Prosthetic paravalvular leak (PVL) is a well-known serious complication following surgically as well as percutaneously implanted prosthetic valves. It usually happens due to incomplete sealing of the prosthetic ring to the native cardiac tissue whether immediately postoperative or considerably later as a complication of infective endocarditis, etc Surgery has been always the treatment of choice for clinically significant PVLs. However, percutaneous transcatheter closure therapy has become a successful alternative in carefully selected group of patients. Echocardiography is a cornerstone in the initial diagnosis, assessment of the severity and location of the PVL. Furthermore, it plays a crucial role in the assessment of the feasibility for percutaneous closure and during intra-procedural guidance. Transesophageal echocardiography (TEE) has the advantage over transthoracic echocardiography (TTE) of not being affected by the acoustic shadow of the mitral prosthesis that usually hides the regurgitation jets and makes TTE evaluation difficult. Three-dimensional (3D) TEE has been shown to provide better diagnostic accuracy compared to two-dimensional (2D) TEE as regard to evaluation of PVLs especially in patients with more than one PVL. This is due to better delineation of the location, shape, and size of the PVL and equally important during guiding the transcatheter percutaneous closure.
机构:
Ramon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, SpainRamon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
Rodriguez Munoz, Daniel
;
Lazaro Rivera, Carla
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Ramon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, SpainRamon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
Lazaro Rivera, Carla
;
Zamorano Gomez, Jose Luis
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Ramon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
Hosp Univ Ramon y Cajal, Madrid 28034, SpainRamon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
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Univ Alcala, Hosp Ramon y Cajal, Madrid, SpainUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Zamorano, Jose
;
Goncalves, Alexandra
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Brigham & Womens Hosp, Div Cardiovasc, 75 Francis St, Boston, MA 02115 USA
Univ Porto, Sch Med, Oporto, PortugalUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Goncalves, Alexandra
;
Lancellotti, Patrizio
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Univ Liege Hosp, Imaging Cardiol, Heart Valve Clin, GIGA Cardiovasc Sci, Liege, Belgium
ES Hlth Sci Fdn, GVM Care & Res, Lugo, RA, Italy
Res ES Hlth Sci Fdn, Lugo, RA, ItalyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Lancellotti, Patrizio
;
Andersen, Kai A.
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Natl Hosp Norway, Oslo Univ Hosp, Dept Cardiol, Oslo, NorwayUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Andersen, Kai A.
;
Gonzalez-Gomez, Ariana
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Univ Alcala, Hosp Ramon y Cajal, Madrid, SpainUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Gonzalez-Gomez, Ariana
;
Monaghan, Mark
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Kings Coll London, London, EnglandUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Monaghan, Mark
;
Brochet, Eric
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Hosp Bichat, Dept Cardiol, Paris, FranceUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Brochet, Eric
;
Wunderlich, Nina
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Cardiovasc Ctr Darmstadt, Darmstadt, GermanyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Wunderlich, Nina
;
Gafoor, Sameer
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CardioVasc Ctr Frankfurt, Frankfurt, GermanyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Gafoor, Sameer
;
Gillam, Linda D.
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Morristown Med Ctr, Morristown, NJ USAUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Gillam, Linda D.
;
La Canna, Giovanni
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Hosp San Raffaele, Dept Cardiac Surg, Div Echocardiog, Milan, ItalyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
机构:
Ramon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, SpainRamon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
Rodriguez Munoz, Daniel
;
Lazaro Rivera, Carla
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h-index: 0
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Ramon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, SpainRamon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
Lazaro Rivera, Carla
;
Zamorano Gomez, Jose Luis
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机构:
Ramon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
Hosp Univ Ramon y Cajal, Madrid 28034, SpainRamon y Cajal Univ Hosp, Dept Cardiol, Madrid 28034, Spain
机构:
Univ Alcala, Hosp Ramon y Cajal, Madrid, SpainUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Zamorano, Jose
;
Goncalves, Alexandra
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机构:
Brigham & Womens Hosp, Div Cardiovasc, 75 Francis St, Boston, MA 02115 USA
Univ Porto, Sch Med, Oporto, PortugalUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Goncalves, Alexandra
;
Lancellotti, Patrizio
论文数: 0引用数: 0
h-index: 0
机构:
Univ Liege Hosp, Imaging Cardiol, Heart Valve Clin, GIGA Cardiovasc Sci, Liege, Belgium
ES Hlth Sci Fdn, GVM Care & Res, Lugo, RA, Italy
Res ES Hlth Sci Fdn, Lugo, RA, ItalyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Lancellotti, Patrizio
;
Andersen, Kai A.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Hosp Norway, Oslo Univ Hosp, Dept Cardiol, Oslo, NorwayUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Andersen, Kai A.
;
Gonzalez-Gomez, Ariana
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alcala, Hosp Ramon y Cajal, Madrid, SpainUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Gonzalez-Gomez, Ariana
;
Monaghan, Mark
论文数: 0引用数: 0
h-index: 0
机构:
Kings Coll London, London, EnglandUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Monaghan, Mark
;
Brochet, Eric
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Bichat, Dept Cardiol, Paris, FranceUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Brochet, Eric
;
Wunderlich, Nina
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h-index: 0
机构:
Cardiovasc Ctr Darmstadt, Darmstadt, GermanyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Wunderlich, Nina
;
Gafoor, Sameer
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机构:
CardioVasc Ctr Frankfurt, Frankfurt, GermanyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Gafoor, Sameer
;
Gillam, Linda D.
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h-index: 0
机构:
Morristown Med Ctr, Morristown, NJ USAUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain
Gillam, Linda D.
;
La Canna, Giovanni
论文数: 0引用数: 0
h-index: 0
机构:
Hosp San Raffaele, Dept Cardiac Surg, Div Echocardiog, Milan, ItalyUniv Alcala, Hosp Ramon y Cajal, Madrid, Spain