Sixty-Four-Section Cardiac Computed Tomography in Mechanical Prosthetic Heart Valve Dysfunction: Thrombus or Pannus

Circulation: Cardiovascular Imaging

Volumn 8, Issue 12, 2015, Pages

  Gündüz, Sabahattin ^a   Özkan, Mehmet ^a,b   Kalçik, Macit ^a   Gürsoy, Ozan Mustafa ^a   Astarcioʇlu, Mehmet Ali ^a   Karakoyun, Süleyman ^a   Aykan, Ahmet Çaʇri ^a   Biteker, Murat ^a   Gökdeniz, Tayyar ^a   Kaya, Hasan ^a   Yesin, Mahmut ^a   Duran, Nilüfer Ekşi ^a   Sevinç, Deniz ^c   Güneysu, Tahsin ^c  

^a Kosuyolu Kartal Heart Training and Research Hospital   (Turkey)

^b KAFKAS UNIVERSITY   (Turkey)

^c Sonomed Imaging Center   (Turkey)

Author keywords

multidetector computed tomography; prosthetic heart valves; sensitivity and specificity; thrombosis; transesophageal echocardiography

Indexed keywords

TISSUE PLASMINOGEN ACTIVATOR;

ADOLESCENT; ADULT; ARTICLE; BIOPSY SITE MARKER; BJOERK SHILEY VALVE PROSTHESIS; BLOOD CLOT LYSIS; CARBOMEDICS PROSTHETIC HEART VALVE; COMPUTED TOMOGRAPHY SCANNER; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC TEST ACCURACY STUDY; FEMALE; HEART VALVE PROSTHESIS; HUMAN; IMAGING SYSTEM; MAJOR CLINICAL STUDY; MALE; MECHANICAL HEART VALVE; MEDICAL DEVICE COMPLICATION; MULTIDETECTOR COMPUTED TOMOGRAPHY; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; PROSTHETIC VALVE DYSFUNCTION; PROSTHETIC VALVE THROMBOSIS; SAINT JUDE HEART VALVE PROSTHESIS; SENSITIVITY AND SPECIFICITY; TRANSDUCER; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ADVERSE EFFECTS; AREA UNDER THE CURVE; DEVICES; DIFFERENTIAL DIAGNOSIS; ECHOGRAPHY; FIBRINOLYTIC THERAPY; HEART VALVE; HEART VALVE DISEASES; HEART VALVE REPLACEMENT; MIDDLE AGED; PATIENT SELECTION; PREDICTIVE VALUE; PROSTHESIS DESIGN; PROSTHESIS FAILURE; RADIOGRAPHY; RECEIVER OPERATING CHARACTERISTIC; SURGERY; THROMBECTOMY; THROMBOSIS; TREATMENT OUTCOME; YOUNG ADULT;

ADOLESCENT; ADULT; AREA UNDER CURVE; DIAGNOSIS, DIFFERENTIAL; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HEART VALVE DISEASES; HEART VALVE PROSTHESIS; HEART VALVE PROSTHESIS IMPLANTATION; HEART VALVES; HUMANS; MALE; MIDDLE AGED; MULTIDETECTOR COMPUTED TOMOGRAPHY; PATIENT SELECTION; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; PROSTHESIS DESIGN; PROSTHESIS FAILURE; ROC CURVE; THROMBECTOMY; THROMBOLYTIC THERAPY; THROMBOSIS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84951133774     PISSN: 19419651     EISSN: 19420080     Source Type: Journal    
DOI: 10.1161/CIRCIMAGING.115.003246     Document Type: Article

References (35)

