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Symptomatic Valvular and Subvalvular Stenosis: A Case Report

Jesus Romero1, Sherif Elkattawy2, Ana L Romero1

  • 1Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA.

Journal of Community Hospital Internal Medicine Perspectives
|October 14, 2024
PubMed

Insights

Aortic stenosis, a common heart valve disease, affects aging populations and can be missed in underserved communities. This case highlights the importance of diagnosing both valvular and subvalvular aortic stenosis for effective treatment.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Valvular Heart Disease

Background:

  • Aortic stenosis prevalence increases with age, disproportionately affecting socioeconomically deprived groups.
  • Diagnosis relies on echocardiography, with cardiac computed tomography (CCT) and cardiovascular magnetic resonance (CMR) offering advanced imaging.
  • Subvalvular aortic stenosis (SAS) is a significant cause of left ventricular outflow tract obstruction.

Observation:

  • A case report details a 72-year-old Hispanic female with co-existing valvular and subvalvular aortic stenosis.
  • The patient's presentation underscores the complexity of diagnosing combined aortic pathologies.

Findings:

  • Accurate assessment of both valvular and subvalvular aortic stenosis is critical for appropriate management.
  • Combined aortic stenosis requires specialized diagnostic and therapeutic approaches.

Implications:

  • Early identification and intervention in aortic stenosis and SAS cases improve patient outcomes.
  • Addressing health disparities in diagnosing and treating aortic stenosis is essential.
  • Surgical aortic valve replacement and transcatheter aortic valve replacement (TAVR) are key treatment modalities.

Keywords:
Aortic stenosisAortic valve replacementSub valvular stenosis

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