Open AccessPseudo-discordance mimicking low-flow low-gradient aortic stenosis in transcatheter aortic valve replacement patients with severe symptomatic aortic stenosis
Author(s) -
Rafael Kuperstein,
Michael Michlin,
Israel M. Barbash,
Israel Mazin,
Yafim Brodov,
Paul Fefer,
Amit Segev,
Victor Guetta,
Elad Maor,
Orly Goiten,
Michael Arad,
Micha S. Feinberg,
Ehud Schwammenthal
Publication year - 2023
Publication title -
cardiology journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.573
H-Index - 33
eISSN - 1897-5593
pISSN - 1898-018X
DOI - 10.5603/cj.a2021.0106
Subject(s) - medicine , parasternal line , cardiology , ventricular outflow tract , stenosis , doppler echocardiography , aortic valve stenosis , aortic valve , radiology , diastole , blood pressure
While the combination of a small aortic valve area (AVA) and low mean gradient is frequently labeled 'low-flow low-gradient aortic stenosis (AS)', there are two potential causes for this finding: underestimation of mean gradient and underestimation of AVA.