Aortic Valve Stenosis Increases Helical Flow and Flow Complexity: A Study of Intra-operative Cardiac Vector Flow Imaging

Kristoffer Lindskov Hansen, Hasse Møller-Sørensen, Jesper Kjaergaard, Maiken Brit Jensen, Jørgen Arendt Jensen, Michael Bachmann Nielsen

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Abstract

Aortic valve stenosis alters blood flow in the ascending aorta. Using intra-operative vector flow imaging on the ascending aorta, secondary helical flow during peak systole and diastole, as well as flow complexity of primary flow during systole, were investigated in patients with normal, stenotic and replaced aortic valves. Peak systolic helical flow, diastolic helical flow and flow complexity during systole differed between the groups
(p , 0.0001), and correlated to peak systolic velocity (R 5 0.94, 0.87 and 0.88, respectively). The study indicates that aortic valve stenosis increases helical flow and flow complexity, which are measurable with vector flow imaging. For assessment of aortic stenosis and optimization of valve surgery, vector flow imaging may be useful.
Original languageEnglish
JournalUltrasound in Medicine and Biology
Volume43
Issue number8
Pages (from-to)1607-1617
Number of pages11
ISSN0301-5629
DOIs
Publication statusPublished - 2017

Keywords

  • Vector flow imaging
  • Ascending aorta
  • Aortic valve stenosis
  • Helical flow
  • Flow complexity

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