The Radiology of Prosthetic Heart Valves

  • Robert M. Steiner
  • Stephanie Flicker


The development of prosthetic heart valves in the late 1950s ushered in a new era in the treatment of heart disease. The radiologist has an important role to play preoperatively in the diagnosis of valvular heart disease. Radiology is valuable in identification of the implanted prosthetic valve and recognition of complications associated with valve implantation. Radiologists must be familiar with the imaging techniques best suited to evaluate the function of the valve prosthesis in question (1-3).


Aortic Valve Mitral Valve Infective Endocarditis Prosthetic Valve Prosthetic Heart Valve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Steiner RM, Mintz G: The radiology of prosthetic cardiac valves. In: Herman PG (ed.) Iatrogenic thoracic complications. Springer-Verlag, New York, 1983, pp. 201 – 226.Google Scholar
  2. 2.
    Steiner RM, Mintz G: The radiology of pros-thetic valves. In: Grainger R, Allison D (eds.) Textbook of Diagnostic Imaging. Churchill Livingstone, New York, 1985.Google Scholar
  3. 3.
    Bouchek LI: Current status of cardiac valve replacement: selection of a prosthesis and indicators for operation. Am Heart J 101: 196 – 205, 1981.Google Scholar
  4. 4.
    Spindola-Franco H, Fish BG, Dachman A, Grose R, Attai L: Recognition of bicuspid aortic valve by plain film calcification. AJR 139: 867 – 872, 1982.PubMedGoogle Scholar
  5. 5.
    Seningen RP, Buckley BH, Roberts WC: Prosthetic aortic stenosis. Circulation 49: 921 – 924, 1974.PubMedGoogle Scholar
  6. 6.
    Rahimtoola SH: The problem of valve prosthesis-patient mismatch. Circulation 58: 20 – 24, 1978.PubMedGoogle Scholar
  7. 7.
    Chun PKC, Rajfer SI, Donohue KJ, Bowen TE, Davia JE: Bjork-Shiley mitral valvular dehiscence. Am Heart J 99: 230 – 234, 1980.PubMedCrossRefGoogle Scholar
  8. 8.
    Larrieu AJ, Puglia E, Allen P: Strut fracture and disc embolization of a Bjork-Shiley mitral valve prosthesis: localization of embolized disc by computerized axial tomography. Ann Thorac Surg 34: 192 – 195, 1982.PubMedCrossRefGoogle Scholar
  9. 9.
    Bjork VO, Henze A, Jerelo M: Aortographic follow-up in patients with the Bjork-Shiley aortic disc valve prosthesis. Scand J Thorac Cardiovasc Surg 7: 1 – 6, 1973.PubMedCrossRefGoogle Scholar
  10. 10.
    Cipriano PR, Billingham ME, Oyer PE, Kutsche LM, Stinson EB: Calcification of porcine prosthetic heart valves. Circulation 60: 1100 – 1104, 1982.CrossRefGoogle Scholar
  11. 11.
    Knight JP, Torell JA, Hunter RE: Bacterial endocarditis associated with porcine heterograft heart valve calcification. Am J Cardiol 53: 370 – 372, 1984.PubMedCrossRefGoogle Scholar
  12. 12.
    Edmunds LH: Thromboembolic complications of current cardiac valvular prostheses. Ann Thorac Surg 34: 96 – 106, 1982.PubMedCrossRefGoogle Scholar
  13. 13.
    Bream P, Tonkin I, Elliot L: Acquired valvular heart disease. In: Teplick G, Haskins M (eds.) Surgical Radiology. W.B. Saunders, Philadelphia, 1981, vol 2, pp. 1769–1779.Google Scholar
  14. 14.
    Chun PKC, Nelson WP: Common cardiac prosthetic valves. JAMA 237: 401 – 403, 1977.CrossRefGoogle Scholar
  15. 15.
    Sands MJ, Lachman AS, O’Reilly DJ, Leach CN, Sappington JB, Katz AM: Diagnostic value of cinefluoroscopy in the evaluation of prosthetic heart valve dysfunction. Am Heart J 104: 622 – 627, 1982.PubMedCrossRefGoogle Scholar
  16. 16.
    White AF, Dinsmore RE, Buckley MJ: Cineradiographic evaluation of prosthetic cardiac valves. Circulation 48: 882 – 890, 1973.PubMedGoogle Scholar
  17. 17.
