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European Journal of Echocardiography 2006 7(2):165-167; doi:10.1016/j.euje.2005.03.005
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Copyright © 2005, The European Society of Cardiology

Accurate assessment of aortic stenosis with intravenous contrast

Girish Dwivedi, Michael Hickman and Roxy Senior*

Department of Cardiology, Northwick Park Hospital, Watford Road, Harrow, Middx. HA1 3UJ, United Kingdom

Received 10 December 2004; received in revised form 14 February 2005; accepted after revision 6 March 2005.

* Corresponding author. Tel.: +44 2088 692576; fax: +44 2088 640075. roxy.senior{at}virgin.net


   Abstract

We came across an interesting case of calcific aortic stenosis in which severity was inaccurately assessed on two-dimensional and Doppler echocardiogram resulting in catheterization. Use of intravenous transpulmonary contrast agent enhanced the Doppler signal enabling better quantification of the transvalvular gradient. Use of contrast in such difficult to image patients is very useful in establishing a correct diagnosis.

Keywords: Aortic stenosis; Contrast agents; Echocardiography


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