Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony
Prosthetic valve thrombosis is a rare but serious complication of mechanical valve replacement requiring prompt diagnosis and treatment. Unfortunately, it is often difficult to evaluate this based on single modality imaging alone. We demonstrate a case where the use of both 3D-TOE and valve fluorosc...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | Echo Research and Practice |
| Online Access: | https://erp.bioscientifica.com/view/journals/echo/7/3/ERP-20-0012.xml |
| _version_ | 1818216637990436864 |
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| author | Patrick Savage Michael Connolly |
| author_facet | Patrick Savage Michael Connolly |
| author_sort | Patrick Savage |
| collection | DOAJ |
| description | Prosthetic valve thrombosis is a rare but serious complication of mechanical valve replacement requiring prompt diagnosis and treatment. Unfortunately, it is often difficult to evaluate this based on single modality imaging alone. We demonstrate a case where the use of both 3D-TOE and valve fluoroscopy allowed for the differentiation between prosthetic valve thrombosis vs prosthetic mitral valve dyssychrony. Using transoesphageal echocardiography, it is noted that there is valve dyssynchrony; however, it is unclear if there is leaflet restriction (Video 1). Using fluoroscopy, it can be seen clearly that their overall mobility is normal (Video 2). Additionally, using 3D-TOE it can be clearly noted that there is no evidence of pannus or thrombus (Video 3). Using these two imaging modalities in concert facilitated the clear diagnosis of valve dyssynchrony vs valve thrombosis. |
| first_indexed | 2024-12-12T06:55:09Z |
| format | Article |
| id | doaj.art-dd5f3b8d1dda4998b9469274b56df25f |
| institution | Directory Open Access Journal |
| issn | 2055-0464 2055-0464 |
| language | English |
| last_indexed | 2024-12-12T06:55:09Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Echo Research and Practice |
| spelling | doaj.art-dd5f3b8d1dda4998b9469274b56df25f2022-12-22T00:33:58ZengBMCEcho Research and Practice2055-04642055-04642020-09-0173I9I9https://doi.org/10.1530/ERP-20-0012Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchronyPatrick Savage0Michael Connolly1Cardiology, Craigavon Area Hospital, Portadown, UKCardiology, Craigavon Area Hospital, Portadown, UKProsthetic valve thrombosis is a rare but serious complication of mechanical valve replacement requiring prompt diagnosis and treatment. Unfortunately, it is often difficult to evaluate this based on single modality imaging alone. We demonstrate a case where the use of both 3D-TOE and valve fluoroscopy allowed for the differentiation between prosthetic valve thrombosis vs prosthetic mitral valve dyssychrony. Using transoesphageal echocardiography, it is noted that there is valve dyssynchrony; however, it is unclear if there is leaflet restriction (Video 1). Using fluoroscopy, it can be seen clearly that their overall mobility is normal (Video 2). Additionally, using 3D-TOE it can be clearly noted that there is no evidence of pannus or thrombus (Video 3). Using these two imaging modalities in concert facilitated the clear diagnosis of valve dyssynchrony vs valve thrombosis.https://erp.bioscientifica.com/view/journals/echo/7/3/ERP-20-0012.xml |
| spellingShingle | Patrick Savage Michael Connolly Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony Echo Research and Practice |
| title | Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony |
| title_full | Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony |
| title_fullStr | Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony |
| title_full_unstemmed | Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony |
| title_short | Stuck on a diagnosis: prosthetic mitral valve thrombosis vs dyssynchrony |
| title_sort | stuck on a diagnosis prosthetic mitral valve thrombosis vs dyssynchrony |
| url | https://erp.bioscientifica.com/view/journals/echo/7/3/ERP-20-0012.xml |
| work_keys_str_mv | AT patricksavage stuckonadiagnosisprostheticmitralvalvethrombosisvsdyssynchrony AT michaelconnolly stuckonadiagnosisprostheticmitralvalvethrombosisvsdyssynchrony |