Key messages
| • When evaluating a patient with significant AS, a precise assessment of the right heart should always be performed, including the presence and severity of TR, quantification of RV size and function, RA size, and pulmonary pressures, as they portend prognostic and management implications |  . |
| • The combination of significant AS and TR can challenge severity assessments of the individual valve lesions. A MMI approach should be used, starting with echocardiography, and incorporating CT calcium scoring (for AS) or CMR (for TR) as required to improve assessment |  . |
| • MMI and the combination of 3D echocardiography and CMR, should also be used to assess myocardial damage in terms of RV and RA remodelling. In addition, right heart catheterization might be valuable for the assessment of pulmonary pressures and estimation of RV function | . |
| • In case of transcatheter intervention, a sequential approach is normally applied to treat both valve diseases and MMI, including 3D echocardiography and CT, is crucial to assess the feasibility of each procedure | . |
| • When evaluating a patient with significant AS, a precise assessment of the right heart should always be performed, including the presence and severity of TR, quantification of RV size and function, RA size, and pulmonary pressures, as they portend prognostic and management implications | . |
| • The combination of significant AS and TR can challenge severity assessments of the individual valve lesions. A MMI approach should be used, starting with echocardiography, and incorporating CT calcium scoring (for AS) or CMR (for TR) as required to improve assessment | . |
| • MMI and the combination of 3D echocardiography and CMR, should also be used to assess myocardial damage in terms of RV and RA remodelling. In addition, right heart catheterization might be valuable for the assessment of pulmonary pressures and estimation of RV function | . |
| • In case of transcatheter intervention, a sequential approach is normally applied to treat both valve diseases and MMI, including 3D echocardiography and CT, is crucial to assess the feasibility of each procedure | . |
Key messages
| • When evaluating a patient with significant AS, a precise assessment of the right heart should always be performed, including the presence and severity of TR, quantification of RV size and function, RA size, and pulmonary pressures, as they portend prognostic and management implications | . |
| • The combination of significant AS and TR can challenge severity assessments of the individual valve lesions. A MMI approach should be used, starting with echocardiography, and incorporating CT calcium scoring (for AS) or CMR (for TR) as required to improve assessment | . |
| • MMI and the combination of 3D echocardiography and CMR, should also be used to assess myocardial damage in terms of RV and RA remodelling. In addition, right heart catheterization might be valuable for the assessment of pulmonary pressures and estimation of RV function | . |
| • In case of transcatheter intervention, a sequential approach is normally applied to treat both valve diseases and MMI, including 3D echocardiography and CT, is crucial to assess the feasibility of each procedure | . |
| • When evaluating a patient with significant AS, a precise assessment of the right heart should always be performed, including the presence and severity of TR, quantification of RV size and function, RA size, and pulmonary pressures, as they portend prognostic and management implications | . |
| • The combination of significant AS and TR can challenge severity assessments of the individual valve lesions. A MMI approach should be used, starting with echocardiography, and incorporating CT calcium scoring (for AS) or CMR (for TR) as required to improve assessment | . |
| • MMI and the combination of 3D echocardiography and CMR, should also be used to assess myocardial damage in terms of RV and RA remodelling. In addition, right heart catheterization might be valuable for the assessment of pulmonary pressures and estimation of RV function | . |
| • In case of transcatheter intervention, a sequential approach is normally applied to treat both valve diseases and MMI, including 3D echocardiography and CT, is crucial to assess the feasibility of each procedure | . |
