The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Interventions for valvular disease and heart failure

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

EuroIntervention 2020;15:1516-1517. DOI: 10.4244/EIJ-D-19-00778

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

Figure 1. Echocardiography before and after DSE and fluoroscopic images. A) Transthoracic echocardiography suggesting a hypertrophied, small ventricle. B) Continuous wave Doppler echocardiogram showing moderate aortic stenosis (mean pressure gradient 26 mmHg, peak jet velocity 3.2 m/s). C) & D) Echocardiogram showing mild mitral stenosis. E) & F) Computed tomography showing a low calcium burden (calcium volume: 82.4 mm3) with significantly thickened leaflets (G & H). I) Peak jet velocity and mean pressure gradient increased to 4.5 m/s and 43 mmHg, respectively after DSE. DSE: dobutamine stress echocardiography

A 71-year-old male was admitted to our hospital for chest distress and dyspnoea. ...

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