Congenital Aortic Stenosis
Authors: ROBERT C. JONES
Journal: Annals of Internal Medicine (1963)

Article1 March 1963Congenital Aortic StenosisCorrelation of Clinical Severity with Hemodynamic and Surgical Findings in Forty-three CasesROBERT C. JONES, WELDON J. WALKER, EDWARD J. JAHNKE, DEAN F. WINN JR.ROBERT C. JONESSearch for more papers by this author, WELDON J. WALKERSearch for more papers by this author, EDWARD J. JAHNKESearch for more papers by this author, DEAN F. WINN JR.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-3-486 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPatients with congenital aortic stenosis are prone to sudden and unexpected death, in spite of their apparent well-being when first seen by the physician. The average reported mortality in such individuals is 7.5 per cent before the age of 20 (1). This potentially lethal malformation is amenable to surgical relief with relatively low mortality and morbidity rates (2-5). It is therefore important that physicians properly screen patients for necessary diagnostic and surgical procedures.Unfortunately, significant information relating to the severity of obstruction is not consistently revealed by the history, physical examination, routine chest radiogram, and the electrocardiogram. Thus far, there...References1. REYNOLDSNADASRUDOLPHGROSS JLASAMRE: Critical congenital aortic stenosis with minimal electrocardiographic changes. A report on two siblings. New Engl. J. Med. 262: 276, 1960. CrossrefGoogle Scholar2. LEESHAUCKSTARKEYNADASGROSS MHAJGWASRE: Congenital aortic stenosis. Operative indications and surgical results. Brit. Heart J. 24: 31, 1962. CrossrefMedlineGoogle Scholar3. MORROWSHARPBRAUNWALD AGEHE: Congenital aortic stenosis: clinical and hemodynamic findings, surgical technique, and results of operation. 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Scand. 160: 437, 1958. CrossrefMedlineGoogle Scholar21. ELLISHANCOCK LBEW: Evaluation of surgical treatment of acquired and congenital aortic stenosis. Progr. Cardiov. Dis. 3: 247, 1960. CrossrefMedlineGoogle Scholar22. HUGENHOLTZLEESNADAS PGMMAS: The scalar electrocardiogram, vectorcardiogram, and exercise electrocardiogram in the assessment of congenital aortic stenosis. Circulation 26: 79, 1962. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.From the Cardiovascular Clinical and Surgical Services, Walter Reed General Hospital, Washington, D. C., and Fitzsimons General Hospital, Denver, Colorado.Requests for reprints should be addressed to Robert C. Jones, M.D., Cardiology Service, Walter Reed General Hospital, Washington, D. C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByCongenital valvar aortic stenosis. Natural history and assessment for operation.Aortic Valve Replacement. A Randomized Study Comparing the Björk–Shiley and Lillehei–Kaster Disc Valves. Late Haemodynamics Related to Clinical ResultsTask force VI: Valvular heart diseaseDifferential diagnosis of type and severity of obstruction to left ventricular outflowSudden death in congenital aortic stenosisThe ejection sound in aortic stenosis 1 March 1963Volume 58, Issue 3Page: 486-493KeywordsCardiac hypertrophyElectrocardiographyHemodynamicsMorbidityMortalityStenosisThorax Issue Published: 1 March 1963 PDF DownloadLoading ...