https://doi.org/10.4081/monaldi.2021.1765
Echocardiographic evaluation of paravalvular aortic regurgitation of a patient with recurrent aortic valve replacements
Submitted: January 11, 2021
Accepted: April 12, 2021
Published: April 21, 2021
Accepted: April 12, 2021
Abstract Views: 2634
PDF: 398
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Paravalvular regurgitation (PVR) is a serious complication after surgical valve replacement. Echocardiography is the gold standard technique to assess the severity of PVR with an integrated approach. A 48-year-old male underwent aortic valve replacement due to infective endocarditis (IE). During in-hospital cardiac rehabilitation after a redo surgery for a new IE three years later, an echo-free anterior space around the valve with several PVRs through transthoracic echocardiography (TTE) was identified. On transesophageal echocardiography (TOE) a double PVR (anterior and posterior) with abscessual cavity was detected. The patient’s conditions worsened within six months with hemodynamic instability: a massive PVR due to a large abscess cavity next to the right cusp was confirmed by TTE and TOE and a third surgery was carried out. On the third admission at our Rehabilitation Unit the echo features were normal. Patient did not report any cardiovascular symptoms at 1 year follow-up.
Safi AM, Kwan T. Paravalvular regurgitation: a rare complication following valve replacement surgery. Angiology 2000;51:479-87.
DOI: https://doi.org/10.1177/000331970005100605
Zoghbi WA, Asch FM, Bruce C, et al. Guidelines for the Evaluation of Valvular Regurgitation After Percutaneous Valve Repair or Replacement A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance. Erratum in: [No authors listed] J Am Soc Echocardiogr 2019;32:914-7. J Am Soc Echocardiog 2019;32:431-75.
DOI: https://doi.org/10.1016/j.echo.2019.01.003
Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis - The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Eur Heart J 2015;36:3075-23.
DOI: https://doi.org/10.1093/eurheartj/ehv319
Summers MR, Leon MB, Smith CR, et al. Prosthetic Valve Endocarditis After TAVR and SAVR - Insights From the PARTNER Trials. Circulation 2019;140:1984–94.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.119.041399
Ruiz CR, Hahn RT, Alain Berrebi A, et al. Clinical trial principles and endpoint definitions for paravalvular leaks in surgical prosthesis. An expert statement. J Am Coll Cardiol 2017;69:2067-87.
DOI: https://doi.org/10.1016/j.jacc.2017.02.038
Kytӧ V, Ahtela E, J Sipilӓ J, et al. Mechanical versus biological valve prosthesis for surgical aortic valve replacement in patients with infective endocarditis. Interact Cardiovasc Thoracic Surg 2019;29:386-92.
DOI: https://doi.org/10.1093/icvts/ivz122
Pinheiro CP, Rezek D, Costa EP, et al. Paravalvular regurgitation: Clinical outcomes in surgical and percutaneous treatments. Arq Bras Cardiol 2016;107:55-62.
DOI: https://doi.org/10.5935/abc.20160086
Del Val Martìn D, Zamorano Gòmez JL. The role of imaging in paravalvular leak assessment. In: G Smolka, W Wojakowski, M Tendera, Editors. Transcatheter paravalvular leak closure. Springer, Singapore; 2017. p. 13-42.
DOI: https://doi.org/10.1007/978-981-10-5400-6_2
Geleijnse ML, Di Martino LFM, Vletter WB, et al. Limitations and difficulties of echocardiographic short-axis assessment of paravalvular leakage after corevalve transcatheter aortic valve implantation. J Cardiovascular Ultrasound 2016;14:37.
DOI: https://doi.org/10.1186/s12947-016-0080-5
Hryniewiecki T, Zatorska K, Abramczuk E, et al. The usefulness of cardiac CT in the diagnosis of perivalvular complications in patients with infective endocarditis. Eur Radiology 2019;29:4368–76.
DOI: https://doi.org/10.1007/s00330-018-5965-2
Eleid MF, Cabalka AK, Malouf JF, et al. Techniques and outcomes for the treatment of paravalvular leak. Circ Cardiovasc Interv 2015;8:e001945.