    Kotler MN, Mintz GS, Panidis I, Morganroth J, Segal B, Ross J: Non-invasive evaluation of normal and abnormal prosthetic valve function. Journal of the American College of Cardiology 2: 151 – 173, 1983.PubMedCrossRefGoogle Scholar
  18. 18.
    Mehlman KJ, Resnekov L: A guide to the radiographic identification of prosthetic heart valves. Circulation 57: 613 – 623, 1978.PubMedGoogle Scholar
  19. 19.
    Silver MD, Datta BN, Bowes VF: A key to identify heart valve prosthesis. Arch Pathol 99: 132 – 138, 1975.PubMedGoogle Scholar
  20. 20.
    Nath PH, Zollikofer C, Castaneda-Zuniga WR, Velasquez G, Formanek A, Nicoloff D, Amplatz K: Radiological evaluation of composite aortic grafts. Radiology 131: 43 – 51, 1979.PubMedGoogle Scholar
  21. 21.
    Morton MJ, Rahimtoola SH: How to follow patients with prosthetic heart valves. J Cardiovasc Med 5: 1 – 10, 1980.Google Scholar
  22. 22.
    Feldman HJ, Gray RJ, Chaux A, Halpern SW, Kraus R, Allen HN, Matloff JM: Non-invasive in vivo and in vitro study of the St. Jude mitral valve prosthesis. Am J Cardiol 49: 1101 – 1109, 1982.CrossRefGoogle Scholar
  23. 23.
    Castaneda-Zuniga W, Nicoloff D, Jorgensen C, Nath PH, Zollikofer C, Amplatz K: In vivo radiographic appearance of the St. Jude valve prosthesis. Radiology 134: 775 – 776, 1980.PubMedGoogle Scholar
  24. 24.
    Godwin RJ: Cineradiographic assessment of Bjork-Shiley aortic and mitral prosthetic heart valves. Clin Radiol 28: 355 – 360, 1977.PubMedCrossRefGoogle Scholar
  25. 25.
    Bjork VO, Henze A, Hindmarsh T: Radiopaque marker in the tilting disc of the Bjork-Shiley heart valve. J Thorac Cardiovasc Surg 73: 563 – 569, 1977.PubMedGoogle Scholar
  26. 26.
    Verdel G, Heethaar, Jambroes G, Van Der Werf T; Assessment of the opening angle of implanted Bjork-Shiley prosthetic valves. Circulation 68: 355 – 359, 1983.PubMedCrossRefGoogle Scholar
  27. 27.
    Heystraten FMJ, Paalman H: Cineradiographic evaluation of Bjork-Shiley mitral and aortic valves. Ann Radiol 24: 346 - 348, 1981.PubMedGoogle Scholar
  28. Feist JH, Magovern GJ: In vivo behavior of artificial aortic and mitral valve prostheses: preliminary aberrations. Radiology 791 – 794, 1967.Google Scholar
  29. 29.
    Gimenez JL, Soulen RL, Davila JC: Prosthetic valve detachment: its roentgenography recognition. Am J Roentgenol 103: 595 – 600, 1968.Google Scholar
  30. 30.
    Paquet E, Blanchette J, Desaulniers D, Depres JP, Lemieux M: Value of a cinefluoroscopic assessment of the Lillehei-Kaster prosthetic heart valves. Cardiovasc Radiol 1: 229 – 232, 1978.PubMedCrossRefGoogle Scholar
  31. Gruendler EP: Clinical radiographic images of the Duromedics bileafiet cardiac valve. Duromedics Marketing Memorandum, Nos 1 and 2, 1984.Google Scholar
  32. 32.
    Sands MJ, Kreulen TH, McDonough MT, Fadali MA, Spann JF: Pseudomalfunction of a Beall valve mitral valve prosthesis in the presence of paravalvular aortic regurgitation. Am J Cardiol 36: 88 – 90, 1975.PubMedCrossRefGoogle Scholar
  33. 33.
    Carlson EB, Mintz GS, Bemis CE: Hemodynamic significance of normal and abnormal fluoroscopic patterns of disc motion in the Beall mitral valve prosthesis. Radiology 141: 335 – 339, 1981.PubMedGoogle Scholar
  34. 34.
    Oliva PB, Johnson ML, Pomerantz M, Levene A: Dysfunction of the Beall mitral prosthesis and its detection by cinefluoroscopy and echocardiography. Am J Cardiol 31: 393 – 395, 1973.PubMedCrossRefGoogle Scholar
  35. 35.
    Hipona FA, Lerona PT, Paredes S: Radiologic diagnosis of late complications associated with cardiac valve surgery in acquired heart disease. Radiol Clin North Am 9: 265 – 283, 1971.PubMedGoogle Scholar
  36. 36.
    Gabriel O: Postoperative radiography of aortic valve prosthesis. J Thorac Cardiovasc Surg 58: 248 – 249, 1969.Google Scholar
