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Aortic Stenosis
I'm a 54 year old male.  I have been diagnosed with Aortic Stenosis.  This is my last report from a echocardiogram taken in March of 09. Do you think I will be a canidate for valve replacement.
Findings:
MEASURE NT VALUE NORMAL
LVIDd 5.3 3.5 - 5.6 cm
LVIDs 3.3 2.0 - 3.8 cm
IVSd 1.0 0.7 - 1.1 cm
LVPWd 1.0 0.7 - 1.1 cm
LA Diameter 4.1 (abnormal) 1.9 - 4.0 cm
AO Root Dimension 3.0 less than 3.8 cm
Est. LVEF 56 - 60% greater than 55%
1. The technical quality of the study is good_
2. The left ventricle demonstrates an end-diastolic dimension of 5.3 cm and an end-systolic dimension of 3.3 cm. There are no
obvious segmental wall motion abnormalities noted. The overall left ventricular systolic function is normal with an estimated ejection fraction of 56 - 60%.
3. There is no evidence for left ventricular hypertrophy.
4. The left atrial diameter is mildly dilated at 4.1 cm.
5. No pericardial effusion is noted.
6. The proximal aortic root diameter is normal 3.0 cm.
7. The aortic valve is probably bicuspid with sclerotic leaflets.
8. The mitral valve has thin leaflets that open without stenosis and close without prolapse.
9. No calcification of the mitral annulus noted.
10. The right ventricular size appears normal with normal systolic function. The right atrial size appears normal.
11. The tricuspid valve has no stenosis.
12. The suprastemal notch view revealed a descending aorta gradient of 21-30 mmHg consistent with coarctation of the aorta.
13. No obvious intracardiac masses or thrombi noted.
Doppler Evaluation
1. Aortic Valve: mild to moderate stenosis, a peak gradient of 46 mmHg, a mean gradient of 26 mmHg, a peak velocity of 3.4 mis, a valve area of _97 cm sq and mild to moderate regurgitation
2. Mitral Valve: no stenosis and mild regurgitation
3. Tricuspid Valve: no stenosis with mild regurgitation
4. Pulmonic Valve: appears normal with no significant regurgitation
5_ No evidence suggestive of diastolic non-compliance_
6. PA systolic pressure is normal and estimated to be 34 mmHg.
Conclusions
- The overall left ventricular systolic function is normal with an estimated ejection fraction of 56 - 60%_
- The aortic valve is probably bicuspid with sclerotic leaflets with mild to moderate stenosis, a peak gradient of 46 mmHg, a valve area
of .97 cm sq and mild to moderate regurgitation.
- The mitral valve has mild regurgitation.
- The tricuspid valve has mild regurgitation.
- The let atrial,diameteris mitdty~c slated at 4.1 .am:
- The suprastetnalinotch:irie* revealed!a descending aorta grrdi.drit of 21-30 rhmHg• consistent with boarctation ofitheiaortal
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