When Echocardiography Is Challenging in Localizing Bioprosthetic Aortic Regurgitation: Dye Don’t Lie

Transesophageal echocardiography is the main imaging modality for localizing and quantifying prosthetic aortic regurgitation. We describe a case of bioprosthetic aortic paravalvular leak (PVL) where transesophageal echocardiography was inadequate; aortic root angiography and computed tomography fusi...

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Detalles Bibliográficos
Autores principales: Hatab, Taha, Wessly, Priscilla, Zaid, Syed, Faza, Nadeen, Chang, Su Min, Kleiman, Neal S., Little, Stephen H., Goel, Sachin S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Mini-Focus Issue: Structural Heart
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240279/
https://www.ncbi.nlm.nih.gov/pubmed/37283832
http://dx.doi.org/10.1016/j.jaccas.2023.101853
Descripción
Sumario:Transesophageal echocardiography is the main imaging modality for localizing and quantifying prosthetic aortic regurgitation. We describe a case of bioprosthetic aortic paravalvular leak (PVL) where transesophageal echocardiography was inadequate; aortic root angiography and computed tomography fusion were critical in diagnosing and guiding closure. Multimodality imaging can be pivotal in localizing PVL and guiding transcatheter PVL closure. (Level of Difficulty: Intermediate.)

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