quinta-feira, 17 de janeiro de 2019

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The Lancet

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A 52-year-old woman was referred to our clinic with a new systolic murmur at the upper right sternal border. She reported chest pain on exertion radiating to the left arm. Transthoracic echocardiography showed normal left ventricular function, a bicuspid aortic valve with fusion of the leaflets, and a severely reduced valve area of 0·8 cm2 with mean gradient of 59 mm Hg, peak gradient of 90 mm Hg, mild regurgitation, and a normal ascending aorta of 35 mm. Invasive coronary angiography showed no coronary artery disease.