Case Presentation of Low Flow Aortic Stenosis

The definition of severe aortic stenosis has classically and retrospectively been based on the natural history of patients with medically managed aortic stenosis and preserved left ventricular function in an era where surgical aortic valve replacement was the sole therapy. We now recognize that...

• A 69-year-old male patient with several cardiovascular risk factors presented with worsening shortness of breath and possible angina. He has a history of a triple vessel bypass surgery, subsequent stenting of a saphenous vein graft, and now exhibits symptoms suggesting both coronary artery disease and aortic stenosis. Initial assessments revealed normal vitals but with concerning signs like elevated Pro-BNP levels and an ejection systolic murmur.