Accurate assessment of aortic stenosis with intravenous contrast.
We came across an interesting case of calcific aortic stenosis in which severity was inaccurately assessed on two-dimensional and Doppler echocardiogram resulting in catheterization. Use of intravenous transpulmonary contrast agent enhanced the Doppler signal enabling better quantification of the transvalvular gradient. Use of contrast in such difficult to image patients is very useful in establishing a correct diagnosis.
Dwivedi
Girish
G
Department of Cardiology, Northwick Park Hospital, Watford Road, Harrow, Middx. HA1 3UJ, United Kingdom.
Hickman
Michael
M
Senior
Roxy
R
D000368:Aged; D000418:Albumins; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging*; D002114:Calcinosis / Q000000981:diagnostic imaging; D003287:Contrast Media; D015150:Echocardiography, Doppler; D005466:Fluorocarbons; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male
D000418:Albumins; D003287:Contrast Media; C099458:FS 069; D005466:Fluorocarbons