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European Heart Journal Advance Access originally published online on November 15, 2006
European Heart Journal 2006 27(24):2923-2924; doi:10.1093/eurheartj/ehl375
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Is there a role for multislice computed tomography in aortic stenosis?

Helmut Bamgartner

Department of Cardiology, Vienna General Hospital, Medical University of Vienna, Währinger Gürtel 18–20, A-1090 Vienna, Austria, Europe

Corresponding author. E-mail address: helmut.baumgartner@meduniwien.ac.at

This editorial refers to ‘Diagnosis of aortic valvular stenosis by multislice cardiac computed tomography’{dagger} by E. Bouvier et al., on page 3033

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Over the recent years, a number of papers have addressed the use of multislice computed tomography (MS-CT) in patients with aortic stenosis (AS). The ability of the technique to detect and quantify calcifications was the first reason for its application to calcific AS. Indeed, quantification of valvular calcification first by electron-beam tomography1 and later on by MS-CT2,3 has been well validated by studying patients prior to surgery and comparing the results with examinations of the pathological specimen. The methods have been shown to be reasonably accurate although examination may require special care.4 The question is whether this quantification of calcification has any clinical impact. Several studies reported a significant relation between the extent of calcification and the severity of the stenosis as defined by transvalvular gradient, aortic valve area (AVA) or both,3,5–7 whereas other investigators could . . . [Full Text of this Article]


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Related articles in EHJ:

Diagnosis of aortic valvular stenosis by multislice cardiac computed tomography
Erik Bouvier, Damien Logeart, Jean-Louis Sablayrolles, Jacques Feignoux, Claude Scheublé, Thierry Touche, Gabriel Thabut, and Alain Cohen-Solal
EHJ 2006 27: 3033-3038. [Abstract] [FREE Full Text]  



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