Congenital vs. Degenerative/Rheumatic aortic stenosis
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| 2 cusps with a football shaped opening seen on PSAX | Congenital AS (bicuspid) | ||||
| A raphe or underdeveloped cusp may be present. | Congenital AS (bicuspid) | ||||
| Cusps will appear thickened and may exhibit doming | Congenital AS (bicuspid) | ||||
| Post stenotic dilatation of the aortic root and ascending aorta | Both | ||||
| Thickening and calcification of the cusps | Degenerative/rheumatic | ||||
| Decreased excursion of the cusps | Degenerative/rheumatic | ||||
| MAC | Degenerative/rheumatic | ||||
| LVH – long-standing AS | Both | ||||
| LAE due to volume and pressure overload | Degenerative/rheumatic | ||||
| Late stage: LV dilatation, decreased systolic function, LV failure | Degenerative/rheumatic |
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Created by:
lefut
on 2007-01-22