develop gradually after an asymptomatic latent period of 10-20 years.
Chest
pain, Heart failure, Syncope
chest radiograph
In early disease : the chest radiograph
can be entirely normal or it may show dilatation of the ascending aorta with a normal heart size.
Late in the disease : the chest
radiograph is characterized by cardiac enlargement and features of heart failure(pulmonary venous congestion, pulmonary interstitial/alveolar oedema.)
enlargement of the ascending aorta (white arrow). The left
ventricle is enlarged (red arrow) and the heart is mildly enlarged overall. lateral view on the right demonstrates calcifications in the region of the aortic valve leaflets (circle). generally, the aortic valve lies above a line drawn from the carina to the junction of the diaphragm with the anterior chest wall.