Journal of the American Society of Echocardiography
Volume 23, Issue 1 , Pages 107.e1-107.e3 , January 2010

Intermittent, Noncyclic Dysfunction of a Mechanical Aortic Prosthesis by Pannus Formation

  • Sylvie K. Giroux, MD

      Affiliations

    • Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • ,
  • Marino X. Labinaz, MD

      Affiliations

    • Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • ,
  • Dominique Grisoli, MD

      Affiliations

    • Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • ,
  • Andrew P. Klug, MD

      Affiliations

    • Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • ,
  • John P. Veinot, MD

      Affiliations

    • Division of Anatomical Pathology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • ,
  • Ian G. Burwash, MD

      Affiliations

    • Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
    • Corresponding Author InformationReprint requests: Ian G. Burwash, MD, University of Ottawa Heart Institute, 40 Ruskin St., Room H3407, Ottawa, Ontario, Canada, K1Y4W7.

References 

  1. Shabid M, Sutherland G, Hatle L. Diagnosis of intermittent obstruction of mechanical mitral valve prosthesis by Doppler echocardiography. Am J Cardiol. 1995;76:1305–1309
  2. Bouma BJ, Koster R. Dysfunction of an aortic prosthetic valve. Heart. 2005;91:120
  3. Robles P, Jimenez Nacher JJ, Rubio A, Huelmos A, Lopez L. Intermittent aortic regurgitation in a case of mechanical prosthesis dysfunction. Int J Cardiol. 2005;102:525–527
  4. Galli CA, Muratori M, Montorsi P, Barili F, Polvani G, Pepi M. Cyclic intermittent aortic regurgitation of a mechanical bileaflet aortic valve prosthesis. J Am Soc Echocardiogr. 2007;20:1315–1318
  5. Girard SE, Miller FA, Orszulak TA, Mullany CJ, Montgomery S, Edwards WD, et al. Reoperation for prosthetic aortic valve obstruction in the era of echocardiography. J Am Coll Cardiol. 2001;37:579–584
  6. Teshima H, Hayashida N, Yano H, Nishimi M, Tayama E, Fukunaga S, et al. Obstruction of St-Jude medical valve in the aortic position: histology and immunohistochemistry of pannus. J Thorac Cardiovasc Surg. 2003;126:401–407
  7. Barbetseas J, Nagueh SF, Pitsavos C, Toutouzas PK, Quiñones MA, Zoghbi WA, et al. Differentiating thrombus from pannus formation in obstructed mechanical prosthetic valves. J Am Coll Cardiol. 1998;32:1410–1417
  8. Rizzoli G, Guglielmi C, Toscano G, Pistorio V, Vendramin I, Bottio T, et al. Reoperation for acute prosthetic thrombosis and pannus: an assessment of rates, relationship and risk. Eur J Cardiothorac Surg. 1999;16:74–80
  9. Roudaut R, Lafitte S, Roudaut MF, Courtault C, Perron JM, Jais C, et al. Fibrinolysis of mechanical prosthetic valve thrombosis: a single-center study of 127 cases. J Am Coll Cardiol. 2003;41:653–658
  10. Gupta D, Kothari SS, Bahl VK, Goswami KC, Talwar KK, Manchanda SC, et al. Thrombolytic therapy for prosthetic valve thrombosis: short- and long-term results. Am Heart J. 2000;140:906–916

PII: S0894-7317(09)00627-0

doi: 10.1016/j.echo.2009.07.003

Journal of the American Society of Echocardiography
Volume 23, Issue 1 , Pages 107.e1-107.e3 , January 2010