Aortic Stenosis

What this deck covers

Aortic Stenosis in twelve clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The 12 cases, in order

1. A sound early in systole
2. What the pulse is doing
3. What the valve is doing on the scan
4. Counting the cusps
5. Where the narrowing sits
6. A murmur, and more besides
7. Color at the aortic valve
8. What the tracing adds
9. A bulge on the radiograph
10. A newborn who is grey
11. What the operator is watching
12. A boy who wants discharging

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Normal in amplitude with an early collapse, Alternating in amplitude from beat to beat, In the outflow tract below the valve, At the valve leaflets themselves, In the ascending aorta above the sinuses, Marfan syndrome, Noonan syndrome, Williams syndrome, Turner syndrome, The ascending aorta, dilated beyond the valve, High-flow oxygen and a fluid bolus, Balloon valvuloplasty within the hour, A prostaglandin infusion to reopen the duct.

Clinical pearls from this deck

• A bicuspid valve has one fused commissure, and the ridge across the larger cusp is the raphe where two cusps failed to separate.
• The sinuses of Valsalva are the landmark: everything between them and the ventricle is subvalvar, everything above them supravalvar.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.

More from this system: all cardiology decks and question sets · pediatric reference values.