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Planning of aortic valve repair

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 75-year-old woman with a history of aortic stenosis was admitted to the cardiology outpatient service due to worsening of the stenosis and early clinical signs of heart failure due to valvular disease. The patient suffered from shortness of breath and reduced physical capacity.
    • At echocardiography, a median gradient of 48 mm Hg was measured across the valve, and the aortic valve area was reduced to 0.7 cm2
    • Based on these findings and the clinical symptoms, a diagnosis was made of high-grade symptomatic aortic stenosis, by definition a clear and rather urgent indication for aortic valve repair.
    • A dedicated CT scan was performed to evaluate the possibility of an endovascular valvular repair procedure (TAVI, transcatheter aortic valve implantation) and to obtain all the necessary information for the procedure. (Figure 1)
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