Aortic stenosis chest x ray: Difference between revisions
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{| class="infobox" style="float:right;" | |||
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| [[File:Siren.gif|30px|link=Aortic stenosis resident survival guide]]|| <br> || <br> | |||
| [[Aortic stenosis resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | |||
|} | |||
{{Aortic stenosis}} | {{Aortic stenosis}} | ||
{{CMG}}; '''Associate | |||
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[User:Mohammed Sbeih|Mohammed A. Sbeih, M.D.]] [mailto:msbeih@wikidoc.org]; Cafer Zorkun, M.D; {{USAMA}} '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | |||
==Overview== | ==Overview== | ||
Chest | Chest X-ray may be used as a diagnostic tool in the evaluation of aortic stenosis. Findings associated with aortic stenosis include [[left ventricular enlargement]] and calcification of the aortic valve.<ref name="pmid19038677">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 23 | pages= e1-121 | pmid=19038677 | doi=10.1016/j.jacc.2008.10.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19038677 }} </ref><ref>{{Cite journal | ||
| author = [[Robert O. Bonow]], [[Blase A. Carabello]], [[Kanu Chatterjee]], [[Antonio C. Jr de Leon]], [[David P. Faxon]], [[Michael D. Freed]], [[William H. Gaasch]], [[Bruce W. Lytle]], [[Rick A. Nishimura]], [[Patrick T. O'Gara]], [[Robert A. O'Rourke]], [[Catherine M. Otto]], [[Pravin M. Shah]] & [[Jack S. Shanewise]] | |||
| title = 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons | |||
| journal = [[Journal of the American College of Cardiology]] | |||
| volume = 52 | |||
| issue = 13 | |||
| pages = e1–142 | |||
| year = 2008 | |||
| month = September | |||
| doi = 10.1016/j.jacc.2008.05.007 | |||
| pmid = 18848134 | |||
}}</ref> | |||
==Chest X Ray== | ==Chest X Ray== | ||
Chest X-ray may show hypertrophied left ventricle if there is aortic stenosis. In later stages of disease | Chamber Enlargement:<ref>{{Cite journal | ||
| author = [[Michitaka Kono]], [[Shigeaki Aoyagi]], [[Teiji Okazaki]] & [[Kei-Ichiro Tayama]] | |||
| title = Aortic Stenosis in a Patient With Sjogren's Syndrome | |||
| journal = [[International heart journal]] | |||
| volume = 57 | |||
| issue = 2 | |||
| pages = 251–253 | |||
| year = 2016 | |||
| month = | |||
| doi = 10.1536/ihj.15-349 | |||
| pmid = 26973276 | |||
}}</ref><ref name="pmid20435842">{{cite journal| author=Maganti K, Rigolin VH, Sarano ME, Bonow RO| title=Valvular heart disease: diagnosis and management. | journal=Mayo Clin Proc | year= 2010 | volume= 85 | issue= 5 | pages= 483-500 | pmid=20435842 | doi=10.4065/mcp.2009.0706 | pmc=2861980 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20435842 }} </ref><ref name=abc>https://radiopaedia.org/cases/aortic-valve-stenosis-1 Accessed on 28th Dec, 2016</ref> | |||
*Chest X-ray may show hypertrophied [[left ventricle]] if there is aortic stenosis. In later stages of disease, the left ventricle dilates and the patient may have signs of [[pulmonary congestion]] on X-ray. | |||
*In case of severe aortic stenosis for a long time, the [[left atrium]], the [[pulmonary artery]], and the right side of the heart may become enlarged too. | |||
Shown below are images of chest X-rays showing left ventricular enlargement due to aortic stenosis. | |||
<br clear="left"/> | |||
[[Image:Aortic_Stenosis_X_ray.jpg|300px|Lateral view of chest x-ray shows left ventricular enlargement due to aortic stenosis]] [[Image:LVH X ray.jpg|445px|Chest x-ray shows left ventricular Hypertrophy due to aortic stenosis]] | |||
<br clear="left"/> | |||
Calcification: | |||
*[[Calcification]] of the valve is found in nearly all adult patients who have significant aortic stenosis. | |||
*If calcification of the [[aortic valve]] is present on a chest x ray of an adult, the [[aortic valve]] gradient is usually greater than 50 mm Hg. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Disease | {{WH}} | ||
{{WS}} | |||
[[CME Category::Cardiology]] | |||
[[Category:Disease]] | |||
[[Category:Valvular heart disease]] | [[Category:Valvular heart disease]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Congenital heart disease]] | [[Category:Congenital heart disease]] | ||
[[Category:Cardiac surgery]] | [[Category:Cardiac surgery]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
Latest revision as of 16:07, 5 January 2017
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Resident Survival Guide |
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Aortic Stenosis Microchapters |
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Diagnosis |
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Treatment |
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Percutaneous Aortic Balloon Valvotomy (PABV) or Aortic Valvuloplasty |
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Transcatheter Aortic Valve Replacement (TAVR) |
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Case Studies |
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Aortic stenosis chest x ray On the Web |
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American Roentgen Ray Society Images of Aortic stenosis chest x ray |
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Directions to Hospitals Treating Aortic stenosis chest x ray |
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Risk calculators and risk factors for Aortic stenosis chest x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Mohammed A. Sbeih, M.D. [2]; Cafer Zorkun, M.D; Usama Talib, BSc, MD [3] Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Overview
Chest X-ray may be used as a diagnostic tool in the evaluation of aortic stenosis. Findings associated with aortic stenosis include left ventricular enlargement and calcification of the aortic valve.[1][2]
Chest X Ray
- Chest X-ray may show hypertrophied left ventricle if there is aortic stenosis. In later stages of disease, the left ventricle dilates and the patient may have signs of pulmonary congestion on X-ray.
- In case of severe aortic stenosis for a long time, the left atrium, the pulmonary artery, and the right side of the heart may become enlarged too.
Shown below are images of chest X-rays showing left ventricular enlargement due to aortic stenosis.
Calcification:
- Calcification of the valve is found in nearly all adult patients who have significant aortic stenosis.
- If calcification of the aortic valve is present on a chest x ray of an adult, the aortic valve gradient is usually greater than 50 mm Hg.
References
- ↑ Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.
- ↑ Robert O. Bonow, Blase A. Carabello, Kanu Chatterjee, Antonio C. Jr de Leon, David P. Faxon, Michael D. Freed, William H. Gaasch, Bruce W. Lytle, Rick A. Nishimura, Patrick T. O'Gara, Robert A. O'Rourke, Catherine M. Otto, Pravin M. Shah & Jack S. Shanewise (2008). "2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". Journal of the American College of Cardiology. 52 (13): e1–142. doi:10.1016/j.jacc.2008.05.007. PMID 18848134. Unknown parameter
|month=ignored (help) - ↑ Michitaka Kono, Shigeaki Aoyagi, Teiji Okazaki & Kei-Ichiro Tayama (2016). "Aortic Stenosis in a Patient With Sjogren's Syndrome". International heart journal. 57 (2): 251–253. doi:10.1536/ihj.15-349. PMID 26973276.
- ↑ Maganti K, Rigolin VH, Sarano ME, Bonow RO (2010). "Valvular heart disease: diagnosis and management". Mayo Clin Proc. 85 (5): 483–500. doi:10.4065/mcp.2009.0706. PMC 2861980. PMID 20435842.
- ↑ https://radiopaedia.org/cases/aortic-valve-stenosis-1 Accessed on 28th Dec, 2016