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Ying X Gue, Sanjay S Bhandari, and Damian J Kelly

admissions in 2013/2014 with acute coronary syndrome (ACS), 39% had STEMI ( 1 ). However, not all cases of STEMI are due to coronary artery occlusion: in this case, critical aortic stenosis (AS) led to inadequate myocardial perfusion in the absence of

Open access

Liam Ring, Benoy N Shah, Sanjeev Bhattacharyya, Allan Harkness, Mark Belham, David Oxborough, Keith Pearce, Bushra S Rana, Daniel X Augustine, Shaun Robinson, and Christophe Tribouilloy

Introduction Aortic valve stenosis is a significant health burden, particularly in older individuals, with a prevalence of up to 5% in individuals over 75 years of age ( 1 ). Aortic stenosis is the most common valve disease necessitating

Open access

Jet van Zalen, Sveeta Badiani, Lesley M Hart, Andrew J Marshall, Louisa Beale, Gary Brickley, Sanjeev Bhattacharyya, Nikhil R Patel, and Guy W Lloyd

Introduction Aortic stenosis (AS) results in obstruction of blood flow through the aortic valve. The ventricular response to chronic pressure overload and other consequences of AS such as subtle myocardial ischaemia ( 1 ) are also important to

Open access

Andaleeb A Ahmed, Robina Matyal, Feroze Mahmood, Ruby Feng, Graham B Berry, Scott Gilleland, and Kamal R Khabbaz

the ‘dimensionless index’ for aortic stenosis (AS) severity assessment. Due to its circular shape the proximal LVOT (PLVOT) adjacent to the aortic valve (AV) is the recommended site for diameter-derived LVOT area estimation ( 1 , 2 , 9 , 10 , 13

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Athina Chasapi, Adam Hobbs, Theodore Velissaris, and Benoy N Shah

Summary A 77-year-old male underwent elective bioprosthetic aortic valve replacement (23 mm Carpentier-Edwards Perimount MagnaEase) for severe aortic stenosis. His pre-discharge transthoracic echocardiogram (TTE) was normal. He presented 9

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John Fryearson, Nicola C Edwards, Sagar N Doshi, and Richard P Steeds

Introduction Transcatheter aortic valve implantation (TAVI) is now firmly established as a treatment for symptomatic aortic stenosis (AS) in patients who cannot undergo or who are considered too high risk for conventional surgical aortic valve

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Vasiliki Tsampasian, Vasileios Panoulas, Richard J Jabbour, Neil Ruparelia, Iqbal S Malik, Nearchos Hadjiloizou, Angela Frame MSc, Sayan Sen, Nilesh Sutaria, Ghada W Mikhail, and Petros Nihoyannopoulos

Introduction Degenerative calcific aortic stenosis represents one of the commonest causes of valvular heart disease in developed countries ( 1 ). TAVI has emerged as a less invasive alternative treatment for the patients with high ( 2 , 3

Open access

Caroline Bleakley, Mehdi Eskandari, and Mark Monaghan

elliptical profile. The progressively oval form of the annulus in aortic stenosis has been comprehensively described in a recent study comparing its profile in those with severe aortic stenosis compared with a normal cohort ( 3 ). This study concluded that

Open access

Ines Sherifi, Alaa Mabrouk Salem Omar, Mithun Varghese, Menachem Weiner, Ani Anyanwu, Jason C Kovacic, Samin Sharma, Annapoorna Kini, and Partho P Sengupta

Introduction Transcatheter aortic valve replacement (TAVR) represents a less invasive alternative to surgical aortic valve replacement (SAVR) in high-risk symptomatic patients with severe aortic stenosis ( 1 , 2 , 3 , 4 ). The role of

Open access

Michelle Carr, Stephanie Curtis, and Jan Marek

There are four broad categories of LVOTO (listed below) and each will be discussed in turn, in terms of their morphology, clinical and echocardiographical features, and management: Subvalvar aortic stenosis; Valvar aortic stenosis