Abstract
This second chapter is dedicated to the preoperative screening of patients, when the aortic disease has assumed a degree of severity that requires a thorough understanding in view of the treatment. Which imaging tests are indicated for the diagnosis and quantification of the associated coronary artery disease, as well as mitral and tricuspidal valvulopathies will be discussed. Cardiac tumours and incidental findings and the evaluation of the most relevant non-cardiac co-pathologies are discussed from the point of view of multimodal imaging techniques. Particular attention will be given to the characterisation of the concept of “Frailty”, with state-of-the-art criteria of analysis provided to establish operability, assess the preoperative psychophysical and social conditions. This is to optimise treatment towards a true patient-tailored approach. Finally, rare conditions associated with aortic disease, e.g. amyloidosis, and particular precautions in some settings (e.g. pregnant women, renal failure and the presence of cardiac pacemakers) will be illustrated.
Original language | English (US) |
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Title of host publication | Multimodality Imaging for Cardiac Valvular Interventions, Volume 1 Aortic Valve |
Subtitle of host publication | From Diagnosis to Decision-Making |
Publisher | Springer International Publishing |
Pages | 63-89 |
Number of pages | 27 |
Volume | 1 |
ISBN (Electronic) | 9783030275846 |
ISBN (Print) | 9783030275839 |
DOIs | |
State | Published - Jan 1 2020 |
Externally published | Yes |
Keywords
- Angiography
- Aortic regurgitation
- Aortic stenosis
- Aortic valve
- Assessment of concomitant cardiac pathologies
- Cardiac computed tomography
- Cardiac magnetic resonance
- Coronary angiography and functional assessment
- Echocardiography
- Frailty
- Positron emission tomography
- Stress echocardiography
- Stress test
ASJC Scopus subject areas
- General Medicine