Pleural effusion in severe aortic stenosis: marker of an adverse haemodynamic constellation and poor prognosis.

ABSTRACT:

Aim

Pleural effusion (PE) is a common chest radiography (CXR) finding in patients with advanced cardiac disease. The pathophysiology and clinical value of PE in this setting are incompletely defined. We aimed to assess the haemodynamic correlates and prognostic impact of PE in patients with severe aortic stenosis (AS).

Methods and results

We studied 471 patients (mean age 74 ± 10 years) with severe AS (indexed aortic valve area 0.42 ± 0.12 cm²/m², left ventricular ejection fraction 58 ± 12%) undergoing right heart catheterization and upright CXR prior to aortic valve replacement (AVR). Two radiologist independently evaluated all CXR for the presence of bilateral PE, unilateral, or no PE, blinded to any other data. There were 49 (10%) patients with bilat

SUBMITTER: Breuss A 

PROVIDER: S-EPMC10966206 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature