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Chest, Vol 90, 380-382, Copyright © 1986 by American College of Chest Physicians

ARTICLES

Implications of normal left ventricular wall thickness in critical aortic stenosis

GA Bergeron and NB Schiller

It is standard practice for clinicians to consider echocardiographically-measured left ventricular wall thickness when estimating the severity of aortic stenosis. Most consider the degree of wall thickness above normal limits is in proportion to ventricular hypertrophy. Employment of wall thickness information to assess aortic stenosis severity, while generally reliable, can occasionally be misleading. Two cases are presented with findings of severe, critical aortic stenosis and normal wall thickness. In each case, left ventricular contractile function was markedly impaired and the patient markedly symptomatic.




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Copyright © 1986 by the American College of Chest Physicians.