Bicuspid aortic stenosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

• There is a systolic murmur from birth (occurs later in life in acquired AS),
• Unlike acquired aortic stenosis(AS), the contour of the carotid pulse is not a good predictor of severity in congenital AS because it is so variable.
• Because the valve is not calcified early on in the case of a fused valve, a click may be present unlike acquired AS.
• Patients often have an S₄.