Echocardiographic evaluation of paravalvular aortic regurgitation of a patient with recurrent aortic valve replacements

Submitted: January 11, 2021
Accepted: April 12, 2021
Published: April 21, 2021
Abstract Views: 2593
PDF: 373
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Authors

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.

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Citations

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How to Cite

Cannata, Lorenzo, and Camilla Zocco Ramazzo. 2021. “Echocardiographic Evaluation of Paravalvular Aortic Regurgitation of a Patient With Recurrent Aortic Valve Replacements”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1765.