Diagnostic Imaging

Aortic Stenosis: Case-Based Diagnosis and Therapy by Amr E. Abbas

By Amr E. Abbas

​With the appearance of much less invasive remedies for aortic stenosis together with percutaneous and apical substitute, extra sufferers are being provided this know-how. As such, choosing the genuine severity of aortic stenosis is turning into paramount. Many scientific eventualities take place the place the world and gradient estimates of severity don't fit. This booklet will current case by way of case examples of other sufferers with a wide selection of aortic stenosis. it is going to support cardiologists in deciding upon sufferers with precise aortic stenosis who could benefit from valve substitute. it is going to additionally spotlight the function and introduction of recent know-how because the position of CTA, MRI, and 3D echo for prognosis and TAVR and mini surgical procedure for treatment​. The viewers will diversity from medical cardiologists, imaging cardiologists and interventionalists alike.

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Rosenhek R, Binder T, Porenta G, Lang I, Christ G, Schemper M, Maurer G, Baumgartner H. Predictors of outcome in severe, asymptomatic aortic stenosis. N Engl J Med. 2000;343:611–7. Pellikka PA, Sarano ME, Nishimura RA, Malouf JF, Bailey KR, Scott CG, Barnes ME, Tajik AJ. Outcome of 622 adults with asymptomatic, hemodynamically significant aortic stenosis during prolonged followup. Circulation. 2005;111:3290–5. Rosenhek R, Zilberszac R, Schemper M, Czerny M, Mundigler G, Graf S, Bergler-Klein J, Grimm M, Gabriel H, Maurer G, Makkar RR, Fontana GP, Jilaihawi H, Kapadia S, Pichard AD, Douglas PS, Thourani VH, Babaliaros VC, Webb JG, Herrmann HC, Bavaria JE, Kodali S, Brown DL, Bowers B, Dewey TM, Svensson LG, Tuzcu M, Moses JW, Williams MR, Siegel RJ, Akin JJ, Anderson WN, Pocock S, Smith CR, Leon MB, PARTNER Trial Investigators.

15. 16. 17. 18. 19. 20. 21. 22. 23. 24. D. Intensive lipid lowering with simvastatin and ezetimibe in aortic stenosis. N Engl J Med. 2008;359:1343–56. Roberts WC. The congenitally bicuspid aortic valve. A study of 85 autopsy cases. Am J Cardiol. 1970;26: 72–83. Steinberger J, Moller JH, Berry JM, Sinaiko AR. Echocardiographic diagnosis of heart disease in apparently healthy adolescents. Pediatrics. 2000;105:815–8. Emanuel R, Withers R, O’Brien K, Ross P, Feizi O. Congenitally bicuspid aortic valves.

1999;137(2):298–306. 7. Carabello BA. Evaluation and management of patients with aortic stenosis. Circulation. 2002;105(15):1746–50. 6 cm2/m2, and/or a maximum transaortic velocity (AVVel) >4 m/s with or without symptoms. Surgical or transcatheter aortic valve replacement for symptomatic, severe AS results in significant improvement in survival and quality of life across a spectrum of surgical risk profiles. However, invasive treatments for non-­ severe AS have not demonstrated similar benefits, and may subject patients to unnecessary procedural risk.

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