A 58-year-old woman with aortic stenosis investigated by echocardiography and CT. (A) Doppler echocardiography demonstrating a peak aortic valve (AV) velocity.

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Trileaflet Aortic Valve. Management strategy for patients with chronic severe aortic regurgitation. Preoperative coronary angiography should be performed.

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Presentation transcript:

A 58-year-old woman with aortic stenosis investigated by echocardiography and CT. (A) Doppler echocardiography demonstrating a peak aortic valve (AV) velocity of 3.6 m/s, a mean gradient of 27 mm Hg and an aortic valve area (AVA) of 0.8 cm2 based upon the continuity equation. A 58-year-old woman with aortic stenosis investigated by echocardiography and CT. (A) Doppler echocardiography demonstrating a peak aortic valve (AV) velocity of 3.6 m/s, a mean gradient of 27 mm Hg and an aortic valve area (AVA) of 0.8 cm2 based upon the continuity equation. (B) Non-contrast calcium scoring CT in the axial plane showing minimal aortic valve calcification (AV calcium score 37 AU). (C) Images from contrast-enhanced CT in the en face plane and (D) coronal plane revealing marked leaflet thickening with low attenuation signal suggestive of valve fibrosis. AO, aorta; AV, aortic valve; AVA, aortic valve areas; PG, pressure gradient; VTI, velocity time integral. Timothy R G Cartlidge et al. Heart 2017;103:8-9 Copyright © BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.