Fig. 10. Severe aortic valve stenosis in 79-year-old man with chest discomfort and shortness of breath.

Double oblique MPR image of aortic valve (A) shows thickened and calcified cusps (arrowheads) of tricuspid aortic valve with severely reduced opening (aortic valve area of 0.98 cm2) during early-systole. Short-axis MPR image (B) shows hypertrophied mid-LV wall, particularly asymmetric septal hypertrophy (arrows). Delayed-enhancement CCT image (C) shows extensive mesocardial delayed hyperenhancement in middle LV wall (arrows).