Rheumatic valvular disease is responsible for aortic stenosis on occasion. In this setting, rheumatic mitral valve disease is ... neck and carotid arteries (see image below).

Auscultation at the cardiac apex reveals a murmur that sounds holosystolic and may mimic the murmur of mitral regurgitation. This is the result of radiation of the murmur of aortic valve stenosis ...