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High-frequency diastolic flutter of the aortic valve with echoes extending into the left ventricular outflow tract during diastole on M-mode echocardiographic represents:

A. Ascending aortic aneurysm
B. Flail aortic valve leaflet
C. Valvular aortic sclerosis
D. Valvular aortic stenosis

1 Answer

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Final answer:

The high-frequency diastolic flutter of the aortic valve with echoes extending into the left ventricular outflow tract during diastole on M-mode echocardiographic represents valvular aortic stenosis.

Step-by-step explanation:

The high-frequency diastolic flutter of the aortic valve with echoes extending into the left ventricular outflow tract during diastole on M-mode echocardiographic represents valvular aortic stenosis.

Aortic stenosis occurs when the aortic valve narrows, limiting the blood flow from the left ventricle to the aorta. This narrowing can cause turbulence and fluttering of the valve leaflets during diastole, which can be observed on echocardiographic imaging.

Examples of other conditions mentioned in the options:

  • Ascending aortic aneurysm: In this condition, the aorta becomes enlarged and bulging, usually due to a weakening of the aortic wall. It is not related to fluttering of the aortic valve.
  • Flail aortic valve leaflet: This refers to a tear or rupture in one or more of the aortic valve leaflets. It can cause regurgitation of blood flow but does not typically present with fluttering echoes extending into the left ventricular outflow tract.
  • Valvular aortic sclerosis: This is a condition characterized by thickening and calcification of the aortic valve leaflets. It can lead to mild narrowing of the valve but does not typically present with high-frequency diastolic flutter or echoes extending into the left ventricular outflow tract.

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