Paradoxical low-flow, low-gradient severe aortic stenosis with only mild aortic valve calcification

DOI: 10.4244/EIJ-D-19-00778

Xi Li1, ; Xin Wei2, ; Hong Tang3, ; Mao Chen4, ;

1. Department of Cardiology, West China Hospital of Sichuan University, Chengdu, China, China
2. Department of Cardiology, West China Hospital of Sichuan University, Chengdu, China
3. Department of Cardiology, West China Hospital of Sichuan University, Chengdu, China
4. Department of Cardiology, West China Hospital of Sichuan University, Chengdu, China

Disclaimer:

As a public service to our readership, this article - peer reviewed by the Editors of EuroIntervention - has been published immediately upon acceptance as it was received. The content of this article is the sole responsibility of the authors, and not that of the journal or its publishers.

To read the full content of this article, please download the PDF. Download full article (PDF)

A 71-year-old male was admitted to our hospital for chest distress and dyspnea. Transthoracic echocardiography (TTE) revealed concomitant aortic and mitral stenosis with significant thickening of both valves, suggesting rheumatic heart disease. The left ventricle was small and severely hypertrophied (Panel 1A). Hemodynamic measurements (ejection fraction [EF] 69%, stroke volume index 24.17 ml/m², mean pressure gradient 26 mmHg, peak jet velocity 3.2 m/s, effective valve orifice area 0.7cm²) (Panel 1B) suggested low-flow, low-gradient aortic stenosis (LFLG-AS) with preserved EF.

Forgot your password?

No account yet? Sign up for free!

Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

aortic stenosistavitransthoracic echocardiogram

Interventions for valvular diseaseTAVI

Share on Facebook Share on Twitter Share on Linkedin