Key result
Assessment of the transvalvular gradient from the right parasternal view established the diagnosis of severe aortic stenosis when classical apical measurements were discordant.
The right parasternal view can be crucial for accurately diagnosing severe aortic stenosis when standard apical views yield discordant measurements.
May support right parasternal views in discordant aortic stenosis; case report leaves open need for prospective validation before practice change.
We present the case of a man with severe aortic stenosis in whom diagnosis was established by evaluating the transvalvular gradient from the right parasternal view, since classical measurements from the apical five-chamber view were discordant with the indexed aortic valve area obtained in the short-axis view.
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Corsi et al. (2012) studied this question. Assessment of the transvalvular gradient from the right parasternal view established the diagnosis of severe aortic stenosis when classical apical measurements were discordant.
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