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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.

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Compunction: The Present Tense of Physiology to Guide Coronary Revascularization in Severe Aortic Stenosis

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Ahead of Print.

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Abstract 191: Simulating Intracranial Stenosis: A Methodological Approach In An In?Vitro Neurovascular Model

Stroke: Vascular and Interventional Neurology

The phantom includes the aortic arch, all supraoptic cervical arteries and a complete circle of Willis up to the M2‐MCA, A2‐ACA and P2‐PCA segments. 3% sodium alginate solution was cast into a stenosis mold and crosslinked in a 40% calcium chloride. An initial stenosis flow rate was registered with a value of 8.5 ± 5.33

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

Dr. S. Venkatesan MD

No doubt ,the Aortic interventional world is applauding and everyone is joining the party. Apart from valve size aortic annular enlargement before SAVR was not done in majority, there by enhancing the gradient and valve mis-match.(Note Flow is physiology. Now, some academic queries ? Because it was done in 2010-2013.

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

Dr. Smith's ECG Blog

Look at the aortic outflow tract. 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. What do you see? Answer below in the still shot.

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Arterial Switch Operation

All About Cardiovascular System and Disorders

Graft material has the disadvantage that it will not grow as the baby grows and can lead to supravalvar pulmonary stenosis later, one of the delayed complications of arterial switch. This is diagrammatic representation of stenosis of pulmonary artery at the site where it has been repaired.

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Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

All About Cardiovascular System and Disorders

Coronary angiography gives a visual impression about the severity of the stenosis. But it need not imply the actual functional significance of the stenosis in terms of flow physiology. A downside of the study was that it had included lesions of 50 to 79% stenosis also. identified physiologically significant stenosis.