Complex and multilevel left ventricular outflow tract obstruction: What can 3D echocardiography add?

ABSTRACT:

Background

Subaortic obstruction by a membrane or systolic anterior motion of the mitral valve leaflets is usually suspected in young patients, especially if the anatomy of the aortic valve is not clearly stenotic and unexplained left ventricular hypertrophy exists in the context of high transaortic gradients.

Main body

In certain circumstances, some patients show both aortic and subaortic stenotic lesions of variable severity. Doppler echocardiography can help in grading severity in the case of single-level obstruction but not in patients with multilevel obstruction where the continuity equation is of no value. Three-dimensional (3D) echocardiography allows "en-face" visualization of each level of the aortic valve and subaortic tract; in addition, direct planimetry of the a

SUBMITTER: Abdelgawad H 

PROVIDER: S-EPMC8390596 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature