Journal of Cardiovascular Computed Tomography
Volume 3, Issue 3 , Pages 161-167 , May 2009

Hemodynamic and functional assessment of mechanical aortic valves using combined echocardiography and multidetector computed tomography

  • Troy M. LaBounty, MD

      Affiliations

    • Department of Medicine, Division of Cardiology, Weill Cornell Medical College, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 1002, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • Prachi P. Agarwal, MD

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan Health System, Ann Arbor, MI, USA
    • ,
  • Aamer Chughtai, MBBS, MSc

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan Health System, Ann Arbor, MI, USA
    • ,
  • Ella A. Kazerooni, MD, MS

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan Health System, Ann Arbor, MI, USA
    • ,
  • Eric Wizauer

      Affiliations

    • Department of Radiology, Division of Cardiothoracic Radiology, University of Michigan Health System, Ann Arbor, MI, USA
    • ,
  • David S. Bach, MD

      Affiliations

    • Department of Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, MI, USA

Received 30 December 2008 ,Accepted 25 March 2009.

References 

  1. Muratori M, Montorsi P, Teruzzi G, Celeste F, Doria E, Alamanni F, et al. Feasibility and diagnostic accuracy of quantitative assessment of mechanical prostheses leaflet motion by transthoracic and transesophageal echocardiography in suspected prosthetic valve dysfunction. Am J Cardiol. 2006;97:94–100
  2. Faletra F, Constantin C, De Chiara F, Masciocco G, Santambrogio G, Moreo A, et al. Incorrect echocardiographic diagnosis in patients with mechanical prosthetic valve dysfunction: correlation with surgical findings. Am J Med. 2000;108:531–537
  3. Cianciulli TE, Lax JA, Beck MA, Cerruti FE, Gigena GE, Saccheri MC, et al. Cinefluoroscopic assessment of mechanical disc prostheses: its value as a complementary method to echocardiography. J Heart Valve Dis. 2005;14:664–673
  4. Konen E, Goitein O, Feinberg MS, Eshet Y, Raanani E, Rimon U, et al. The role of ECG-gated MDCT in the evaluation of aortic and mitral mechanical valves: initial experience. AJR Am J Roentgenol. 2008;191:26–31
  5. Leborgne L, Renard C, Tribouilloy C. Usefulness of ECG-gated multi-detector computed tomography for the diagnosis of mechanical prosthetic valve dysfunction. Eur Heart J. 2006;27:2537
  6. Faletra FF, Alain M, Moccetti T. Blockage of bileaflet mitral valve prosthesis imaged by computed tomography virtual endoscopy. Heart. 2007;93:324
  7. Aoyagi S, Fukunaga S, Arinaga K, Shojima T, Ueda T. Prosthetic valve obstruction: diagnostic usefulness of cineradiography and multidetector-row computed tomography. Thorac Cardiovasc Surg. 2007;55:517–519
  8. Kim RJ, Weinsaft JW, Callister TQ, Min JK. Evaluation of prosthetic valve endocarditis by 64-row multidetector computed tomography. Int J Cardiol. 2007;120:e27–e29
  9. Teshima H, Hayashida N, Fukunaga S, Tayama E, Kawara T, Aoyagi S, et al. Usefulness of a multidetector-row computed tomography scanner for detecting pannus formation. Ann Thorac Surg. 2004;77:523–526
  10. Lu TL, Huber CH, Rizzo E, Dehmeshki J, von Segesser LK, Qanadli SD. Ascending aorta measurements as assessed by ECG-gated multi-detector computed tomography: a pilot study to establish normative values for transcatheter therapies. Eur Radiol. 2009;19:664–669
  11. Garcia D, Dumesnil JG, Durand LG, Kadem L, Pibarot P. Discrepancies between catheter and Doppler estimates of valve effective orifice area can be predicted from the pressure recovery phenomenon: practical implications with regard to quantification of aortic stenosis severity. J Am Coll Cardiol. 2003;41:435–442
  12. Aoyagi S, Nishimi M, Kawano H, Tayama E, Fukunagea S, Hayashida N, et al. Obstruction of St Jude Medical valves in the aortic position: significance of a combination of cineradiography and echocardiography. J Thorac Cardiovasc Surg. 2000;120:142–147
  13. Walther T, Rastan A, Falk V, et al. Patient prosthesis mismatch affects short- and long-term outcomes after aortic valve replacement. Eur J Cardiothorac Surg. 2006;30:15–19
  14. Spevack DM, Almuti K, Ostfeld R, Bello R, Gordon GM. Routine adjustment of Doppler echocardiographically derived aortic valve area using a previously derived equation to account for the effect of pressure recovery. J Am Soc Echocardiogr. 2008;21:34–37
  15. Garcia D, Pibarot P, Landry C, Allard A, Chayer B, Dumesnil JG, et al. Estimation of aortic valve effective orifice area by Doppler echocardiography: effects of valve inflow shape and flow rate. J Am Soc Echocardiogr. 2004;17:756–765
  16. LaBounty TM, Sundaram B, Agarwal P, Armstrong WA, Kazerooni EA, Yamada E. Aortic valve area on 64-MDCT correlates with transesophageal echocardiography in aortic stenosis. AJR Am J Roentgenol. 2008;191:1652–1658

 Conflict of interest: Dr. Bach has received research support from Edwards Lifesciences; Medtronic, Inc; and St. Jude Medical, Inc. He serves as a consultant to CVRx; Edwards Lifesciences; Medtronic, Inc; and St. Jude Medical, Inc. Dr. Kazerooni receives support from GE Medical. She is on the board of directors for GERRAF. All other authors have no external sources of financial support and have no conflicts of interest to report.

 These data, in part, were presented in abstract form at the American Heart Association 2008 Scientific Sessions in New Orleans, LA, November 10, 2008.

PII: S1934-5925(09)00147-6

doi: 10.1016/j.jcct.2009.03.006

Journal of Cardiovascular Computed Tomography
Volume 3, Issue 3 , Pages 161-167 , May 2009

Article Tools

* Image Usage & Resolution