Prosthetic valve obstruction: Diagnostic usefulness of cineradiography and multidetector-row computed tomography

被引:10
作者
Aoyagi, S. [1 ]
Fukunaga, S. [1 ]
Arinaga, K. [1 ]
Shojima, T. [1 ]
Ueda, T. [1 ]
机构
[1] Kurume Univ, Sch Med, Dept Surg, Kurume, Fukuoka 8300011, Japan
关键词
heart valve surgery; cardiovascular surgery; heart disease;
D O I
10.1055/s-2006-924712
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
We report a case of a 65-year-old man with obstruction in an aortic St. Jude Medical (SJM) valve caused by pannus. Serial cineradiography demonstrated a gradual increase in the restriction of the leaflet opening without echocardiographic abnormalities for 4 years before echocardiography finally showed obstruction of the aortic SJM valve. The cause of obstruction could not be determined even by transesophageal echocardiography; however, multidetector-row computed tomography clearly defined pannus in the ventricular aspect of the valve, which was confirmed at surgery.
引用
收藏
页码:517 / 519
页数:3
相关论文
共 10 条
[1]
Obstruction of mechanical valve prostheses: Clinical diagnosis and surgical or nonsurgical treatment [J].
Aoyagi, S ;
Fukunaga, S ;
Suzuki, S ;
Nishi, Y ;
Oryoji, A ;
Kosuga, K .
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 1996, 26 (06) :400-406
[2]
Obstruction of St Jude Medical valves in the aortic position: Significance of a combination of cineradiography and echocardiography [J].
Aoyagi, S ;
Nishimi, M ;
Kawano, H ;
Tayama, E ;
Fukunaga, S ;
Hayashida, N ;
Akashi, H ;
Kawara, T .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2000, 120 (01) :142-147
[3]
Obstruction of St Jude medical valves in the aortic position: a consideration for pathogenic mechanism of prosthetic valve obstruction [J].
Aoyagi, S ;
Nishimi, M ;
Tayama, E ;
Fukunaga, S ;
Hayashida, N ;
Akashi, H ;
Kawara, T .
CARDIOVASCULAR SURGERY, 2002, 10 (04) :339-344
[4]
OBSTRUCTION OF THE ST-JUDE MEDICAL VALVE - DIAGNOSTIC AND THERAPEUTIC VALUES OF CINERADIOGRAPHY [J].
AOYAGI, S ;
HIGA, Y ;
MATSUZOE, S ;
NISHI, Y ;
TANAKA, K ;
KAWARA, T ;
ORYOJI, A ;
KOSUGA, K ;
OISHI, K .
THORACIC AND CARDIOVASCULAR SURGEON, 1993, 41 (06) :357-363
[5]
Cianciulli TF, 2005, J HEART VALVE DIS, V14, P664
[6]
OBSTRUCTION OF MECHANICAL HEART-VALVE PROSTHESES - CLINICAL ASPECTS AND SURGICAL-MANAGEMENT [J].
DEVIRI, E ;
SARELI, P ;
WISENBAUGH, T ;
CRONJE, SL .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 17 (03) :646-650
[7]
Role of cine-fluoroscopy, transthoracic, and transesophageal echocardiography in patients with suspected prosthetic heart valve thrombosis [J].
Montorsi, P ;
De Bernardi, F ;
Muratori, M ;
Cavoretto, D ;
Pepi, M .
AMERICAN JOURNAL OF CARDIOLOGY, 2000, 85 (01) :58-64
[8]
Prosthetic valve obstruction with normal disk motion: Usefulness of transesophageal echocardiography to define cause [J].
Nakatani, S ;
Andoh, M ;
Okita, K ;
Yamagishi, M ;
Miyatake, K .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 1999, 12 (06) :537-539
[9]
Reoperations for acute prosthetic thrombosis and pannus: an assessment of rates, relationship and risk [J].
Rizzoli, G ;
Guglielmi, C ;
Toscano, G ;
Pistorio, V ;
Vendramin, I ;
Bottio, T ;
Thiene, G ;
Casarotto, D .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1999, 16 (01) :74-80
[10]
Detection of pannus by multidetector-row computed tomography [J].
Teshima, H ;
Hayashida, N ;
Enomoto, N ;
Aoyagi, S ;
Okuda, K ;
Uchida, M .
ANNALS OF THORACIC SURGERY, 2003, 75 (05) :1631-1633