29th July 2020

A 37-year-old man presents to the GP with episodes of chest pain during exercise and worsening shortness of breath over the past 6 months

A 37-year-old man presents to the GP with episodes of chest pain during exercise and worsening shortness of breath over the past 6 months. The man is a keen sportsman and a non-smoker. He has no medical history and no family history of heart problems. On examination the GP hears an ejection systolic murmur heard best on the right upper sternal edge radiating to the carotid arteries. The GP concludes that the man has Aortic Stenosis.

Which of the following is the most likely cause of this man’s Aortic Stenosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.