Diagnostic evaluation of left-sided prosthetic heart valve dysfunction

被引：57

作者：

Habets, Jesse ^{[1
]}

Budde, Ricardo P. ^{[1
]}

Symersky, Petr ^{[5
]}

van den Brink, Renee B. ^{[4
]}

de Mol, Bas A. ^{[5
]}

Mali, Willem P. ^{[1
]}

van Herwerden, Lex A. ^{[2
]}

Chamuleau, Steven A. ^{[3
]}

机构：

[1] Univ Med Ctr, Dept Radiol, NL-3508 GA Utrecht, Netherlands

[2] Univ Med Ctr, Dept Cardiothorac Surg, NL-3508 GA Utrecht, Netherlands

[3] Univ Med Ctr, Dept Cardiol, NL-3508 GA Utrecht, Netherlands

[4] Acad Med Ctr, Dept Cardiol, NL-1100 DD Amsterdam, Netherlands

[5] Acad Med Ctr, Dept Cardiothorac Surg, NL-1100 DD Amsterdam, Netherlands

来源：

NATURE REVIEWS CARDIOLOGY | 2011年 / 8卷 / 08期

关键词：

DOPPLER ECHOCARDIOGRAPHIC EVALUATION; ROW COMPUTED-TOMOGRAPHY; FREESTYLE STENTLESS BIOPROSTHESIS; JUDE MEDICAL VALVES; SMALL AORTIC ROOT; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; HEMODYNAMIC PERFORMANCE; PATIENT MISMATCH; MECHANICAL PROSTHESES; EXERCISE HEMODYNAMICS;

D O I：

10.1038/nrcardio.2011.71

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Prosthetic heart valve (PHV) dysfunction is a rare, but potentially life-threatening, complication. In clinical practice, PHV dysfunction poses a diagnostic dilemma. Echocardiography and fluoroscopy are the imaging techniques of choice and are routinely used in daily practice. However, these techniques sometimes fail to determine the specific cause of PHV dysfunction, which is crucial to the selection of the appropriate treatment strategy. Multidetector-row CT (MDCT) can be of additional value in diagnosing the specific cause of PHV dysfunction and provides valuable complimentary information for surgical planning in case of reoperation. Cardiac magnetic resonance imaging (CMR) has limited value in the evaluation of biological PHV dysfunction. In this Review, we discuss the use of established imaging modalities for the detection of left-sided mechanical and biological PHV dysfunction and discuss the complementary role of MDCT in this context.

引用

页码：466 / 478

页数：13

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