Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophe
Dehiscence of mechanical prosthetic valve is rare complication reported in 0.1–1.3% of patients undergoing valve replacement with infective endocarditis being the commonest cause.1,2 In spite of rapid diagnosis and prompt initiation of treatment, outcome is often poor due to fulminant course of the...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-12-01
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| Series: | IHJ Cardiovascular Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468600X18300653 |
| _version_ | 1818393441074151424 |
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| author | Prashant Shinde Jaywant Navale Rajendra Chavan Meghav Shah Ajay Chaurasia Digvijay Nalawade Nikhil Borikar |
| author_facet | Prashant Shinde Jaywant Navale Rajendra Chavan Meghav Shah Ajay Chaurasia Digvijay Nalawade Nikhil Borikar |
| author_sort | Prashant Shinde |
| collection | DOAJ |
| description | Dehiscence of mechanical prosthetic valve is rare complication reported in 0.1–1.3% of patients undergoing valve replacement with infective endocarditis being the commonest cause.1,2 In spite of rapid diagnosis and prompt initiation of treatment, outcome is often poor due to fulminant course of the disease. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) are used to diagnose valvular dehiscence. Cine-fluoroscopy can be useful in cases when TEE is not available or not feasible due to hemodynamic instability. Abnormal rocking motion of the prosthetic valve is characteristic of dehiscence on cine-fluoroscopy. We report a patient who presented with near complete dehiscence of aortic mechanical prosthetic valve, diagnosed on TTE and confirmed with cine-fluoroscopy. The patient succumbed before he could be operated despite aggressive medical management. The case is being reported because of the rarity of such extensive valve dehiscence allowing any opportunity for imaging. |
| first_indexed | 2024-12-14T05:45:21Z |
| format | Article |
| id | doaj.art-e380ae12d4d64bdba2ca17114a96571b |
| institution | Directory Open Access Journal |
| issn | 2468-600X |
| language | English |
| last_indexed | 2024-12-14T05:45:21Z |
| publishDate | 2018-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IHJ Cardiovascular Case Reports |
| spelling | doaj.art-e380ae12d4d64bdba2ca17114a96571b2022-12-21T23:14:54ZengElsevierIHJ Cardiovascular Case Reports2468-600X2018-12-012S24S26Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophePrashant Shinde0Jaywant Navale1Rajendra Chavan2Meghav Shah3Ajay Chaurasia4Digvijay Nalawade5Nikhil Borikar6Corresponding author. Cardiac ICCU, OPD building ground floor, BYL Nair Hospital and TNMC, Mumbai, 400008, India.; Dept. of Cardiology, T.N.M.C. and B.Y.L. Nair Charitable Hospital, Mumbai, IndiaDept. of Cardiology, T.N.M.C. and B.Y.L. Nair Charitable Hospital, Mumbai, IndiaDept. of Cardiology, T.N.M.C. and B.Y.L. Nair Charitable Hospital, Mumbai, IndiaDept. of Cardiology, T.N.M.C. and B.Y.L. Nair Charitable Hospital, Mumbai, IndiaDept. of Cardiology, T.N.M.C. and B.Y.L. Nair Charitable Hospital, Mumbai, IndiaDept. of Cardiology, T.N.M.C. and B.Y.L. Nair Charitable Hospital, Mumbai, IndiaDept. of Cardiology, T.N.M.C. and B.Y.L. Nair Charitable Hospital, Mumbai, IndiaDehiscence of mechanical prosthetic valve is rare complication reported in 0.1–1.3% of patients undergoing valve replacement with infective endocarditis being the commonest cause.1,2 In spite of rapid diagnosis and prompt initiation of treatment, outcome is often poor due to fulminant course of the disease. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) are used to diagnose valvular dehiscence. Cine-fluoroscopy can be useful in cases when TEE is not available or not feasible due to hemodynamic instability. Abnormal rocking motion of the prosthetic valve is characteristic of dehiscence on cine-fluoroscopy. We report a patient who presented with near complete dehiscence of aortic mechanical prosthetic valve, diagnosed on TTE and confirmed with cine-fluoroscopy. The patient succumbed before he could be operated despite aggressive medical management. The case is being reported because of the rarity of such extensive valve dehiscence allowing any opportunity for imaging.http://www.sciencedirect.com/science/article/pii/S2468600X18300653Prosthetic valveCine fluoroscopyRocking motionDehiscenceInfective endocarditis |
| spellingShingle | Prashant Shinde Jaywant Navale Rajendra Chavan Meghav Shah Ajay Chaurasia Digvijay Nalawade Nikhil Borikar Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophe IHJ Cardiovascular Case Reports Prosthetic valve Cine fluoroscopy Rocking motion Dehiscence Infective endocarditis |
| title | Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophe |
| title_full | Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophe |
| title_fullStr | Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophe |
| title_full_unstemmed | Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophe |
| title_short | Rocking motion of prosthetic aortic valve on cine fluoroscopy– a summon of catastrophe |
| title_sort | rocking motion of prosthetic aortic valve on cine fluoroscopy a summon of catastrophe |
| topic | Prosthetic valve Cine fluoroscopy Rocking motion Dehiscence Infective endocarditis |
| url | http://www.sciencedirect.com/science/article/pii/S2468600X18300653 |
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