  37. 37.
    Hylen JC, Judkins MP, Herr RH, Starr A: Radiographic diagnosis of aortic-ball variance. JAMA 207: 1120 – 1124, 1969.PubMedCrossRefGoogle Scholar
  38. 38.
    Muller WA, Cohn LH, Schoen FJ: Infection within a degenerated Starr-Edwards’s silicone rubber poppet in the aortic valve position. Am J Cardiol 54: 1746, 1984.CrossRefGoogle Scholar
  39. 39.
    Joyce LD, Emery RW, Nicoloff DM: Ball variance and fracture of mitral valve prosthesis causing recurrent thromboemboli. J Thorac Cardiovasc Surg 75: 309 – 312, 1978.PubMedGoogle Scholar
  40. 40.
    Hylen JC: Mechanical malfunction and thrombosis of prosthetic heart valves. Am J Cardiol 30: 396 – 402, 1972.PubMedCrossRefGoogle Scholar
  41. 41.
    Kloster FE: Diagnosis and management of complications of prosthetic heart valves. Am J Cardiol 35: 872 – 883, 1975.PubMedCrossRefGoogle Scholar
  42. 42.
    Yakirevich V, Miller HI, Shapira I, Ostzjega E, Gueron M, Vanderman A, Vidne B: Intermittent poppet dislodgement in a Braunwald- Cutter prosthesis: non-invasive diagnosis and successful surgical treatment. Journal of the American College of Cardiology 3: 442 – 446, 1984.PubMedCrossRefGoogle Scholar
  43. 43.
    Wild LM, Lajost Z, Lee AB, Wright J: Left ventricular laceration due to stented prosthesis. Chest 77: 216 – 217, 1980.PubMedCrossRefGoogle Scholar
  44. 44.
    Gore JM, Dalen JE: Complications of prosthetic heart valves: when to reoperate. J Car-diovasc Med 8: 1153 – 1160, 1983.Google Scholar
  45. 45.
    Gutierrez FR, McKnight RC, Clark RE, Bishop AF, Ludbrook PA, Nordlicht SM: Chest film diagnosis of disc embolization in patients with Beall mitral valve prostheses. J Thorac Cardiovasc Surg 81: 758 – 761, 1981.PubMedGoogle Scholar
  46. 46.
    Hartzler GO, Diehl AM, Reed WA: Nonsurgical correction of a “frozen” disc valve prosthesis using a catheter technique and intracardiac streptokinase infusion. Journal of the American College of Cardiology 4: 779 – 783, 1984.PubMedCrossRefGoogle Scholar
  47. 47.
    Schachner A, Vidne B, Levy MJ: Retrograde dislodgment of a Cross-Jones mitral valve oc-cluder. Scand J Thorac Cardiovasc Surg 13: 263 - 265, 1979.PubMedCrossRefGoogle Scholar
  48. 48.
    Zumbro GL, Cunder PE, Fishback ME, Galloway RF: Strut fracture in DeBakey valve. J Thorac Cardiovasc Surg 74: 469 – 470, 1977.PubMedGoogle Scholar
  49. 49.
    Guit GL, van Voorthuisen AE, Steiner RM: Outlet strut fracture of the Bjork-Shiley mitral prosthesis. Radiology. 154: 298 – 299, 1985.PubMedGoogle Scholar
  50. 50.
    Rossiter SJ, Stinson EB, Oyer PE, Miller DC, Schapira JW, Martin RP, Shumway NE: Prosthetic valve endocarditis. J Thorac Cardiovasc Surg 76: 795 – 803, 1978.PubMedGoogle Scholar
  51. 51.
    Venkataraman K, Beer RF, Mathews NP, Carl JR, Harrison EC, Tuner AF, Finck EJ: Thrombosis of Bjork-Shiley aortic valve prostheses. Radiology 137: 43 – 47, 1980.PubMedGoogle Scholar
  52. 52.
    Salomon NW, Copeland JG, Goldman S, Larson OF: Unusual complication of the Hancock porcine heterograft. J Thorac Cardiovasc Surg 77: 294 – 296, 1979.PubMedGoogle Scholar
  53. 53.
    Bortolotti V, Thiene G, Casarotto D, Mazzucco A, Gallueci V: Left ventricular rupture following mitral valve replacement with a Hancock bioprosthesis. Chest 77: 235 – 237, 1980.PubMedCrossRefGoogle Scholar
  54. 54.
    Soulen RL, Higgins CB, Budinger TF: Effects of magnetic resonance imaging on prosthetic heart valves. Circulation 70 (Suppl II): 170, 1984.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1985

Authors and Affiliations

  • Robert M. Steiner
  • Stephanie Flicker

There are no affiliations available

Personalised recommendations