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. 2022 Sep 28;44(1):28–40. doi: 10.1093/eurheartj/ehac504

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© The Author(s) 2022. Published by Oxford University Press on behalf of European Society of Cardiology.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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Assessment by magnetic resonance imaging of a patient with critical aortic stenosis. A 4-chamber bSSFP-cine image (A) showing normal left ventricular cavity size with concentric hypertrophy. Short-axis bSSFP-cine image (B) en-face view of the aortic valve demonstrating fusion of the left and right coronary cusp and a planimetered aortic valve area of 0.6 cm². Phase-contrast imaging just above the aortic valve (C + D) demonstrating a peak velocity of nearly 5 m/s. Bright (E) and dark (F) blood late gadolinium enhancement images demonstrating patchy, non-infarct scar in the lateral wall. A native T1 map (G) and extracellular volume fraction map (H) demonstrate no evidence of myocardial infiltration (septal T1 1040 ms, lateral wall T1 1060 ms, normal <1060 ms; septal ECV 26%, lateral wall ECV 28%, normal <30%).