Noninvasive evaluation of normal and abnormal prosthetic valve function

作者: Morris N. Kotler , Gary S. Mintz , Ioannis Panidis , Joel Morganroth , Bernard L. Segal

DOI: 10.1016/S0735-1097(83)80388-X

关键词:

摘要: Noninvasive techniques are helpful in evaluating the function of mechanical prostheses and tissue valves. Combined phonocardiography M-mode echocardiography together with cinefluoroscopy most useful noninvasive differentiating normal from abnormal metallic prosthetic valve function. The intensity opening closing clicks associated murmurs will depend on type valve, heart rate rhythm underlying hemodynamic status. Arrhythmias or conduction disturbances, both, may produce motion patterns that mimic some echocardiographic signs malfunctioning Differentiation thrombus formation ingrowth paravalvular regurgitation dehiscence is possible by techniques. Disc variance, a potentially serious lethal problem older Beall valves, can be readily detected echophonocardiography. With regard to bioprosthetic two-dimensional superior detecting primary failure. In addition, detection vegetations, alignment ring individual leaflet best accomplished echocardiography. Of greater importance patient serving as his her own control follow-up assessment

参考文章(75)
Miltiadis A. Stefadouros, W. Stuart Smith, Richard C. Fraser, William Hitch, Joseph W. Rubin, First-degree atrioventricular block: a cause of false malfunction of a mitral disc-valve prosthesis. Case report. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 69, pp. 776- 780 ,(1975) , 10.1016/S0022-5223(19)41514-6
Robert M. Steiner, Dryden P. Morse, The pacemaker and valve identification guide Igaku Shoin. ,(1978)
James Pfeifer, Nora Goldschlager, Thomas Sweatman, Frank Gerbode, Arthur Selzer, Malfunction of mitral ball valve prosthesis due to thrombus The American Journal of Cardiology. ,vol. 29, pp. 95- 99 ,(1972) , 10.1016/0002-9149(72)90422-5
Howard J. Feldman, Richard J. Gray, Aurelio Chaux, Stephen W. Halpern, Robert Kraus, Howard N. Allen, Jack M. Matloff, Noninvasive in vivo and in vitro study of the St. Jude mitral valve prosthesis The American Journal of Cardiology. ,vol. 49, pp. 1101- 1109 ,(1982) , 10.1016/0002-9149(82)90033-9
Robert I. Hamby, Agop Aintablian, B.George Wisoff, Mechanism of closure of the mitral prosthetic valve and the role of atrial systole The American Journal of Cardiology. ,vol. 31, pp. 616- 622 ,(1973) , 10.1016/0002-9149(73)90331-7
JOSE L. GIMENEZ, RENATE L. SOULEN, JULIO C. DAVILA, Prosthetic valve detachment; its roentgenographic recognition. Report of cases. American Journal of Roentgenology. ,vol. 103, pp. 595- 600 ,(1968) , 10.2214/AJR.103.3.595
Gary W. Burggraf, Ernest Craige, Echocardiographic studies of left ventricular wall motion and dimensions after valvular heart surgery. American Journal of Cardiology. ,vol. 35, pp. 473- 480 ,(1975) , 10.1016/0002-9149(75)90829-2
Ioannis P. Panidis, Joel Morganroth, Daniel David, Chin C. Chen, Morris N. Kotler, Prosthetic mitral valve motion during cardiac dysrhythmias as determined by echocardiography. American Journal of Cardiology. ,vol. 51, pp. 996- 1004 ,(1983) , 10.1016/S0002-9149(83)80180-5