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Timing of Intervention in Aortic Stenosis Aspirin with or without Clopidogrel after Transcatheter Aortic-Valve Implantation Transcatheter Aortic Valve Replacement in Low-risk Patients With Bicuspid Aortic Valve Stenosis Long-Term Durability of Transcatheter Heart Valves: Insights From Bench Testing to 25 Years Online Quantitative Aortographic Assessment of Aortic Regurgitation After TAVR: Results of the OVAL Study Incidence and Outcomes of Surgical Bailout During TAVR : Insights From the STS/ACC TVT Registry Safety and efficacy of a self-expanding versus a balloon-expandable bioprosthesis for transcatheter aortic valve replacement in patients with symptomatic severe aortic stenosis: a randomised non-inferiority trial Prior Balloon Valvuloplasty Versus Direct Transcatheter Aortic Valve Replacement: Results From the DIRECTAVI Trial Prevalence and Outcomes of Concomitant Aortic Stenosis and Cardiac Amyloidosis Association Between Diastolic Dysfunction and Health Status Outcomes in Patients Undergoing Transcatheter Aortic Valve Replacement
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Review ArticleVolume 76, Issue 2, July 2020

JOURNAL：JACC Article Link

Discrepancies in Measurement of the Thoracic Aorta: JACC Review Topic of the Week

JA Elefteriades, SK Mukherjee, H Mojibian et al. Keywords: aortic root; ascending aorta ;CT; echo cardiography; imaging discrepancies; thoracic aortic aneurysm

ABSTRACT

Clinicians often encounter discrepant measurements of the ascending aorta that impede, complicate, and impair appropriate clinical assessment—including key issues of presence or absence of aortic growth, rate of growth, and need for surgical intervention. These discrepancies may arise within a single modality (computed tomography scan, magnetic resonance imaging, or echocardiography) or between modalities. The authors explore the origins and significance of these discrepancies, revealing that some “truth” usually underlies all the discrepant measurements, which individually look at the ascending aorta with different perspectives and dimensional definitions. The authors conclude with a practical “question and answer” section that addresses common specific issues in interpretation and management of patients in the real-world setting.
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