Development of aortic stenosis in a patient with formerly pure aortic incompetence.
A 42 year old man with severe aortic incompetence and hypertension, but no aortic stenosis, responded so well to medical treatment that the planned operative treatment was postponed. 8 years later he was re-admitted with severe aortic stenosis and only minimal aortic incompetence. It is concluded, that a short trail of medical treatment may be warranted even in patients with severe aortic incompetence, before surgery is performed, especially if the patient is hypertensive.
D000328:Adult; D000375:Aging; D001022:Aortic Valve Insufficiency / Q000150:complications*; D001024:Aortic Valve Stenosis / Q000209:etiology* / Q000601:surgery; D006328:Cardiac Catheterization; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male