Coronary arterial disease in patients with severe isolated aortic stenosis.

We reviewed the prevalence of coronary arterial disease in a consecutive series of 117 patients with severe isolated aortic stenosis. Coronary arterial disease was present in 18 of 48 patients with typical angina, in 10 of 38 patients with atypical angina, and in 4 of 31 patients without angina. We suggest that absence of angina is not enough to omit coronary arteriography in the evaluation of severe aortic stenosis.