case_images: PMC7266867_01
case_images: Transthoracic echocardiogram (January 2017): Continuous wave doppler in the apical 5 chamber view demonstrating a maximum transaortic velocity of 2.7 m/s.
case_images: fcvm-07-00087-g0001.jpg
case_images: PMC7266867_01_fcvm-07-00087-g0001.jpg
case_images: F1
case_images: Transthoracic echocardiogram (January 2018): Continuous wave doppler in the apical 5 chamber view (A) and right parasternal long axis view (B) demonstrating a maximum transaortic velocity of 4.1 m/s.
case_images: fcvm-07-00087-g0002.jpg
case_images: PMC7266867_01_fcvm-07-00087-g0002.jpg
case_images: F2
case_images: TTE revealed an elevated Vmax of 4.1 m/s (Figure 2) suggestive of a significantly elevated transvalvular pressure gradient.
case_images: Transthoracic echocardiogram (August 2018): Continuous wave doppler in the apical 5 chamber view (A) and right parasternal long axis view (B) demonstrating a maximum transaortic velocity of 3.9 m/s.
case_images: fcvm-07-00087-g0003.jpg
case_images: PMC7266867_01_fcvm-07-00087-g0003.jpg
case_images: F3
case_images: The patient's general practitioner commenced warfarin and after a 6-month period, repeat TTE in August 2018 revealed slight improvement in the transaortic Vmax which reduced to 3.9 m/s (Figure 3).
case_images: Transthoracic echocardiogram (March 2019): Continuous wave doppler in the apical 5 chamber view (A) and right parasternal long axis view (B) demonstrating a maximum transaortic velocity of 3.0 m/s.
case_images: fcvm-07-00087-g0004.jpg
case_images: PMC7266867_01_fcvm-07-00087-g0004.jpg
case_images: F4
case_images: TTE in March 2019 showed the transaortic velocity to have reduced to 3 m/s giving a mean transvalvular gradient of only 18 mmHg (Figure 4) compared to a previous mean gradient of 40 mmHg in January 2018.