Statistics from Altmetric.com
A 19-year-old man presented with a 4-month history of progressively worsening shortness of breath on exertion associated with atypical chest pain. He had a history of heart murmur detected during childhood, but otherwise, he was well. He denied having a previous diagnosis of rheumatic fever. Physical examination revealed a water hammer pulse and a holodiastolic and systolic murmur in the aortic area. A transthoracic echocardiogram showed normal LV systolic function and a pressure gradient within the left ventricular outflow tract (LVOT) (figure 1).
Which of the following is the most likely diagnosis? …
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.