A Grade 4/6 decrescendo diastolic murmur at the left sternal border and a Grade 1/6 apical systolic murmur were noted. An electrocardiogram showed atrial fibrillation, right-axis deviation and a 4-mm.

Auscultation is fleeting and systolic murmur is missed. But the English language literature from Asia contains multiple publications that describe the development of aortic valve stenosis after ...