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Cardiac
Diagnosis
Valvular
Valvular Prosthesis
Valvular Prosthesis
Suhny Abbara, MD, FACR, FSCCT; Arzu Canan, MD
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KEY FACTS

  • Imaging

    TERMINOLOGY

    • Definitions

      • Replacement of diseased native cardiac valves with mechanical or bioprosthetic valves

    IMAGING

    • General Features

      • Imaging Recommendations

        DIFFERENTIAL DIAGNOSIS

          CLINICAL ISSUES

          • Presentation

            • Demographics

              • Natural History & Prognosis

                DIAGNOSTIC CHECKLIST

                • Consider

                  Selected References

                  1. Nishimura RA et al: 2017 AHA/ACC focused update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 70(2):252-89, 2017
                  2. Lancellotti P et al: Recommendations for the imaging assessment of prosthetic heart valves: a report from the European Association of Cardiovascular Imaging endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 17(6):589-90, 2016
                  3. Habets J et al: Multidetector CT angiography in evaluation of prosthetic heart valve dysfunction. Radiographics. 32(7):1893-905, 2012
                  4. Leipsic J et al: The evolving role of MDCT in transcatheter aortic valve replacement: a radiologists' perspective. AJR Am J Roentgenol. 193(3):W214-9, 2009
                  5. Taylor NE et al: Relationship between race and mortality and morbidity after valve replacement surgery. Circulation. 111(10):1305-12, 2005
                  6. Gott VL et al: Mechanical heart valves: 50 years of evolution. Ann Thorac Surg. 76(6):S2230-9, 2003
                  7. Braunwald E: Valvular heart disease. In Braunwald E et al: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                  8. Karchmer AW: Infective endocarditis. In Braunwald E et al: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                  9. DeWall RA et al: Evolution of mechanical heart valves. Ann Thorac Surg. 69(5):1612-21, 2000
                  10. Arom KV et al: Ten years' experience with the St. Jude Medical valve prosthesis. Ann Thorac Surg. 47(6):831-7, 1989
                  11. Nitter-Hauge S et al: Ten-year experience with the Medtronic Hall valvular prosthesis. A study of 1,104 patients. Circulation. 80(3 Pt 1):I43-8, 1989
                  12. Edmunds LH Jr: Thrombotic and bleeding complications of prosthetic heart valves. Ann Thorac Surg. 44(4):430-45, 1987
                  13. Björk VO: Aortic valve replacement with the Björk-Shiley tilting disc valve prosthesis. Br Heart J. 33:Suppl:42-6, 1971
                  14. Cruz AB Jr et al: A new caged meniscus prosthetic heart valve. Surgery. 58(6):995-8, 1965
                  15. HARKEN DE et al: Partial and complete prostheses in aortic insufficiency. J Thorac Cardiovasc Surg. 40:744-62, 1960
                  16. HUFNAGEL CA et al: Experiences with new types of aortic valvular prostheses. Ann Surg. 147(5):636-44; discussion 644-5, 1958
                  Related Anatomy
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                  Related Differential Diagnoses
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                  References
                  Tables

                  Tables

                  KEY FACTS

                  • Imaging

                    TERMINOLOGY

                    • Definitions

                      • Replacement of diseased native cardiac valves with mechanical or bioprosthetic valves

                    IMAGING

                    • General Features

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  Selected References

                                  1. Nishimura RA et al: 2017 AHA/ACC focused update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 70(2):252-89, 2017
                                  2. Lancellotti P et al: Recommendations for the imaging assessment of prosthetic heart valves: a report from the European Association of Cardiovascular Imaging endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 17(6):589-90, 2016
                                  3. Habets J et al: Multidetector CT angiography in evaluation of prosthetic heart valve dysfunction. Radiographics. 32(7):1893-905, 2012
                                  4. Leipsic J et al: The evolving role of MDCT in transcatheter aortic valve replacement: a radiologists' perspective. AJR Am J Roentgenol. 193(3):W214-9, 2009
                                  5. Taylor NE et al: Relationship between race and mortality and morbidity after valve replacement surgery. Circulation. 111(10):1305-12, 2005
                                  6. Gott VL et al: Mechanical heart valves: 50 years of evolution. Ann Thorac Surg. 76(6):S2230-9, 2003
                                  7. Braunwald E: Valvular heart disease. In Braunwald E et al: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                                  8. Karchmer AW: Infective endocarditis. In Braunwald E et al: Heart Disease: A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: W. B. Saunders, 2001
                                  9. DeWall RA et al: Evolution of mechanical heart valves. Ann Thorac Surg. 69(5):1612-21, 2000
                                  10. Arom KV et al: Ten years' experience with the St. Jude Medical valve prosthesis. Ann Thorac Surg. 47(6):831-7, 1989
                                  11. Nitter-Hauge S et al: Ten-year experience with the Medtronic Hall valvular prosthesis. A study of 1,104 patients. Circulation. 80(3 Pt 1):I43-8, 1989
                                  12. Edmunds LH Jr: Thrombotic and bleeding complications of prosthetic heart valves. Ann Thorac Surg. 44(4):430-45, 1987
                                  13. Björk VO: Aortic valve replacement with the Björk-Shiley tilting disc valve prosthesis. Br Heart J. 33:Suppl:42-6, 1971
                                  14. Cruz AB Jr et al: A new caged meniscus prosthetic heart valve. Surgery. 58(6):995-8, 1965
                                  15. HARKEN DE et al: Partial and complete prostheses in aortic insufficiency. J Thorac Cardiovasc Surg. 40:744-62, 1960
                                  16. HUFNAGEL CA et al: Experiences with new types of aortic valvular prostheses. Ann Surg. 147(5):636-44; discussion 644-5, 1958