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• Patient did not have transprosthetic obstruction because of the VTI ratio ‐ LVOT/ AO = 28/54.6 = 0.51. Significant transprosthetic obstruction is likely only if this VTI ratio is <0.30 • Significant mitral pathology (either regurgitation or obstructive) is unlikely; since high flow velocities are observed across both mitral and aortic valves. These finding can easily be explained by high CO state • As depicted in Figure 5 the LVOT is wide open; thus significant LVOT narrowing can be excluded CASE HISTORY

Rational interpretation of transesophageal echocardiography hemodynamics in the Intensive Care Unit, post aortic valve replacement