1. Rizzoli G, Guglielmi C, Toscano G, Pistorio V, Vendramin I, Bottio T, Thiene G, Casarotto D. Reoperations for acute prosthetic thrombosis and pannus: an assessment of rates, relationship and risk. Eur J Cardiothorac Surg. 1999;16:74-80.
2. Cáceres-Lóriga FM, Pérez-López H, Santos-Gracia J, Morlans-Hernandez K. Prosthetic heart valve thrombosis: pathogenesis, diagnosis and management. Int J Cardiol. 2006;110:1-6. doi: 10.1016/j.ijcard.2005.06.051.
3. Sakamoto Y, Hashimoto K, Okuyama H, Ishii S, Shingo T, Kagawa H. Prevalence of pannus formation after aortic valve replacement: clinical aspects and surgical management. J Artif Organs. 2006;9:199-202. doi: 10.1007/s10047-006-0334-3.
4. Ozkan M, Kaymaz C, Kirma C, Sönmez K, Ozdemir N, Balkanay M, Yakut C, Deligönül U. Intravenous thrombolytic treatment of mechanical prosthetic valve thrombosis: a study using serial transesophageal echocardiography. J Am Coll Cardiol. 2000;35:1881-1889.
5. Özkan M, Gündüz S, Biteker M, Astarcioglu MA, Çevik C, Kaynak E, Yldz M, Ouz E, Aykan AÇ, Ertürk E, Karaveliolu Y, Gökdeniz T, Kaya H, Gürsoy OM, Çakal B, Karakoyun S, Duran N, Özdemir N. Comparison of different TEE-guided thrombolytic regimens for prosthetic valve thrombosis: the TROIA trial. JACC Cardiovasc Imaging. 2013;6:206-216. doi: 10.1016/j.jcmg.2012.10.016.
6. Özkan M, Çakal B, Karakoyun S, Gürsoy OM, Çevik C, Kalçk M, Ouz AE, Gündüz S, Astarcioglu MA, Aykan AÇ, Bayram Z, Biteker M, Kaynak E, Kahveci G, Duran NE, Yldz M. Thrombolytic therapy for the treatment of prosthetic heart valve thrombosis in pregnancy with low-dose, slow infusion of tissue-type plasminogen activator. Circulation. 2013;128:532-540. doi: 10.1161/CIRCULATIONAHA.113.001145.
7. Dzavik V, Cohen G, Chan KL. Role of transesophageal echocardiography in the diagnosis and management of prosthetic valve thrombosis. J Am Coll Cardiol. 1991;18:1829-1833.
8. Ozkan M, Gürsoy OM, Astarcolu MA, Gündüz S, Cakal B, Karakoyun S, Kalçk M, Kahveci G, Duran NE, Yldz M, Cevik C. Real-time three-dimensional transesophageal echocardiography in the assessment of mechanical prosthetic mitral valve ring thrombosis. Am J Cardiol. 2013;112:977-983. doi: 10.1016/j.amjcard.2013.05.032.
9. Gürsoy OM, Ozkan M. The role of real-time 3-dimensional transesophageal echocardiography in depiction of the concealed base of the iceberg. Anadolu Kardiyol Derg. 2012;12:E22-E23. doi: 10.5152/akd.2012.142.
10. Ozkan M, Kaya H, Biteker M, Duran NE. Prosthetic mitral valve thrombosis demonstrated by real-time 3D transesophageal echocardiography. Turk Kardiyol Dern Ars. 2009;37:209.
11. Kalçk M, Gu Rsoy OM, Karakoyun SL, Ozkan M. Thrombus attached to suture materials successfully thrombolysed with low-dose tissue plasminogen activator. Turk Kardiyol Dern Ars. 2014;42:61-63.
12. Ozkan M, Gündüz S, Yildiz M, Duran NE. Diagnosis of the prosthetic heart valve pannus formation with real-time three-dimensional transoesophageal echocardiography. Eur J Echocardiogr. 2010;11:E17. doi: 10.1093/ejechocard/jep206.
13. Deviri E, Sareli P, Wisenbaugh T, Cronje SL. Obstruction of mechanical heart valve prostheses: clinical aspects and surgical management. J Am Coll Cardiol. 1991;17:646-650.
14. Roudaut R, Roques X, Lafitte S, Choukroun E, Laborde N, Madona F, Deville C, Baudet E. Surgery for prosthetic valve obstruction. A single center study of 136 patients. Eur J Cardiothorac Surg. 2003;24:868-872.
15. Lengyel M. Diagnosis and treatment of left-sided prosthetic valve thrombosis. Expert Rev Cardiovasc Ther. 2008;6:85-93. doi: 10.1586/14779072.6.1.85.
16. Teshima H, Hayashida N, Enomoto N, Aoyagi S, Okuda K, Uchida M. Detection of pannus by multidetector-row computed tomography. Ann Thorac Surg. 2003;75:1631-1633.
17. Teshima H, Aoyagi S, Hayashida N, Shojima T, Takagi K, Arinaga K, Yoshikawa K. Dysfunction of an ATS valve in the aortic position: the first reported case caused by pannus formation. J Artif Organs. 2005;8:270-273. doi: 10.1007/s10047-005-0317-9.
18. Numata S, Okada H, Kitahara H, Kawazoe K. Four-dimensional evaluation of implanted mechanical valve with 64-row multi-detector computed tomography. Eur J Cardiothorac Surg. 2007;31:934. doi: 10.1016/j.ejcts.2007.02.008.
