TY - JOUR AU - Cannata, Lorenzo AU - Zocco Ramazzo, Camilla PY - 2021/04/21 Y2 - 2024/03/29 TI - Echocardiographic evaluation of paravalvular aortic regurgitation of a patient with recurrent aortic valve replacements JF - Monaldi Archives for Chest Disease JA - Monaldi Arch Chest Dis VL - 91 IS - 2 SE - Cardiology - Case Reports DO - 10.4081/monaldi.2021.1765 UR - https://www.monaldi-archives.org/macd/article/view/1765 SP - AB - <p>Paravalvular regurgitation (PVR) is a serious complication after surgical valve replacement. Echocardiography is the gold standard technique to assess the severity of PVR with an integrated approach. A 48-year-old male underwent aortic valve replacement due to infective endocarditis (IE). During in-hospital cardiac rehabilitation after a redo surgery for a new IE three years later, an echo-free anterior space around the valve with several PVRs through transthoracic echocardiography (TTE) was identified. On transesophageal echocardiography (TOE) a double PVR (anterior and posterior) with abscessual cavity was detected. The patient’s conditions worsened within six months with hemodynamic instability: a massive PVR due to a large abscess cavity next to the right cusp was confirmed by TTE and TOE and a third surgery was carried out. On the third admission at our Rehabilitation Unit the echo features were normal. Patient did not report any cardiovascular symptoms at 1 year follow-up.</p> ER -