Abstract
Types of prosthetic valves:
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Abbreviations
- AR:
-
Aortic regurgitation
- AS:
-
Aortic stenosis
- AV:
-
Aortic valve
- AVA:
-
Aortic valve area
- CO:
-
Cardiac output
- EROA:
-
Effective regurgitant orifice area
- LVOT:
-
Left ventricular outflow tract
- N.B.:
-
Nota bene (lat)
- SV:
-
Stroke volume
- VTI:
-
Velocity time integral
References
Zoghbi WA, Chambers JB, Dumesnil JG, Foster E, Gottdiener JS, Grayburn PA, Khandheria BK, Levine RA, Marx GR, Miller Jr FA, Nakatani S, Quiñones MA, Rakowski H, Rodriguez LL, Swaminathan M, Waggoner AD, Weissman NJ, Zabalgoitia M, American Society of Echocardiography’s Guidelines and Standards Committee; Task Force on Prosthetic Valves; American College of Cardiology Cardiovascular Imaging Committee; Cardiac Imaging Committee of the American Heart Association; European Association of Echocardiography; European Society of Cardiology; Japanese Society of Echocardiography; Canadian Society of Echocardiography; American College of Cardiology Foundation; American Heart Association; European Association of Echocardiography; European Society of Cardiology; Japanese Society of Echocardiography; Canadian Society of Echocardiography. Recommendations for evaluation of prosthetic valves with echocardiography and Doppler ultrasound: a report From the American Society of Echocardiography’s Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2009;22(9):975–1014.
Ben Zekry S, Saad RM, Ozkan M, Al Shahid MS, Pepi M, Muratori M, Xu J, Little SH, Zoghbi WA. Flow acceleration time and ratio of acceleration time to ejection time for prosthetic aortic valve function. JACC Cardiovasc Imaging. 2011;4(11):1161–70.
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Video 6.1
Show images of a 12 year old aortic bioprosthesis. The prosthetic aortic leaflets are significantly thickened and calcified consistent with degenerative valve changes (AVI 17063 kb)
Video 6.2
Color Doppler flow shows turbulent flow across prosthesis consistent elevated gradients (AVI 11626 kb)
Video 6.3
Example of a paravalvular aortic prosthetic valve regurgitation as viewed from left atrium using 3D transesophageal imaging (AVI 1060 kb)
Video 6.4
Shows a patient with St. Jude mitral prosthesis with prolonged subtherapeutic INR. Video shows a stuck prosthetic disc resulting in significant mitral stenosis (AVI 12449 kb)
Video 6.5
Apical 4 chamber view showing a laterally located paravalvular mitral prosthetic valve regurgitation (AVI 1170 kb)
Video 6.6
Parasternal long axis image showing an anteriorly located (adjacent to aorta) paravalvular mitral prosthetic valve regurgitation (AVI 6249 kb)
Video 6.7
Transesophageal image of mechanical tilting disc mitral valve with irregular mobile masses on the left atrial surface of the prosthetic valve consistent with vegetations (AVI 10292 kb)
Video 6.8
Parasternal long axis view of a aortic prosthesis with a circumferential dehiscence from the aortic annulus; the aortic prosthesis has migrated superiorly into the aortic sinuses and ascending aorta; note the echo free space from the edge of the prosthesis to the aortic annulus representing dehiscence space (AVI 2421 kb)
Video 6.9
Color Doppler image (right) of video 6.8 showing presence of a flow from the aortic root into the left atrium consistent with a fistulous tract (AVI 3803 kb)
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Kireyev, D., Hung, J. (2016). Evaluation of Prosthetic Valves. In: Kireyev, D., Hung, J. (eds) Cardiac Imaging in Clinical Practice. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-21458-0_6
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DOI: https://doi.org/10.1007/978-3-319-21458-0_6
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