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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

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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

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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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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

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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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Isaac Adembesa, Adriaan Myburgh, and Justiaan Swanevelder

over the aortic area. She had a pulsatile liver. Investigations Transthoracic echocardiography Transthoracic echocardiography (TTE) examination demonstrated thickened mitral valve leaflets with severe mitral stenosis (MS), moderate

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John B Chambers

. History Symptoms are a class I indication for surgery in all types of valve disease ( 1 , 2 , 3 ). In severe aortic stenosis the history is critical and may be life-saving ( 4 ) since the mortality in the first 3 months after the onset of symptoms is 3

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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

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Sveeta Badiani, Jet van Zalen, Saad Saheecha, Lesley Hart, Ann Topham, Nikhil Patel, Lydia Sturridge, Andrew Marshall, Neil Sulke, Stephen Furniss, and Guy Lloyd

with multi-valve disease) showed a progression of at least one AR grade during follow-up. The average time to progression of these patients was 4.0 ± 1.9 years ( Fig. 1 ). Patients followed up for mixed aortic valve disease (including aortic stenosis