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Prosthetic Heart Valves

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Anatomic Basis of Echocardiographic Diagnosis

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Abstract

The development of prosthetic heart valves has been a major advance in the treatment of patients with valvular heart disease. There have been ongoing improvements in valve design so that the performance and durability of the currently available heart valves far surpasses early generation valve prostheses. Despite the major improvements in prosthetic heart valves and the positive impact on outcome of patients with valvular heart disease, prosthetic heart valves are not a perfect solution since they are associated with both early and late complications following their implantation (Table 11.1). Valve replacement with a prosthetic heart valve is not a curative procedure and is best viewed as replacing one condition, native valvular heart disease, with another condition, which is prosthetic valve disease. For this reason, choosing the optimal time for valve replacement in patients with valvular heart ­disease requires careful consideration of the patient’s symptoms, the natural history of the disease, any concomitant cardiac anomalies including additional valvular abnormalities, and the lifestyle of the patient post valve replacement surgery [1]. Patients with prosthetic heart valves need to be regularly followed to monitor for cardiovascular events, particularly prosthesis related complications.

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Authors and Affiliations

  1. Heart Institute Division of Cardiology, University of Ottawa, Ruskin Street 40, K1Y 4W7, Ottawa, Ontario, Canada

    Dr. Kwan-Leung Chan

  2. Department of Laboratory Medicine, Ottawa Hospital, Civic Campus Carling Ave. 1053, K1Y 4E9, Ottawa, Ontario, Canada

    Dr. John P. Veinot

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Correspondence to Kwan-Leung Chan .

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Chan, KL., Veinot, J.P. (2010). Prosthetic Heart Valves. In: Anatomic Basis of Echocardiographic Diagnosis. Springer, London. https://doi.org/10.1007/978-1-84996-387-9_11

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  • DOI: https://doi.org/10.1007/978-1-84996-387-9_11

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