Chest Roentgenographic Evaluation of the Severity of Aortic Stenosis

The chest radiographs of 44 adult patients with proven valvular aortic stenosis (AS) were analyzed for the evaluation of severity of the disease. Five parameters were correlated with the aortic valve area (AVA) as the determinant of AS severitythe area of aortic valve calcification (AVCa), the cardi...

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Veröffentlicht in:Investigative radiology 1982-09, Vol.17 (5), p.453-457
Hauptverfasser: RODAN, BRUCE A, CHEN, JAMES T. T, HALBER, MICHAEL D, HEDLUND, LAURENCE
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container_end_page 457
container_issue 5
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container_title Investigative radiology
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creator RODAN, BRUCE A
CHEN, JAMES T. T
HALBER, MICHAEL D
HEDLUND, LAURENCE
description The chest radiographs of 44 adult patients with proven valvular aortic stenosis (AS) were analyzed for the evaluation of severity of the disease. Five parameters were correlated with the aortic valve area (AVA) as the determinant of AS severitythe area of aortic valve calcification (AVCa), the cardio–thoracic (C–T) ratio, the Hoffman-Rigler (H–R) sign, left atrial enlargement (LAE), and the transverse diameter of the thoracic aorta (TDAo). There was a significant correlation between AVCa and severe AS only in women over 40 years of age. The increased C–T ratio and evidence of LAE was predictive of severe AS in men over 40 years of age. The positive H-R sign and an increased TDAo were not useful in assessing the severity of AS. Accordingly, the radiographic analysis of signs is a simple, useful, and noninvasive technique for diagnosing AS and for assessing its severity in patients over 40 years of age.
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subjects Adolescent
Adult
Aged
Aortic Valve Stenosis - diagnostic imaging
Evaluation Studies as Topic
Female
Humans
Male
Middle Aged
Radiography, Thoracic
Retrospective Studies
title Chest Roentgenographic Evaluation of the Severity of Aortic Stenosis
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