title: [A patient with aortic valve stenosis and severe obstruction of the left ventricular outflow tract: a diagnostic challenge].
abstract: METHODS
  A 83-year-old male patient was admitted with dyspnoe and paroxysmal atrial fibrillation. A severe aortic stenosis was diagnosed 9 months before.
  
  
  METHODS
  Echocardiography now revealed severe obstruction of the left ventricular outflow tract, as part of an obstructive cardiomyopathy, mild aortic valve stenosis and mark4d left atrial dilatation.
  
  
  RESULTS
  After spontaneous conversion into sinus rhythm the patient remained asymptomatic and continuing conservative treatment was recommended.
  
  
  CONCLUSIONS
  It may be difficult to diagnose the correct components of systolic obstruction when there is both obstructive cardiomyopathy and aortic valve stenosis and thus decide on the optimal management of such a case.
authors.affiliation: Medizinische Klinik 1, Sozialstift Bamberg. Karin.Nentwich@t-online.de
authors.forename: Karin
authors.initials: K
authors.lastname: Nentwich
authors.forename: F A
authors.initials: FA
authors.lastname: Flachskampf
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D002304:Cardiac Pacing, Artificial; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D014694:Ventricular Outflow Obstruction / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*