypertrophic subaortic stenosis
|
Show Answer
[ads id=”53026″]
|
Correct Answer � C
Explanation
|
|
Answer : C Calcific aortic stenosis
-
The aortic valve shows calcific aortic stenosis in a three-cuspid valve in an
-
elderly person. There is no commissural fusion. Calcific aortic stenosis refers to a narrowing of the aortic valve orifice as a result of the deposition of calcium in the valve cusps and ring.
-
There are three main causes of calcific aortic stenosis:
a.rheumatic disease.
b.senile calcific stenosis, and
c.congenital bicuspid aortic stenosis.
-
Calcific aortic stenosis is related to the cumulative effect of years of trauma due to turbulent blood flow around the valve.
-
Bicuspid aortic valve (choice B) is incorrect because three valve cusps are shown.
Like this:
Like Loading...
