A 45 year old man presented with gradually increasing shortness of breath and episodes of paroxysmal nocturnal dyspnea. His blood pressure was 140/40 mm of Hg, the pulse was bounding, and a blowing diastolic murmur was heard in the right upper parasternal region. Chest X-ray showed marked widening of the mediastinum due to dilatation of the ascending aorta. The most likely diagnosis is:
a. pneumococcal endocarditis of the aorta valve.
b. atherosclerotic aneurysm of the ascending aorta.
c. syphiltic aortitis.
d. mitral stenosis.
e. calcific aortic stenosis.
Answer
Category:
Cardiology MCQs
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