Clinical Diagnosis of Aortic-Valve Disease

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Abstract
THE surgical correction of aortic stenosis1 differs so much from that for aortic insufficiency that it is incumbent upon the physician accurately to assess the relative importance of each valvular lesion. In addition, because of the attendant risks of surgery and the peculiar precipitous natural history of aortic-valve disease,2 accurate determination of severity of the valvular lesion before the onset of frank congestive heart failure is essential. The diagnosis of the presence of pure aortic stenosis or isolated insufficiency is straightforward. When the two lesions are combined, however, clinical evaluation becomes more complex. Also, in contradistinction to mitral-valve disease,3 the . . .

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