19. Tron C, Bertrand D, Dacher JN, Cribier A. Sixty-four multislice computed tomography after transcutaneous implantation of a Cribier-Edwards bioprosthesis in the aortic position. Eur Heart J. 2008;29:2163. doi: 10.1093/eurheartj/ehn087.
20. Teshima H, Hayashida N, Fukunaga S, Tayama E, Kawara T, Aoyagi S, Uchida M. Usefulness of a multidetector-row computed tomography scanner for detecting pannus formation. Ann Thorac Surg. 2004;77:523-526. doi: 10.1016/S0003-4975(03)01531-5.
21. Konen E, Goitein O, Feinberg MS, Eshet Y, Raanani E, Rimon U, Di-Segni E. The role of ECG-gated MDCT in the evaluation of aortic and mitral mechanical valves: initial experience. AJR Am J Roentgenol. 2008;191:26-31. doi: 10.2214/AJR.07.2951.
22. Tsai IC, Lin YK, Chang Y, Fu YC, Wang CC, Hsieh SR, Wei HJ, Tsai HW, Jan SL, Wang KY, Chen MC, Chen CC. Correctness of multi-detectorrow computed tomography for diagnosing mechanical prosthetic heart valve disorders using operative findings as a gold standard. Eur Radiol. 2009;19:857-867. doi: 10.1007/s00330-008-1232-2.
23. LaBounty TM, Agarwal PP, Chughtai A, Kazerooni EA, Wizauer E, Bach DS. Hemodynamic and functional assessment of mechanical aortic valves using combined echocardiography and multidetector computed tomography. J Cardiovasc Comput Tomogr. 2009;3:161-167. doi: 10.1016/j.jcct.2009.03.006.
24. LaBounty TM, Agarwal PP, Chughtai A, Bach DS, Wizauer E, Kazerooni EA. Evaluation of mechanical heart valve size and function with ECGgated 64-MDCT. AJR Am J Roentgenol. 2009;193:W389-W396. doi: 10.2214/AJR.08.2178.
25. Symersky P, Budde RP, de Mol BA, Prokop M. Comparison of multidetector-row computed tomography to echocardiography and fluoroscopy for evaluation of patients with mechanical prosthetic valve obstruction. Am J Cardiol. 2009;104:1128-1134. doi: 10.1016/j.amjcard.2009.05.061.
26. Kassi M, Garg N, Chang SM. Utility of cardiac computed tomography for assessment of prosthetic aortic valve dysfunction with pannus formation. Methodist Debakey Cardiovasc J. 2013;9:174-175.
27. Teshima H, Aoyagi S, Ueda T, Takagi K, Shojima T, Tanaka H. Evaluation of advancing the standard valve dysfunction by multidetector-row CT. J Artif Organs. 2014;17:162-168. doi: 10.1007/s10047-013-0751-z.
28. Ueda T, Teshima H, Fukunaga S, Aoyagi S, Tanaka H. Evaluation of prosthetic valve obstruction on electrocardiographically gated multidetectorrow computed tomography-identification of subprosthetic pannus in the aortic position. Circ J. 2013;77:418-423.
29. Vitale N, Renzulli A, Agozzino L, Pollice A, Tedesco N, de Luca Tupputi Schinosa L, Cotrufo M. Obstruction of mechanical mitral prostheses: analysis of pathologic findings. Ann Thorac Surg. 1997;63:1101-1106.
30. Teshima H, Hayashida N, Yano H, Nishimi M, Tayama E, Fukunaga S, Akashi H, Kawara T, Aoyagi S. Obstruction of St Jude Medical valves in the aortic position: histology and immunohistochemistry of pannus. J Thorac Cardiovasc Surg. 2003;126:401-407.
31. Degertekin M, Gemici G, Kaya Z, Bayrak F, Guneysu T, Sevinc D, Mutlu B, Aytaclar S. Safety and efficacy of patient preparation with intravenous esmolol before 64-slice computed tomography coronary angiography. Coron Artery Dis. 2008;19:33-36. doi: 10.1097/MCA.0b013e3282f27c20.
32. Barbetseas J, Nagueh SF, Pitsavos C, Toutouzas PK, Quiñones MA, Zoghbi WA. Differentiating thrombus from pannus formation in obstructed mechanical prosthetic valves: an evaluation of clinical, transthoracic and transesophageal echocardiographic parameters. J Am Coll Cardiol. 1998;32:1410-1417.
33. Biteker M, Gündüz S, Ozkan M. Role of MDCT in the evaluation of prosthetic heart valves. AJR Am J Roentgenol. 2009;192:W77; author reply W78. doi: 10.2214/AJR.08.1553.
34. Özkan M, Gündüz S, Biteker M, Duran NE, Güneysu T. Letter to the Editor re: Correctness of multi-detector-row computed tomography for diagnosing mechanical prosthetic heart valve disorders using operative findings as a gold standard. Eur Radiol. 2009;19:2950-2952; author reply 2953. doi: 10.1007/s00330-009-1478-3.
35. Symersky P, Habets J, Westers P, de Mol BA, Prokop M, Budde RP. Prospective ECG triggering reduces prosthetic heart valve-induced artefacts compared with retrospective ECG gating on 256-slice CT. Eur Radiol. 2012;22:1271-1277. doi: 10.1007/s00330-011-2358-1.