Journal Article

An absent carotid pulse may indicate critical aortic stenosis

Anand Sachithanandan, Pramod Bonde and Simon W. MacGowan

in Interactive CardioVascular and Thoracic Surgery

Published on behalf of European Association for Cardio-Thoracic Surgery

Volume 1, issue 2, pages 81-82
Published in print December 2002 | ISSN: 1569-9293
Published online December 2002 | e-ISSN: 1569-9285 | DOI: https://dx.doi.org/10.1016/S1569-9293(02)00059-2
An absent carotid pulse may indicate critical aortic stenosis

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In severe valvular aortic stenosis, obstruction to ventricular contraction results in prolonged ventricular systole and diminished peak flow velocity. This may translate into weak or impalpable peripheral arterial pulses. We report a case of severe aortic stenosis associated with an impalpable carotid pulse (in the absence of local carotid artery disease) that became easily detectable following aortic valve replacement. In the presence of an aortic stenosis murmur, a weak or impalpable carotid pulse is indicative of critical aortic stenosis and warrants urgent investigation.

Keywords: Aortic stenosis; Absent carotid pulse; Duplex imaging

Journal Article.  841 words.  Illustrated.

Subjects: Anatomy ; Cardiovascular Medicine

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