Postoperative Reverse Remodeling and Symptomatic Improvement in Normal-Flow Low-Gradient Aortic Stenosis After Aortic Valve Replacement | Zendy

Rasmus CarterStorch | Zendy; Jacob Eifer Møller | Zendy; Nicolaj Lyhne Christensen | Zendy; Akhmadjon Irmukhadenov | Zendy; Lars Melholt Rasmussen | Zendy; Redi Pecini | Zendy; Kristian Altern Øvrehus | Zendy; Eva Søndergård | Zendy; Niels Marcussen | Zendy; Jordi S. Dahl | Zendy

Open Access

Postoperative Reverse Remodeling and Symptomatic Improvement in Normal-Flow Low-Gradient Aortic Stenosis After Aortic Valve Replacement

Author(s) -

Rasmus CarterStorch,

Jacob Eifer Møller,

Nicolaj Lyhne Christensen,

Akhmadjon Irmukhadenov,

Lars Melholt Rasmussen,

Redi Pecini,

Kristian Altern Øvrehus,

Eva Søndergård,

Niels Marcussen,

Jordi S. Dahl

Publication year - 2017

Publication title -

circulation cardiovascular imaging

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.584

H-Index - 99

eISSN - 1942-0080

pISSN - 1941-9651

DOI - 10.1161/circimaging.117.006580

Subject(s) - medicine , aortic valve replacement , cardiology , stenosis , magnetic resonance imaging , stroke volume , myocardial fibrosis , aortic valve , aortic valve stenosis , body surface area , fibrosis , ejection fraction , heart failure , radiology

Severe aortic stenosis (AS) most often presents with reduced aortic valve area (<1 cm 2 ), normal stroke volume index (≥35 mL/m 2 ), and either high mean gradient (≥40 mm Hg; normal-flow high-gradient AS) or low mean gradient (normal-flow low-gradient [NFLG] AS). The benefit of aortic valve replacement (AVR) among NFLG patients is controversial. We compared the impact of NFLG condition on preoperative left ventricular (LV) remodeling and myocardial fibrosis and postoperative remodeling and symptomatic benefit.

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