Article Text

Download PDFPDF
Supravalvar aortic stenosis: unexpected findings at surgery
  1. C Grahame-Clarkea,
  2. W B Pugsleyb,
  3. R H Swantona
  1. aDepartment of Cardiology, The Middlesex Hospital, Mortimer Street, London W1N 8AA, UK, bHolmes-Sellors Cardiothoracic Unit, The Middlesex Hospital
  1. Dr C Grahame-Clarke, The Crucifom Project, The Institute of Neurology, 1 Wakefield Street, London WC1N 1PJ, UK.

Statistics from

Request Permissions

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.

A 51 year old man was referred for investigation of presumed valvar aortic stenosis. A murmur had been noted as a child but he had developed normally and was entirely asymptomatic. He had had two episodes of infective endocarditis successfully treated medically in 1968 and 1977. He was currently on no medication. Annual echocardiography had shown a possible bicuspid aortic valve with a pressure gradient of 30 mm Hg and a hypertrophied left ventricle with good systolic function.

Examination revealed a fit man with a blood pressure of 140/90 mm Hg in the right arm but only 110 mm Hg systolic in the left, suggesting a preferential streaming up the innominate artery. His pulse was regular at 68 beats/min, which was slow rising in quality. His jugular venous pressure was …

View Full Text