Key result
Multidetector computed tomography provides superior spatial resolution for accurately diagnosing the etiology of prosthetic valve dysfunction and plays a key role in preprocedural planning.
Why the study?
Prosthetic valve dysfunction can be life-threatening and challenging to diagnose among patients developing complications following valve surgery.
MDCT is an essential imaging modality for diagnosing the etiology of prosthetic valve dysfunction and planning structural heart interventions.
MDCT may aid prosthetic valve dysfunction evaluation; leaves open prospective validation before routine adoption.
Of the 100,000-plus valve surgeries performed each year in the United States, up to 6% of those develop complications from prosthetic valve dysfunction. Prosthetic valve dysfunction (PVD) can be life threatening and often challenging to diagnose. In this review, we discuss the prevalence and incidence of PVD, explore its different etiologies, and assess the role of multimodality imaging with an emphasis on cardiac multidetector computed tomography (MDCT) for evaluating patients with PVD. We also investigate the utility of MDCT in preprocedural planning for transcatheter devices and redo surgical planning and discuss management strategies for patients with PVD.
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Senapati et al. (2020) conducted a review in Prosthetic Valve Dysfunction. Multidetector computed tomography (MDCT) vs. Echocardiography (TTE/TEE) was evaluated. Multidetector computed tomography provides superior spatial resolution for accurately diagnosing the etiology of prosthetic valve dysfunction and plays a key role in preprocedural planning.
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