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Case of the Week 622



What is the most likely diagnosis?

  • 68 year-old male with syncope



Axial CT Scan of Heart

  1. Carcinoid tumor
  2. Aortic stenosis
  3. Myxoma
  4. Rhabdomyosarcoma
  5. Aortic dissection

Additional Images - Frontal chest radiograph

 

Additional Images

 

Frontal chest radiograph


Answer:


2.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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68 year-old male with syncope
 
 


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