Abstract
Transthoracic echocardiography has largely replaced cardiac catheterization as the primary modality for the hemodynamic assessment of valvular heart disease. A comprehensive evaluation of valve structure, function, and hemodynamics is possible through a carefully performed transthoracic study. In the case of aortic stenosis, echocardiography is used to define the initial severity of disease, etiology, and monitor its progression through serial follow up studies. Evaluation of aortic stenosis would be incomplete without a comprehensive examination of overall left ventricular function and estimation of pulmonary artery pressures. Transthoracic echocardiography, therefore, can provide important information about the initial diagnosis, management, and follow-up of adult patients with native aortic valve stenosis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Suggested Reading
Bonow RO, Carabello B, de Leon AC, Jr, et al. Guidelines for the management of patients with valvular heart disease: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients with Valvular Heart Disease). Circulation 1998;98:1949–1984.
Currie PJ, Seward JB, Reeder GS, et al. Continuous-wave Doppler echocardiographic assessment of severity of cal-cific aortic stenosis: a simultaneous Doppler-catheter correlative study in 100 adult patients. Circulation 1985;71:1162–1169.
deFilippi CR, Willett DL, Brickner ME, et al. Usefulness of dobut-amine echocardiography in distinguishing severe from non-severe valvular aortic stenosis in patients with depressed left ventricular function and low transvalvular gradients. Am J Cardiol 1995;75:191–194.
Oh J, Seward J, Tajik A. The Echo Manual, 2nd ed. Rochester: Lippincott Williams and Wilkins, 1999.
Oh JK, Taliercio CP, Holmes DR, Jr, et al. Prediction of the severity of aortic stenosis by Doppler aortic valve area determination: prospective Doppler-catheterization correlation in 100 patients. J Am Coll Cardiol 1988;11:1227–1234.
Pereira JJ, Lauer MS, Bashir M, et al. Survival after aortic valve replacement for severe aortic stenosis with low transvalvular gradients and severe left ventricular dysfunction. J Am Coll Cardiol 2002;39:1356–1363.
Skjaerpe T, Hegrenaes L, Hatle L. Noninvasive estimation of valve area in patients with aortic stenosis by Doppler ultrasound and two-dimensional echocardiography. Circulation 1985;72:810–818.
Weyman A. Principles and Practice of Echocardiography, 2nd ed. Philadelphia: Lea and Fibiger, 1994.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Humana Press Inc., Totowa, NJ
About this chapter
Cite this chapter
Bermudez, E.A. (2007). Echocardiographic Assessment of Aortic Stenosis. In: Solomon, S.D., Bulwer, B. (eds) Essential Echocardiography. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59259-977-6_11
Download citation
DOI: https://doi.org/10.1007/978-1-59259-977-6_11
Publisher Name: Humana Press
Print ISBN: 978-1-58829-322-0
Online ISBN: 978-1-59259-977-6
eBook Packages: MedicineMedicine (R0)