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The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction

Prosthetic valve (PV) dysfunction (PVD) is a complication of mechanical or biological PV. Etiologic mechanisms associated with PVD include fibrotic pannus ingrowth, thrombosis, structural valve degeneration, and endocarditis resulting in different grades of obstruction and/or regurgitation. PVD can...

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Autores principales: Muratori, Manuela, Fusini, Laura, Mancini, Maria Elisabetta, Tamborini, Gloria, Ghulam Ali, Sarah, Gripari, Paola, Doldi, Marco, Frappampina, Antonio, Teruzzi, Giovanni, Pontone, Gianluca, Montorsi, Piero, Pepi, Mauro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8778309/
https://www.ncbi.nlm.nih.gov/pubmed/35050222
http://dx.doi.org/10.3390/jcdd9010012
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author Muratori, Manuela
Fusini, Laura
Mancini, Maria Elisabetta
Tamborini, Gloria
Ghulam Ali, Sarah
Gripari, Paola
Doldi, Marco
Frappampina, Antonio
Teruzzi, Giovanni
Pontone, Gianluca
Montorsi, Piero
Pepi, Mauro
author_facet Muratori, Manuela
Fusini, Laura
Mancini, Maria Elisabetta
Tamborini, Gloria
Ghulam Ali, Sarah
Gripari, Paola
Doldi, Marco
Frappampina, Antonio
Teruzzi, Giovanni
Pontone, Gianluca
Montorsi, Piero
Pepi, Mauro
author_sort Muratori, Manuela
collection PubMed
description Prosthetic valve (PV) dysfunction (PVD) is a complication of mechanical or biological PV. Etiologic mechanisms associated with PVD include fibrotic pannus ingrowth, thrombosis, structural valve degeneration, and endocarditis resulting in different grades of obstruction and/or regurgitation. PVD can be life threatening and often challenging to diagnose due to the similarities between the clinical presentations of different causes. Nevertheless, identifying the cause of PVD is critical to treatment administration (thrombolysis, surgery, or percutaneous procedure). In this report, we review the role of multimodality imaging in the diagnosis of PVD. Specifically, this review discusses the characteristics of advanced imaging modalities underlying the importance of an integrated approach including 2D/3D transthoracic and transesophageal echocardiography, fluoroscopy, and computed tomography. In this scenario, it is critical to understand the strengths and weaknesses of each modality according to the suspected cause of PVD. In conclusion, for patients with suspected or known PVD, this stepwise imaging approach may lead to a simplified, more rapid, accurate and specific workflow and management.
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spelling pubmed-87783092022-01-22 The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction Muratori, Manuela Fusini, Laura Mancini, Maria Elisabetta Tamborini, Gloria Ghulam Ali, Sarah Gripari, Paola Doldi, Marco Frappampina, Antonio Teruzzi, Giovanni Pontone, Gianluca Montorsi, Piero Pepi, Mauro J Cardiovasc Dev Dis Review Prosthetic valve (PV) dysfunction (PVD) is a complication of mechanical or biological PV. Etiologic mechanisms associated with PVD include fibrotic pannus ingrowth, thrombosis, structural valve degeneration, and endocarditis resulting in different grades of obstruction and/or regurgitation. PVD can be life threatening and often challenging to diagnose due to the similarities between the clinical presentations of different causes. Nevertheless, identifying the cause of PVD is critical to treatment administration (thrombolysis, surgery, or percutaneous procedure). In this report, we review the role of multimodality imaging in the diagnosis of PVD. Specifically, this review discusses the characteristics of advanced imaging modalities underlying the importance of an integrated approach including 2D/3D transthoracic and transesophageal echocardiography, fluoroscopy, and computed tomography. In this scenario, it is critical to understand the strengths and weaknesses of each modality according to the suspected cause of PVD. In conclusion, for patients with suspected or known PVD, this stepwise imaging approach may lead to a simplified, more rapid, accurate and specific workflow and management. MDPI 2022-01-04 /pmc/articles/PMC8778309/ /pubmed/35050222 http://dx.doi.org/10.3390/jcdd9010012 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Muratori, Manuela
Fusini, Laura
Mancini, Maria Elisabetta
Tamborini, Gloria
Ghulam Ali, Sarah
Gripari, Paola
Doldi, Marco
Frappampina, Antonio
Teruzzi, Giovanni
Pontone, Gianluca
Montorsi, Piero
Pepi, Mauro
The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction
title The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction
title_full The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction
title_fullStr The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction
title_full_unstemmed The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction
title_short The Role of Multimodality Imaging in Left-Sided Prosthetic Valve Dysfunction
title_sort role of multimodality imaging in left-sided prosthetic valve dysfunction
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8778309/
https://www.ncbi.nlm.nih.gov/pubmed/35050222
http://dx.doi.org/10.3390/jcdd9010012
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