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56-year-old lady with transaortic gradient.

Roberto Spina1, Arjun Iyer2, Paul Jansz2

  • 1Department of Cardiology, St Vincent's Hospital, Sydney, New South Wales, Australia.

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|April 15, 2018
PubMed
Summary
This summary is machine-generated.

Aortic valvular stenosis caused significant transaortic gradients in a patient with pulmonary edema. Echocardiography revealed severe aortic stenosis, explaining the patient's symptoms and the high gradient.

Keywords:
aortic stenosishypertrophic cardiomyopathyvalve disease surgeryvalvular heart disease

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Diagnostic Medicine

Background:

  • A 56-year-old female with hypertension presented with acute pulmonary edema and progressive dyspnea.
  • Exercise tolerance was severely limited to one flight of stairs over 12 months.

Observation:

  • Transthoracic echocardiography showed normal left ventricular size and systolic function.
  • Peak and mean transaortic gradients were elevated at 67 mmHg and 33 mmHg, with a peak velocity of 3.9 m/s.
  • No significant aortic regurgitation or other valvular abnormalities were detected.

Findings:

  • Transesophageal echocardiography was performed to further investigate the cause of the significant transaortic gradient.
  • The imaging revealed findings consistent with aortic valvular stenosis as the underlying cause.

Implications:

  • Accurate diagnosis of aortic valvular stenosis is crucial for managing pulmonary edema and improving patient outcomes.
  • Understanding the echocardiographic findings is key to differentiating from other causes of elevated transaortic gradients.