DOI: https://doi.org/10.1161/CIRCINTERVENTIONS.115.001945
Salaun E, Jacquier A, Theron A, et al. Value of CMR in quantification of paravalvular aortic regurgitation after TAVI. Eur Heart J Cardiovasc Imaging 2016;17:41-50.
Ghersin E, Martinez CA, Singh V, et al. ECG-Gated MDCT after aortic and mitral valve surgery. Am J Roentgenol 2014;203:W596-604.
DOI: https://doi.org/10.2214/AJR.13.12404
How to Cite
Cannata, Lorenzo, and Camilla Zocco Ramazzo. 2021. “Echocardiographic Evaluation of Paravalvular Aortic Regurgitation of a Patient With Recurrent Aortic Valve Replacements”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1765.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Maria Rosario Piccirillo, Armando Natale, Giovanni Trosino, Marianna Sebastopoli, Giovanni Vivona, Giovanni De Martino, Gennaro Ismeno, Luigi Piazza, Luigi Belloni, What’s the best assessment of preload after cardiac surgery? , Monaldi Archives for Chest Disease: Vol. 64 No. 1 (2005): Cardiac series
- Savvas Omorphos, Christophoros Kotoulas, Jarrod James Homer, Kenneth Edward McLaughlin, Delayed repair of esophageal perforation due to transoesophageal echocardiography , Monaldi Archives for Chest Disease: Vol. 68 No. 4 (2007): Cardiac series
- Carlo Uran, Angela Giojelli, A "sneaky" symptom of aortic dissection. Brief literature review, physiopathology and diagnostic tools management , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Maria Teresa Manes, Manlio Gagliardi, Gianfranco Misuraca, Stefania Rossi, Mario Chiatto, Left ventricular geometric patterns and cardiac function in patients with chronic renal failure undergoing hemodialysis , Monaldi Archives for Chest Disease: Vol. 64 No. 1 (2005): Cardiac series
- Ivano Bonadei, Enrico Vizzardi, Antonio D’Aloia, Edoardo Sciatti, Edoardo Cervi, Stefano Bonardelli, Marco Metra, Stefano Maria Giulini, A drastic complex atheromatous aorta A case report , Monaldi Archives for Chest Disease: Vol. 80 No. 1 (2013): Cardiac series
- Eduardo Bossone, Santi Trimarchi, Gloria Esposito, Stefano Aliberti, Rodolfo Citro, Luigi Allegra, Francesco Blasi, Chlamydia Pneumoniae and Acute Aortic Syndrome: A Call for a Multi-Institutional Study , Monaldi Archives for Chest Disease: Vol. 70 No. 2 (2008): Cardiac series
- Aladdin Bashir, Zaheer Tahir, Mahmood Ahmad, Kyriacos Mouyis, Ali Zuhair Kirresh, Sameh Atta, Clinton Lloyd, Malcolm Dalrymple-Hay, A decade’s summary of transcatheter tricuspid valve repair , Monaldi Archives for Chest Disease: Early Access
- Charalampos Chrysanthos Mylonas, Georgia Gomatou, Garyphallia Poulakou, Eleni Moraitou, Konstantinos Syrigos, Human disease caused by Streptococcus alactolyticus: a case report of native valve infective endocarditis and review of the literature , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- Christian Basile, Costantino Mancusi, Paola Gargiulo, Pasquale Perrone Filardi, Cinzia Perrino, Grazia Canciello, Maria Angela Losi, Giovanni Esposito, Aortic thrombosis: the forgotten source of ischemic stroke. A case report and systematic review of the literature , Monaldi Archives for Chest Disease: Vol. 92 No. 3 (2022)
- Maria Grazia Romeo, Emanuele Pilato, Raffaele Giordano, Giuseppe Comentale, Gabriele Iannelli, Domenico Romeo, Bruna Miserrafiti, Luigi Di Tommaso, Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy , Monaldi Archives for Chest Disease: Early Access
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
