Wydawnictwo medyczne Cornetis

Medical publisher

+48 71/ 792 80 77 sekretariat@cornetis.pl

Offer for publishers - CORPRESS SYSTEM

Articles

Title: Contrast echocardiographic assessment of the severity of aortic stenosis in a patient with nondiagnostic baseline Doppler-echocardiographic study

Author:
Michał Plewka, Maria Krzemińska-Pakuła, Jarosław Drożdż, Jarosław D. Kasprzak
Type:
Case Reports
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
1999
Volume:
1
Number:
2
Start page:
149
Final page:
152
ISSN:
1507-5540
Keywords:
aortic stenosis, Doppler echocardiography, contrast echocardiography, Levovist
Read

Two-dimensional Doppler echocardiography is an established clinical tool for the assessment of valvular heart disease. However, in case of patients with aortic stenosis and bad acoustic window, transaortic gradient may be underestimated. We present a case of 61-year woman with suspected aortic stenosis and non-diagnostic transthoracic Doppler-echocardiography. There was a discrepancy between the clinical presentation as well as the morphology of the aortic valve (fibrosis and calcifications) and a relatively low gradient in continuous wave Doppler examination. A contrast echocardiographic study using Levovist (Schering AG, Berlin) was performed. The aortic gradient in standard study was severely underestimated as compared with contrast Doppler and transesophageal echocardiography: 49 mm Hg and 125 mm Hg, respectively. The patient was scheduled for aortic valve replacement (CarboMedics) and operated on successfully.