The latest PARTNER 2A analysis finds that worsening RV function is much more common after SAVR than TAVR. And it predicts greater risk for poor outcomes regardless of procedure type.
Current guidelines recommend exercise stress echo, but it can’t reliably detect significant obstructive CAD in patients with LBBB at rest. We share nuanced recommendations for alternatives.
Vegetations visible on echo are the main source of embolism in patients with endocarditis. This post illustrates principles for how to evaluate them to gauge embolism likelihood.
In the context of pericardial tamponade or uncontrolled mediastinal bleeding, always suspect aortic pathology.
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For structural assessment of bioprosthetic mitral valve function, 4-D CT can offer more than echo does — especially for distinguishing calcification from thrombosis. These images make the point.