Non-invasive cardiovascular magnetic resonance assessment of pressure recovery distance after aortic valve stenosis.
Joao Filipe FernandesHarminder GillAmanda NioAlessandro FaraciValeria GalliDavid MarleviMalenka BissellHojin HaRonak RajaniPeter MortierSaul G MyersonPetter DyverfeldtTino EbbersDavid A NordslettenPablo LamataPublished in: Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance (2023)
The non-invasive assessment of the distance to pressure recovery is possible by tracking momentum via 4D Flow CMR. Recovery is not always complete at the ascending aorta, and catheterised recordings will overestimate the net pressure drop in those situations. There is a need to re-evaluate the methods that characterise the haemodynamic burden caused by aortic stenosis as currently clinically accepted pressure recovery distance is an underestimation.