Copyright © 2003 by the European Society of Cardiology.
Editorial
Aortic stenosis
Clinic Hospital San Carlos, Madrid, Spain
| The first 10% of the full text of this article appears below. |
See doi:10.1016/S1095-668X(02)00385-8for the article to which this editorial refers.
The decline in the incidence of rheumatic fever and the increasing proportion of the population over age of 65 have together led to a rise in the number of patients with aortic stenosis (AS), which is now a common valvular lesion. The formerly termed senile and now age-related degenerative or dystrophic calcific AS is the most common cause of AS in adults and the most frequent reason for aortic valve replacement in patients with AS.
Calcific AS was described by Mönckeberg in 1904.1 The process observed in elderly individuals without any history of rheumatic fever in whom the mitral valve is normal, suggests a degenerative process. Calcification occurs in the bases of the cusp in the depth of the sinuses of
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