Hu Said: Cardiology Board Review Series

4.04 Low Gradient, Bicuspid, Unicuspid, Subvalvular, and Supravalvular Aortic Stenosis


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In this episode, we explore various types of aortic valve stenosis (AS) other than conventional AS, including low-gradient AS, bicuspid and unicuspid valves, subvalvular and supravalvular AS. What is the difference between classical low flow low gradient AS, paradoxical low flow low gradient AS, and normal flow low gradient AS? What parameters on dobutamine stress echo allow you to and valvular computed tomography (CT) distinguish between true severe low-flow low-gradient AS and pseudo-severe AS? What additional structural heart defects are commonly associated with bicuspid aortic valve? Which are the most common cusps to be fused together in bicuspid AS? What are the hallmark features of Shone complex? How do supravalvular and subvalvular aortic stenosis differ in their hemodynamic properties? Tune in for answers to these questions.


Difficulty Level: Intermediate


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Hu Said: Cardiology Board Review SeriesBy Ruey Hu, MD, MPH

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