Diagnostic Evaluation of Left-sided Prosthetic Heart Valve Dysfunction

Overview

Journal Nat Rev Cardiol

Specialty Cardiology & Vascular Diseases

Date 2011 May 19

PMID 21587215

Citations 26

Authors

Jesse Habets

Ricardo P Budde

Petr Symersky

Renee B van den Brink

Bas A de Mol

Willem P Mali

Lex A van Herwerden

Steven A Chamuleau

Affiliations

Soon will be listed here.

Abstract

Prosthetic heart valve (PHV) dysfunction is a rare, but potentially life-threatening, complication. In clinical practice, PHV dysfunction poses a diagnostic dilemma. Echocardiography and fluoroscopy are the imaging techniques of choice and are routinely used in daily practice. However, these techniques sometimes fail to determine the specific cause of PHV dysfunction, which is crucial to the selection of the appropriate treatment strategy. Multidetector-row CT (MDCT) can be of additional value in diagnosing the specific cause of PHV dysfunction and provides valuable complimentary information for surgical planning in case of reoperation. Cardiac magnetic resonance imaging (CMR) has limited value in the evaluation of biological PHV dysfunction. In this Review, we discuss the use of established imaging modalities for the detection of left-sided mechanical and biological PHV dysfunction and discuss the complementary role of MDCT in this context.

Citing Articles

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