Aortic stenosis

Question 1

What are the predisposing factors for calcific aortic stenosis?

Answer 1

Age: normal valve 70-90, bicuspid valve 50-70

Hyperlipidaemia, hypertension, inflammation, etc.

Question 2

What are the clinical consequences of aortic stenosis?

Answer 2

Gradual obstruction of LV outflow leads to concentric LVH - pressure overloaded.

Ischaemia / angina

CHF and syncope

Question 3

What are the potential complications of a congenital bicuspid aortic valve?

Answer 3

Calcification, aortic stenosis, regurgitation, infective endocarditis, aortic dilatation, dissection