Abstract
Since its early beginnings prosthetic heart valve replacement has been related to some specific problems, the importance of which has changed in the last decades, but which continue to be matters for discussion. First, this includes a consequent diagnosis of prosthetic valve malfunctions, made in time to initiate an early therapy. Frequently, this therapy consists in surgical revision of the malfunctioning prosthesis; sometimes reoperation can be avoided by early induction of conservative therapy (prosthetic valve endocarditis, prosthetic valve thrombosis). Regarding prosthetic valve malfunctions, paraprosthetic leakages and dysfunctions of the valve occluder itself which may be caused by infective endocarditis, prosthetic valve thrombosis, tissue ingrowth, material defects or a degeneration of the biological valve material must be differentiated. A variety of case reports document the importance of diagnostics in due time and immediate initiation of an adequate therapy for the successful management of prosthetic valve malfunctions (1,2). Normally noninvasive examinations before initiating adequate therapeutic measures are sufficient to achieve an accurate diagnosis of a prosthesis malfunction (cf. chapter 7.2).
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© 1986 Springer-Verlag Berlin Heidelberg
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Horstkotte, D., Loogen, F. (1986). Valve Malfunction and Heart Valve Replacement in Patients at Risk. In: Horstkotte, D., Loogen, F. (eds) Update in Heart Valve Replacement. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-10713-3_16
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DOI: https://doi.org/10.1007/978-3-662-10713-3_16
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-662-10715-7
Online ISBN: 978-3-662-10713-3
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