PMC2322915_01
Left ventricular angiography in 1950 showing SVAS (arrow) and akinesia of the whole apex.
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Selective left ventricle (LV) angiography and aortography revealed mildly dilated LV with severe systolic (EF = 15-20%) and diastolic (restrictive pattern) dysfunction, severe endomyocardial calcification (presumably secondary to fibroelastosis of both ventricles), multiple segmental wall motion abnormalities, severe subvalvular mitral calcification with mild valvular mitral stenosis (MS) (estimated mitral valve area = 2.0 cm2) and severe (3/4) mitral regurgitation, bicuspid aortic valve (BAV) with moderately severe valvular aortic stenosis (AS) (estimated aortic valve area = 0.7 cm2), markedly dilated right ventricle with severe pulmonary hypertension (75/40/55 mmHg systolic/diastolic/mean pressure), mild SVAS without a gradient (Figure 1) and mild residual CoA without a gradient (Figure 2).
Aortogram in 2004 showing residual CoA repair site (arrow).
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Selective left ventricle (LV) angiography and aortography revealed mildly dilated LV with severe systolic (EF = 15-20%) and diastolic (restrictive pattern) dysfunction, severe endomyocardial calcification (presumably secondary to fibroelastosis of both ventricles), multiple segmental wall motion abnormalities, severe subvalvular mitral calcification with mild valvular mitral stenosis (MS) (estimated mitral valve area = 2.0 cm2) and severe (3/4) mitral regurgitation, bicuspid aortic valve (BAV) with moderately severe valvular aortic stenosis (AS) (estimated aortic valve area = 0.7 cm2), markedly dilated right ventricle with severe pulmonary hypertension (75/40/55 mmHg systolic/diastolic/mean pressure), mild SVAS without a gradient (Figure 1) and mild residual CoA without a gradient (Figure 2).