Complex Case Spotlight
The technique shows promise for patients with HCM and mitral valve elongation but little septal thickening, who may not benefit optimally from myectomy alone.
Ranked #1
in Heart & Vascular
100%
One-year heart transplant survival rate
5,000+
Transcatheter Aortic Valves (TAVRs)
Complex Case Spotlight
Transthoracic echocardiography in a 60-year-old man with angina and a new systolic murmur. Panels show systolic anterior motion (SAM) at rest without mitral septal contact, mild septal bulge, normal 4-chamber-view systolic function, long mitral anterior leaflet measuring 30 mm, without resting LVOT gradient. Source: NYU Langone Health
After exercise stress echocardiography, an LVOT gradient of 50 mm Hg, due to SAM and mitral-septal contact, were detected. Mild septal bulge and normal systolic function were appreciated. Source: NYU Langone Health
Transthoracic echocardiography in the same patient after access to the ED for chest pain, dyspnea, and unstable hemodynamic condition (blood pressure = 70/40 mm Hg). Parasternal and apical long-axis views and apical 4-chamber views showing acute LV ballooning (white arrowheads) with severe SAM and mitral-septal contact (red arrows). Lower right panel is a continuous-wave Doppler showing high LVOT gradient of 90 mm Hg. Complete recovery after intravenous beta-blocker and phenylephrine infusion was observed. Source: NYU Langone Health
CARDIOLOGY
Dr. Harmony G. Reynolds and a research team are proving that OCT and cardiac MRI and can clarify why many women have heart attacks without coronary artery narrowing. Read the interview.
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