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Updated: Nov 1, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Left Posterior Thoracic Acoustic Window: A Forgotten Approach for Aortic Stenosis Assessment
Georgios Giannakopoulos1, Stéphane Noble1, Florian Rey1
1Cardiology Division, University Hospital of Geneva, Geneva, Switzerland.
Accurate diagnosis of severe aortic stenosis is crucial for timely valve replacement. This study explores using the posterior thoracic window for echocardiography in patients with poor acoustic windows, requiring pleural effusion.
Area of Science:
- Cardiovascular Medicine
- Diagnostic Imaging
- Echocardiography
Background:
- Accurate diagnosis of severe aortic stenosis is vital for guiding aortic valve replacement decisions.
- Optimal ultrasound beam alignment for aortic jet velocity and gradient measurements can be difficult in patients with suboptimal acoustic windows.
- Factors like obesity, lung disease, and chest deformities compromise acoustic windows, hindering standard echocardiographic views.
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