Severe aortic stenosis may go unrecognized, and therefore untreated, in the setting of a low gradient, even if all data point to the existence of a low-flow, low-gradient state and a severe degree of stenosis. These patients may benefit from valve replacement, which can be performed safely with a high degree of procedural success. In this interview, Mirvat Alasnag, MB, BCH, FACC; Patricia Pellikka, MD, FACC; and Matt Cavender, MD, MPH, FACC, discuss when low-flow, low-gradient aortic stenosis is considered severe.

Clinical Topics: Cardiac Surgery, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Valvular Heart Disease, Aortic Surgery, Cardiac Surgery and VHD, Interventions and Imaging, Interventions and Structural Heart Disease, Echocardiography/Ultrasound

Keywords: ACCELLite, Diagnostic Imaging, Aortic Valve Stenosis, Aortic Valve, Ventricular Function, Left, Echocardiography, Stroke Volume, Transcatheter Aortic Valve Replacement

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