Aortic Stenosis With Dynamic Left Ventricular Outflow Obstruction: Diagnostic and Management Challenges-A Case Series.

Frank Qian¹, Pei-Chun McGregor², Ahmad Nawid Latifi³, Jayashri Aragam^4,5

¹Section of Cardiovascular Medicine, Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.

²Heartbeat Health, New York, New York.

³Sands-Constellation Heart Institute, Rochester Regional Health, Rochester, New York.

⁴Department of Cardiology, Veterans Affairs Boston Healthcare System, West Roxbury, Massachusetts.

⁵Harvard Medical School, Boston, Massachusetts.

PubMed PMC DOI PDF

Abstract

• Serial stenoses with AS and HCM can pose diagnostic challenges with echocardiography. • Doppler assessment of AS in this situation can overestimate gradients and severity. • Consider TEE and invasive hemodynamics when diagnostic uncertainty remains.

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