A 75-year-old man with heaped up calcified masses on the aortic valve is most likely diagnosed with

A 75-year-old man with heaped up calcified masses on the aortic valve is most likely diagnosed with

• A. Senile calcific aortic stenosis
• B. Post-streptococcal valve disease
• C. Mitral annular calcification
• D. Calcification mitral of bicuspid valve

Answer: (A)

In older individuals, degeneration of the aortic valve leads to calcific nodules on the cusp tips that stiffen and narrow the aortic orifice. This pattern—bulky, heaped calcified masses on the aortic valve cusps—is classic for senile calcific aortic stenosis. Post-streptococcal (rheumatic) valve disease tends to cause inflammatory scarring with commissural fusion, often involving the mitral valve rather than presenting as isolated calcified nodules on the aortic valve. Mitral annular calcification affects the mitral ring, not the aortic valve. Therefore, the presentation best fits senile calcific aortic stenosis.

In older individuals, degeneration of the aortic valve leads to calcific nodules on the cusp tips that stiffen and narrow the aortic orifice. This pattern—bulky, heaped calcified masses on the aortic valve cusps—is classic for senile calcific aortic stenosis. Post-streptococcal (rheumatic) valve disease tends to cause inflammatory scarring with commissural fusion, often involving the mitral valve rather than presenting as isolated calcified nodules on the aortic valve. Mitral annular calcification affects the mitral ring, not the aortic valve. Therefore, the presentation best fits senile calcific aortic stenosis.