This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Higgins, C. B. Articles by Wexler, L. Search for Related Content PubMed PubMed Citation Articles by Higgins, C. B. Articles by Wexler, L.

Circulation, Vol 52, 292-296, Copyright © 1975 by American Heart Association

ARTICLES

Reversal of dominance of the coronary arterial system in isolated aortic stenosis and bicuspid aortic valve

CB Higgins and L Wexler

The dominance of the coronary arterial system was determined angiographically in 75 adult patients with isolated aortic stenosis with or without insufficiency, 25 adult patients with pure aortic insufficiency, 51 adult patients with combined aortic stenosis and mitral valve disease, and 44 children with bicuspid aortic valves. There was an unusually high incidence of left dominance in adults with isolated aortic stenosis (36%) and in children with bicuspid aortic valves (56.8%). These findings suggest the existence of a variant developmental complex consisting of a bicuspid aortic valve and reversal of dominance of the coronary arterial system. Furthermore, it adds support to the concept that progressive stenosis of a bicuspid aortic valve is frequently the etiology of isolated aortic stenosis in adults.

This article has been cited by other articles:

				C Ward Clinical significance of the bicuspid aortic valve Heart, January 1, 2000; 83(1): 81 - 85. [Full Text] [PDF]