13 results
Aortic Stenosis & Bicuspid Aortic Valve (AS)
 • Introduction & Pathophysiology
 • Classifications
 • Epidemiology
 •
Aortic Stenosis ... & Bicuspid Aortic ... Pathophysiology • Classifications ... Epidemiology • Clinical ... manifestations • Radiologic
Severity of Aortic Stenosis in Adults 
Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
Severity of Aortic ... >50 mmHg (2) (Table ... common problem in clinical ... #Diagnosis #Cardiology ... AorticStenosis #Classification
Proximal aorta transverse view caudal to Figure 3. Note inferior vena cava (ivc), aorta (ao), anterior
Proximal aorta transverse ... vena cava (ivc), aorta ... mantle” sign) #Clinical ... #Radiology #POCUS ... ClockMantle #Sign #ALiEM
Proximal aorta longitudinal view demonstrating the abdominal aorta (red arrows), the celiac trunk (yellow arrow) and
Proximal aorta longitudinal ... the abdominal aorta ... the abdominal aorta ... #Clinical #EM #Radiology ... #Celiac #SMA #ALiEM
Aortic Stenosis Grading on echocardiography
The cut-offs for grading can be found in table 1. Discrepancies are
Aortic Stenosis ... can be found in table ... #Diagnosis #Cardiology ... #Aortic #Stenosis ... AorticStenosis #Classification
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
from LMCA into aortic ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Aortic aneurysm (aaa) measuring 6 cm wide with mural thrombus (asterisks) #Clinical #Diagnosis #EM #Radiology #Vasc
Aortic aneurysm ... thrombus (asterisks) #Clinical ... Diagnosis #EM #Radiology ... MuralThrombus #Transverse #ALiEM
Aortic Stenosis Severity Classification

Mild AS:
 • Valve Area > 1.5 cm2
 • Mean Gradient < 20
Aortic Stenosis ... Severity Classification ... Velocity > 4 m/s #Aortic ... #Diagnosis #Cardiology ... #Table
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
leaflet (*), and aorta ... adjacent to the aortic ... #Clinical #EM #Cardiology ... LongAxis #PSLA #ALiEM
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... Stable patients ... risk (>5%): - Aortic ... one post op Cardiology ... Severe Aortic stenosis