GEORGES DAOUD, M.D.; EDMUND H. REPPERT JR., M.D.; J. SCOTT BUTTERWORTH, M.D., F.A.C.P.
We have reviewed the last 30 autopsies at the University Hospital in which the diagnosis of calcareous aortic stenosis was made by the pathologist. Somewhat to our surprise we found that the clinical diagnosis had been missed in 65% of the cases, although we should have expected this from the literature1, 2, 3 and our own studies.
The literature reveals many opinions concerning calcareous aortic stenosis. For instance, the etiology has been variously ascribed to a primary degenerative arteriosclerotic lesion,4, 5 to rheumatic fever,2, 6, 7 to congenital anomalies8 and to hypercholesterolemia.9, 10
The typical case presents a history of
DAOUD G, REPPERT EH, BUTTERWORTH JS. BASAL SYSTOLIC MURMURS AND THE CAROTID PULSE CURVE IN THE DIAGNOSIS OF CALCAREOUS AORTIC STENOSIS(BASAL SYSTOLIC MURMURS AND THE CAROTID PULSE CURVE IN THE DIAGNOSIS OF CALCAREOUS AORTIC STENOSIS*†)(BASAL SYSTOLIC MURMURS AND THE CAROTID PULSE CURVE IN THE DIAGNOSIS OF CALCAREOUS AORTIC STENOSIS*†). Ann Intern Med. 1959;50:323–342. doi: 10.7326/0003-4819-50-2-323
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Published: Ann Intern Med. 1959;50(2):323-342.
Cardiology, Valvular Heart Disease.
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