Aortic stenosis chest x ray

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Aortic Stenosis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic Stenosis from other Diseases

Epidemiology and Demographics

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Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Cardiac Stress Test

Electrocardiogram

Chest X Ray

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MRI

Echocardiography

Cardiac Catheterization

Aortic Valve Area

Aortic Valve Area Calculation

Treatment

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Medical Therapy

Surgery

Percutaneous Aortic Balloon Valvotomy (PABV) or Aortic Valvuloplasty

Transcatheter Aortic Valve Replacement (TAVR)

TAVR vs SAVR
Critical Pathway
Patient Selection
Imaging
Evaluation
Valve Types
TAVR Procedure
Post TAVR management
AHA/ACC Guideline Recommendations

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Cost-Effectiveness of Therapy

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Mohammed A. Sbeih, M.D. [2]; Cafer Zorkun, M.D. Assistant Editor-In-Chief: Kristin Feeney, B.S. [3]

Overview

Chest X-ray may be used as a diagnostic tool in the evaluation of aortic stenosis. Findings associated with aortic stenosis include left ventricular hypertrophy and calcification of the aortic valve.

Chest X Ray

Chamber Enlargement:

  • Chest X-ray may show hypertrophied left ventricle if there is aortic stenosis. In later stages of disease; the left ventricle dilates and the patient may have pulmonary congestion appears on X-ray.
  • In case of severe aortic stenosis for a long time; the left atrium, pulmonary artery, and right side of heart may become enlarged too.
Shown below are images of chest X-rays showing left ventricular enlargement due to aortic stenosis.

Lateral view of chest x-ray shows left ventricular enlargement due to aortic stenosis Chest x-ray shows left ventricular Hypertrophy due to aortic stenosis

Calcification:

  • Calcification of the valve is found in nearly all adult patients who have significant aortic stenosis.
  • If calcification of the aortic valve is present on a chest x ray in adult, the aortic valve gradient is usually greater than 50 mm Hg.

References

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