Remove Aortic valve Remove Physiology Remove Stenosis
article thumbnail

Functional assessment of coronary artery disease in patients with severe aortic stenosis: a review

Heart BMJ

A significant proportion of patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI) have concomitant coronary artery disease (CAD). A better understanding of how we assess and interpret coronary physiology in these patients is required to optimise treatment pathways.

article thumbnail

A NOTIONal truth : Surgical AVR deteriorates faster than TAVI, for some mysterious reasons!

Dr. S. Venkatesan MD

Is it Ok to define structural valve dysfunction(SVD) based on gradient alone ? Flow is physiology. Sub physiological valve destruction very much possible without affecting gradient. Is there any meaningful explanation why surgeons valve deteriorated fast ? It was not mandatory. Did TEE/CT follow up imaging done ?

article thumbnail

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. If you see this, you should Doppler the valve. In fact, bedside ultrasound might even find severe aortic stenosis.

article thumbnail

Evolving perspectives on aortic stenosis: the increasing importance of evaluating the right ventricle before aortic valve intervention

Frontiers in Cardiovascular Medicine

Aortic stenosis (AS) was historically considered a disease of the left side of the heart, with the main pathophysiological impact being predominantly on the left ventricle (LV). This review will summarise the features of normal RV physiology and the mechanisms responsible for RV impairment in AS.