Multimodality Imaging of Two Unique Etiologies of Supravalvular Aortic Stenosis

Figures

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  Figure 1. (A) Two-dimensional TEE (top), midesophageal zoomed long-axis (125°) systolic view centered on the AV without (left) and with (right) color flow Doppler of the congenital SAS and valvular aortic stenosis (VAS), demonstrates the thick, calcified AV with reduced opening and the accelerated Doppler flow across the serial stenoses. (B) CCT (bottom), three-dimensional volume-rendered reconstruction (left) and virtual fluoroscopy (right), sagittal display, demonstrates the VAS and congenital SAS and their relationship to the coronary ostia.

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  Figure 2. (A) Two-dimensional TEE (top), midesophageal zoomed long-axis systolic view centered on the ascending aorta without (left) and with (right) color flow Doppler of the iatrogenic SAS, demonstrates the focal narrowing with the turbulent flow in the ascending aorta. (B) CCT (bottom), three-dimensional volume-rendered reconstruction (left) and virtual fluoroscopy (right), sagittal display, demonstrates the iatrogenic SAS.