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Multimodality Imaging Assessment of Prosthetic Aortic Valve

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Advances in Treatments for Aortic Valve and Root Diseases

Abstract

Doppler-echocardiography is the primary imaging modality to assess the structural and functional integrity of aortic prosthetic heart valves (PHVs). A comprehensive approach that integrates several parameters of PHV structure and function measured in multiple views by transthoracic (TTE) or transoesophageal (TEE) echocardiography is essential to appropriately detect and quantitate PHV dysfunction and complications. Other imaging modalities such as cinefluoroscopy, MDCT, CMR, and nuclear imaging are valuable additional tools in the diagnosis and management of PHV dysfunction and complications, particularly when Doppler-echocardiography is inconclusive or discordant with clinical status. TEE, cinefluoroscopy, and MDCT are particularly helpful to identify the abnormalities in the morphology and/or mobility of the PHV leaflet/occluder as well as to assess the paravalvular lesions. CMR may be useful to corroborate the severity of PHV regurgitation, and particularly paravalvular regurgitation in patients with transcatheter aortic valves.

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Authors and Affiliations

  1. Department of Medicine, Québec Heart and Lung Institute/Institut Universitaire de Cardiologie et de Pneumologie de Québec, Laval University, Québec, QC, Canada

    Mohamed-Salah Annabi, Erwan Salaun & Philippe Pibarot

  2. Cardiology Department (CHVZ), In Vivo Molecular and Cellular Imaging Center, Universitair Ziekenhuis Brussel, Brussel, Belgium

    Bernard Cosyns

  3. Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU Sart Tilman, Liège, Belgium

    Patrizio Lancellotti M.D., Ph.D.

  4. GVM Care and Research, E.S. Health Science Foundation, Lugo, RA, Italy

    Patrizio Lancellotti M.D., Ph.D.

Authors
  1. Mohamed-Salah Annabi
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  2. Erwan Salaun
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  3. Bernard Cosyns
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  4. Patrizio Lancellotti M.D., Ph.D.
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  5. Philippe Pibarot
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Corresponding author

Correspondence to Philippe Pibarot .

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Editors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, GVM Care and Research, MEH, University of Palermo, Palermo, Italy

    Khalil Fattouch

  2. Department of Cardiology, University of Liège, Liège, Belgium

    Patrizio Lancellotti

  3. Marcus Heart Valve Center, Piedmont Heart Institute, Atlanta, GA, USA

    Mani A. Vannan

  4. Cardiovascular Surgery Department, GVM Care & Research, Anthea Hospital, Bari, Italy

    Giuseppe Speziale

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Annabi, MS., Salaun, E., Cosyns, B., Lancellotti, P., Pibarot, P. (2018). Multimodality Imaging Assessment of Prosthetic Aortic Valve. In: Fattouch, K., Lancellotti, P., Vannan, M., Speziale, G. (eds) Advances in Treatments for Aortic Valve and Root Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-66483-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-66483-5_7

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