[Pseudo-normalization of diastolic filling in severe aortic stenosis].
We report the case of a 79-year-old woman with severe aortic stenosis and alteration of left ventricular diastolic filling demonstrated by Doppler echocardiography, with inverted early/end diastolic flow profile. A sixteen month prospective follow-up study demonstrated progression of the illness, with further augmentation in transvalvular gradient and increased wall hypertrophy, but with apparent concomitant normalization of transmitral flow velocity profile. We conclude that a "normal" velocity pattern does not exclude an altered diastolic filling pattern, and must be interpreted with caution, in the light of all clinical and technical data.
Desideri
A
A
Servizio Autonoma di Cardiologia, Ospedale Civile di Este, Padova.
Scattolin
G
G
Gabellini
A
A
Gallana
S
S
Formichi
M
M
Corbara
F
F
D000368:Aged; D001024:Aortic Valve Stenosis / Q000503:physiopathology*; D003971:Diastole; D005260:Female; D006801:Humans
Pseudonormalizzazione del riempimento diastolico nella stenosi aortica serrata.