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What is A 63 yr old man present with a triad of angina, syncope and congestive hea failure. Which of the following valvular hea lesion can be suspected and explain in detail?
Ref Harrison 19 th ed pg 1530 patients with pure or predominant AS have gradually increas- ing obstruction over years but do not become symptomatic until the sixth to eighth decades. Adult patients with BAV disease, however, develop significant valve dysfunction and symptoms one to two decades sooner. Exeional dyspnea, angina pectoris, and syncope are the three cardinal symptoms.