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European Journal of Echocardiography 2009 10(1):i11-i19; doi:10.1093/ejechocard/jen240
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Aortic stenosis

John B. Chambers*

Cardiothoracic Centre, Guy's & St Thomas’ Hospitals, Westminster Bridge Road, London SE1 7EH, UK

Received 11 August 2008; accepted after revision 25 August 2008.

* Corresponding author. Tel: +44 20 7188 1047; fax: +44 20 7188 0726.E-mail address: jboydchambers{at}aol.com


  Abstract

Aortic stenosis is a common finding at echocardiography. This review describes the assessment of the aortic valve, the left ventricle, and the rest of the heart. It discusses grading the stenosis including cases in which there are discrepancies between the different echocardiographic measurements. It discusses the indications for and interpretation of stress echocardiography and the role of pressure recovery and wave reflectance. It describes, in outline, the medical management of aortic stenosis and indications for surgery. The minimum dataset is:

  • Peak instantaneous velocity, mean gradient, effective orifice area
  • LV dimensions and systolic function
  • Aortic diameter
  • Mitral valve appearance and function
  • RV size and function and PA pressure

Keywords: Aortic stenosis; Doppler echocardiography


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