P Paramsothy, CM Otto, Division of Cardiology, University of Washington, Seattle, USA Correspondence to: Professor Catherine M Otto; cmotto@u.washington.edu

A 70 year old man with hypertension underwent echocardiography for an asymptomatic murmur and was found to have aortic valve sclerosis. Over the next eight years, annual echocardiography showed progressive valve calcification with an increase in transaortic …