Early Biological Valve Failure: Structural Valve Degeneration, Thrombosis, or Endocarditis?

被引：3

作者：

Fazzari, Fabio ^{[1
]}

Baggiano, Andrea ^{[1
]}

Fusini, Laura ^{[1
]}

Ali, Sarah Ghulam ^{[1
]}

Gripari, Paola ^{[1
]}

Junod, Daniele ^{[1
]}

Mancini, Maria Elisabetta ^{[1
]}

Maragna, Riccardo ^{[1
]}

Mushtaq, Saima ^{[1
]}

Pontone, Gianluca ^{[1
]}

Pepi, Mauro ^{[1
]}

Muratori, Manuela ^{[1
]}

机构：

[1] Ctr Cardiol Monzino IRCCS, Dept Perioperat Cardiol & Cardiovasc Imaging, Via Carlo Parea 4, I-20138 Milan, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 17期

关键词：

biological heart valves; bioprosthesis; structural valve degeneration; rejection; endocarditis; thrombosis; multimodality imaging; biological valve failure; SUBCLINICAL LEAFLET THROMBOSIS; BIOPROSTHETIC AORTIC-VALVE; PROSTHETIC HEART-VALVES; INFECTIVE ENDOCARDITIS; COMPUTED-TOMOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; EUROPEAN ASSOCIATION; LVOT OBSTRUCTION; IN-VALVE; TRANSCATHETER;

D O I：

10.3390/jcm12175740

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Biological valve failure (BVF) is an inevitable condition that compromises the durability of biological heart valves (BHVs). It stems from various causes, including rejection, thrombosis, and endocarditis, leading to a critical state of valve dysfunction. Echocardiography, cardiac computed tomography, cardiac magnetic resonance, and nuclear imaging play pivotal roles in the diagnostic multimodality workup of BVF. By providing a comprehensive overview of the pathophysiology of BVF and the diagnostic approaches in different clinical scenarios, this review aims to aid clinicians in their decision-making process. The significance of early detection and appropriate management of BVF cannot be overstated, as these directly impact patients' prognosis and their overall quality of life. Ensuring timely intervention and tailored treatments will not only improve outcomes but also alleviate the burden of this condition on patients' life. By prioritizing comprehensive assessments and adopting the latest advancements in diagnostic technology, medical professionals can significantly enhance their ability to manage BVF effectively.

引用

页数：21

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