Two cases of severe aortic stenosis presenting with pure right heart failure and unimpressive cardiac murmurs are reported. Both responded well to aortic valve replacement. The mechanism of right heart failure is discussed as is the need for urgent surgery.
McHenryMMRiceJMatlofHJFlammMD. Pulmonary hypertension and sudden death in aortic stenosis. Br Heart J1979; 41: 463–467.
4.
SmithNMcAnultyJHRahimtoolaSH. Severe aortic stenosis with impaired left ventricular function and clinical heart failure: Results of valve replacement. Circulation1978; 58: 255–264.