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Myocardial Evaluation in Patients with Aortic Stenosis by Cardiac Computed Tomography

Francisco F Gama1,2, Kush Patel2, Jonathan Bennett2

  • 1Cardiology, Hospital Centre of West Lisbon Campus Hospital of Santa Cruz, Lisboa, Portugal.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|February 28, 2023
PubMed

Insights

Aortic valve stenosis (AVS) is a common heart condition. Cardiac CT offers a comprehensive, "one-stop" imaging solution for AVS assessment, providing morphological, functional, and tissue information.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Aortic valve stenosis (AVS) is a prevalent cardiac pathology impacting survival and quality of life.
  • Timely management is crucial for patients with AVS.

Approach:

  • This review analyzes the current applications of cardiac CT for comprehensive AVS evaluation.
  • Cardiac CT is increasingly used for functional myocardial assessment, complementing other modalities like echocardiography and MRI.

Key Points:

  • Noninvasive myocardial tissue characterization is no longer exclusive to cardiac magnetic resonance.
  • Advancements in acquisition methods establish cardiac CT as an accurate and accessible imaging tool.
  • Cardiac CT shows potential as a unified "one-stop" examination for complete aortic stenosis assessment.

Conclusions:

  • Cardiac CT provides morphological, functional, and tissue information, alongside preprocedural insights.
  • The "all-in-one" capability of cardiac CT is becoming a reality for AVS assessment.
  • Cardiac CT is poised to become a central imaging modality for evaluating aortic valve disease.
Abstract

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