Cardiac MRI functional assessment of bioprosthetic mitral valves: an in vitro comparison against doppler echocardiography
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Bioprosthetic mitral valve effective orifice area using 4D flow cardiac magnetic resonance derived time velocity integral. An in vitro comparison with Doppler Echocardiography
\Background 4D Flow Cardiac Magnetic Resonance (CMR) is a novel imaging modality to assess bioprosthetic mitral valve (BMV) function. We describe a new, 4D Flow derived velocity time integral (TVI) based method to assess effective orifice area (EOA) for BMVs. Methods In our MRI-compatible circulatory loop 4 stented porcine BMVs (27, 29, 31, 33mm) underwent CMR with a 1.5T Siemens scanner. The v...
متن کاملPatients' observations of bioprosthetic valve failure: "my heart is honking, doctor".
Audible cardiac murmurs are uncommon and may indicate severe native valve dysfunction. In six patients with bioprosthetic mitral valves audible honking systolic murmurs suddenly developed. Doppler echocardiography showed characteristic striated regurgitant signals. At operation each prosthesis had torn cusps. New audible murmurs and striated Doppler signals originating from mitral bioprosthetic...
متن کاملNon-invasive assessment by Doppler ultrasound of 155 patients with bioprosthetic valves: a comparison of the Wessex porcine, low profile Ionescu-Shiley, and Hancock pericardial bioprostheses.
One hundred and fifty five patients with 167 bioprosthetic valves (68 Wessex porcine, 54 Hancock pericardial, and 45 low profile Ionescu-Shiley pericardial valves) were studied by Doppler ultrasound. Valve gradients were calculated from the mitral and aortic flow velocities by the modified Bernoulli equation. Mean mitral gradients were significantly smaller across the Ionescu-Shiley valves than...
متن کاملTricuspid stenosis in prosthetic valve endocarditis. Diagnosis by Doppler echocardiography.
Valvular stenosis is an uncommon finding in bacterial endocarditis involving native cardiac valves. Prosthetic valve endocarditis, however, is more commonly associated with obstruction. Bioprosthetic cardiac valves may be particularly prone to this complication. A case of bioprosthetic tricuspid valve endocarditis with stenosis diagnosed by Doppler echocardiography and confirmed by operative fi...
متن کاملDoppler assessment of prosthetic valve orifice area. An in vitro study.
BACKGROUND Although Doppler echocardiography has been shown to be accurate in assessing stenotic orifice areas in native valves, its accuracy in evaluating the prosthetic valve orifice area remains undetermined. METHODS AND RESULTS Doppler-estimated valve areas were studied for their agreement with catheter-derived Gorlin effective orifice areas and their flow dependence in five sizes (19/20-...
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