Key messages

• The prognosis of concomitant AS and MR is worse than that of severe AS alonegraphic.
• Combination of AS and MR can make the assessment of the severity of both valve lesions challenging. Echocardiography is the first-line imaging technique but CT calcium scoring can help adjudicate aortic stenosis severity in challenging situations. In selected cases, CMR can be performed to aid MR quantificationgraphic.
• The aetiology of the MR in patients with severe AS should be precisely defined by imaging, since it will impact the management of these patients and particularly the choice of timing (and type) for interventiongraphic.
• The extent of myocardial damage, resulting from both heart valve diseases, should be reported precisely, using echocardiography and CMR as requiredgraphic.
• The prognosis of concomitant AS and MR is worse than that of severe AS alonegraphic.
• Combination of AS and MR can make the assessment of the severity of both valve lesions challenging. Echocardiography is the first-line imaging technique but CT calcium scoring can help adjudicate aortic stenosis severity in challenging situations. In selected cases, CMR can be performed to aid MR quantificationgraphic.
• The aetiology of the MR in patients with severe AS should be precisely defined by imaging, since it will impact the management of these patients and particularly the choice of timing (and type) for interventiongraphic.
• The extent of myocardial damage, resulting from both heart valve diseases, should be reported precisely, using echocardiography and CMR as requiredgraphic.

Key messages

• The prognosis of concomitant AS and MR is worse than that of severe AS alonegraphic.
• Combination of AS and MR can make the assessment of the severity of both valve lesions challenging. Echocardiography is the first-line imaging technique but CT calcium scoring can help adjudicate aortic stenosis severity in challenging situations. In selected cases, CMR can be performed to aid MR quantificationgraphic.
• The aetiology of the MR in patients with severe AS should be precisely defined by imaging, since it will impact the management of these patients and particularly the choice of timing (and type) for interventiongraphic.
• The extent of myocardial damage, resulting from both heart valve diseases, should be reported precisely, using echocardiography and CMR as requiredgraphic.
• The prognosis of concomitant AS and MR is worse than that of severe AS alonegraphic.
• Combination of AS and MR can make the assessment of the severity of both valve lesions challenging. Echocardiography is the first-line imaging technique but CT calcium scoring can help adjudicate aortic stenosis severity in challenging situations. In selected cases, CMR can be performed to aid MR quantificationgraphic.
• The aetiology of the MR in patients with severe AS should be precisely defined by imaging, since it will impact the management of these patients and particularly the choice of timing (and type) for interventiongraphic.
• The extent of myocardial damage, resulting from both heart valve diseases, should be reported precisely, using echocardiography and CMR as requiredgraphic.
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