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Is it Ok to define structural valve dysfunction(SVD) based on gradient alone ? Flow is physiology. Sub physiologicalvalve 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 ?
The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aorticvalve. Aortic angiogram did not reveal aortic dissection. If you see this, you should Doppler the valve. In the cath lab, the patient’s blood pressure remained low. Circulation.
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