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Congenital LAD stenosis associated with a bicuspid aortic valve

March 2016 Br J Cardiol 2016;23:40 doi:10.5837/bjc.2016.013

Congenital LAD stenosis associated with a bicuspid aortic valve

Hasan Kadhim, Anita Radomski

Abstract

Figure 1. Right anterior oblique (RAO) cranial view of left anterior descending (LAD) artery Her observations were recorded as heart rate 60 bpm regular, blood pressure 119/63 mmHg, jugular venous pressure was not elevated, no ankle oedema, S1 and S2 present with an apical grade 2/6 mid-systolic murmur and her chest auscultation was clear. Electrocardiogram (ECG) was recorded as normal. The patient managed to complete 10:16 minutes of a Bruce Protocol of exercise stress test (EST) with 2.1 mm of ST depression in V5 and V6. Despite the non-specificity of her symptoms and a positive EST, she was referred for a cardiac echocardiogram and cardiac

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