Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis

Dynamic imaging of heart valves and specifically prosthetic valves is a central benefit of echocardiography. Most bioprosthetic heart valves degenerate over a given time and hence require repeat valve replacement which carries a significant risk of morbidity and mortality. Reoperation is the standar...

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Main Authors: Bishoy Wassef, Mina Masry, Mounir Ghali, John N. Makaryus, Amgad N. Makaryus
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2022/1366037
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author Bishoy Wassef
Mina Masry
Mounir Ghali
John N. Makaryus
Amgad N. Makaryus
author_facet Bishoy Wassef
Mina Masry
Mounir Ghali
John N. Makaryus
Amgad N. Makaryus
author_sort Bishoy Wassef
collection DOAJ
description Dynamic imaging of heart valves and specifically prosthetic valves is a central benefit of echocardiography. Most bioprosthetic heart valves degenerate over a given time and hence require repeat valve replacement which carries a significant risk of morbidity and mortality. Reoperation is the standard of care and may still be required after the first successful surgery due to complications disrupting either mechanical or bioprosthetic valves. Such complications can be delayed or even prevented if optimal prosthesis selection is individualized according to patients’ medical and postimplantation follow-up. We present the case of an 84-year-old woman where an open-heart valve-in-valve approach, implanting a mechanical valve in a failed bioprosthetic valve, produced a unique image on transthoracic echocardiography which needs to be recognized by imagers for appropriate patient diagnosis and management.
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series Case Reports in Radiology
spelling doaj-art-abb4c9e8ed0e464e94a2ba437b5f91872025-02-03T06:13:32ZengWileyCase Reports in Radiology2090-68702022-01-01202210.1155/2022/1366037Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral ProsthesisBishoy Wassef0Mina Masry1Mounir Ghali2John N. Makaryus3Amgad N. Makaryus4Department of Sports MedicineDepartment of CardiologyDepartment of Pulmonary and Critical Care MedicineDepartment of CardiologyDepartment of CardiologyDynamic imaging of heart valves and specifically prosthetic valves is a central benefit of echocardiography. Most bioprosthetic heart valves degenerate over a given time and hence require repeat valve replacement which carries a significant risk of morbidity and mortality. Reoperation is the standard of care and may still be required after the first successful surgery due to complications disrupting either mechanical or bioprosthetic valves. Such complications can be delayed or even prevented if optimal prosthesis selection is individualized according to patients’ medical and postimplantation follow-up. We present the case of an 84-year-old woman where an open-heart valve-in-valve approach, implanting a mechanical valve in a failed bioprosthetic valve, produced a unique image on transthoracic echocardiography which needs to be recognized by imagers for appropriate patient diagnosis and management.http://dx.doi.org/10.1155/2022/1366037
spellingShingle Bishoy Wassef
Mina Masry
Mounir Ghali
John N. Makaryus
Amgad N. Makaryus
Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis
Case Reports in Radiology
title Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis
title_full Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis
title_fullStr Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis
title_full_unstemmed Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis
title_short Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis
title_sort dynamic echocardiographic imaging of a valve in valve mitral prosthesis
url http://dx.doi.org/10.1155/2022/1366037
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