The masking of aortic stenosis by mitral stenosis

Distribution and Pattern of Valvular Heart Diseases by Echocardiography: A Tertiary Care Center Study

“…42 In our study, only 1.3% of tricuspid stenosis were found and all were associated with MS similar to the study by Roberts and Virmani (2%). 4 In the present study, peak age of valvular heart diseases were [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] …”

Management of multiple valve disease

“…However, pure stenosis of both valves is relatively uncommon 32. Physical findings are mainly those of AS, but early clinical manifestations may be those of MS, such as atrial fibrillation, pulmonary congestion, haemoptysis and peripheral embolisation.…”

Combined mitral and aortic stenosis of rheumatic origin with double-valve replacement in an octogenarian

“…Although there are exceptions, the degree of AS when combined with MS is not as great (transvalvular peak systolic gradient) as in patients with isolated AS. Furthermore the MS, as emphasized by Zitnik et al [7], can mask the presence of AS. If the AS is missed in this circumstance and mitral valve commissurotomy or replacement is performed and the downstream AS is neglected dire consequences can ensue.…”

“…Of the 267 patients reported in the previously mentioned 8 studies [2][3][4][5][6][7][8][9], 171 (64%) were women. .…”

“…Several studies have examined cardiac hemodynamics in patients with combined MS and AS [2][3][4][5][6][7][8][9]. Although there are exceptions, the degree of AS when combined with MS is not as great (transvalvular peak systolic gradient) as in patients with isolated AS.…”