When the gold standard is not always golden: The value of invasive hemodynamic assessment to overcome the pitfalls of echocardiography in challenging cases of mitral stenosis

Echocardiography. 2018 Jan;35(1):104-109. doi: 10.1111/echo.13785.

Abstract

Mitral stenosis is a uncommon valvular lesion in the developed countries. Noninvasive evaluation is the first-line modality for assessment of mitral stenosis, however the noninvasive methods may have limitations in certain cases. Invasive hemodynamics can be used as adjunct tool for assessment of mitral stenosis in such difficult cases. Mitral valve using three-dimensional planimetry is a promising technique for assessment of mitral stenosis.

Keywords: cardiac catheterization; echocardiography; hemodynamics of mitral stenosis.

Publication types

  • Case Reports

MeSH terms

  • Echocardiography / methods*
  • Echocardiography, Three-Dimensional / methods
  • Echocardiography, Transesophageal / methods
  • Female
  • Hemodynamics / physiology*
  • Humans
  • Middle Aged
  • Mitral Valve / diagnostic imaging*
  • Mitral Valve / physiopathology
  • Mitral Valve Stenosis / diagnosis*
  • Mitral Valve Stenosis / diagnostic imaging
  • Mitral Valve Stenosis / physiopathology*
  • Severity of Illness Index