Figure 199k

A prominent aortic valvular ejection sound(AVES) of a congenital nonstenotic and stenotic bicuspid aortic valve is shown on the left and center panels, respectively. On the right panel there is no evidence of valvular ejection in a patient with severe fixed orifice osugaortic stenosis. The valvular ejection sound of the nonstenotic bicuspid valvetwelve is widely separated from S1 and unassociated with a subsequent murmur. The ejection sound of the stenotic bicuspid valve introduces the typical crescendo-decrescendo murmur of valvular aortic stenosis in both conditions,A2 is well preserved.