When Echocardiography Is Challenging in Localizing Bioprosthetic Aortic Regurgitation
oleh: Taha Hatab, MD, Priscilla Wessly, MD, Syed Zaid, MD, Nadeen Faza, MD, Su Min Chang, MD, Neal S. Kleiman, MD, Stephen H. Little, MD, Sachin S. Goel, MD
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2023-06-01 |
Deskripsi
Transesophageal echocardiography is the main imaging modality for localizing and quantifying prosthetic aortic regurgitation. We describe a case of bioprosthetic aortic paravalvular leak (PVL) where transesophageal echocardiography was inadequate; aortic root angiography and computed tomography fusion were critical in diagnosing and guiding closure. Multimodality imaging can be pivotal in localizing PVL and guiding transcatheter PVL closure. (Level of Difficulty: Intermediate.)