Myocardial Fibrosis in Classical Low-Flow, Low-Gradient Aortic Stenosis

Vitor E E Rosa1, Henrique B Ribeiro1, Roney O Sampaio1

  • 1Heart Institute (InCor) Clinical Hospital, University of Sao Paulo, Brazil (V.E.E.R., H.B.R., R.O.S., T.C.M., M.E.E.R., L.J.T.P., M.L.C.V., W.M., C.E.R., A.S.A.L.d.S., J.R.C.F., T.A.D.A., P.M.A.P., F.T.).

Summary

Patients with low-flow, low-gradient aortic stenosis (LFLG-AS) show increased myocardial fibrosis compared to high-gradient aortic stenosis. Diffuse fibrosis does not appear to be the primary cause of absent left ventricular flow reserve (FR) in LFLG-AS.

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