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A unique case of “double‐orifice aortic valve”—comprehensive assessment by 2‐, 3‐dimensional, and color Doppler echocardiography
Author(s) -
Stirrup James E.,
Cowburn Peter J.,
Pousios Dimitrios,
Ohri Sunil K.,
Shah Benoy N.
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13270
Subject(s) - body orifice , medicine , color doppler , calcification , cardiology , stenosis , doppler echocardiography , aortic valve , radiology , doppler effect , anatomy , ultrasonography , physics , diastole , astronomy , blood pressure
Transesophageal echocardiography ( TEE ) is a powerful imaging tool for the comprehensive assessment of valvular structure and function. TEE may be of added benefit when anatomy is difficult to delineate accurately by transthoracic echocardiography. In this article, we present 2‐, 3‐dimensional, and color Doppler TEE images from a male patient with aortic stenosis. A highly unusual and complex pattern of valvular calcification created a functionally “double‐orifice” valve. Such an abnormality may have implications for the accuracy of continuous‐wave Doppler echocardiography, which assumes a single orifice valve in native aortic valves.

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