Key result
Asymptomatic severe AS patients may harbor significant CAD despite normal exercise testing and LVEF.
Case Report (n=1)
Case report detailing the echocardiographic and stress testing evaluation of an asymptomatic patient with bicuspid aortic stenosis and silent coronary disease.
May not exclude CAD in asymptomatic severe AS despite normal testing and LVEF; leaves open optimal screening strategies.
We present an asymptomatic patients with bicuspid aortic stenosis referred for echocardiographical assessment of severity and stress testing and to evaluate future therapeutic approach.
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Banović et al. (2019) conducted a case report in Severe asymptomatic aortic stenosis (n=1). Aortic valve replacement (AVR) vs. Watchful waiting was evaluated on Incidence of silent coronary artery disease in asymptomatic patients with severe aortic stenosis. The case highlights that asymptomatic patients with severe aortic stenosis can have significant concomitant coronary artery disease despite normal exercise testing and left ventricular ejection fraction.
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