When Echocardiography Is Challenging in Localizing Bioprosthetic Aortic Regurgitation: Dye Don't Lie

Taha Hatab; Priscilla Wessly; Syed Zaid; Nadeen Faza; Su Min Chang; Neal S. Kleiman; Stephen H. Little; Sachin S. Goel

doi:10.1016/j.jaccas.2023.101853

When Echocardiography Is Challenging in Localizing Bioprosthetic Aortic Regurgitation: Dye Don't Lie

Taha Hatab, Priscilla Wessly, Syed Zaid, Nadeen Faza, Su Min Chang, Neal S. Kleiman, Stephen H. Little, Sachin S. Goel

Research output: Contribution to journal › Article › peer-review

Abstract

Transesophageal echocardiography is the main imaging modality for localizing and quantifying prosthetic aortic regurgitation. We describe a case of bioprosthetic aortic paravalvular leak (PVL) where transesophageal echocardiography was inadequate; aortic root angiography and computed tomography fusion were critical in diagnosing and guiding closure. Multimodality imaging can be pivotal in localizing PVL and guiding transcatheter PVL closure. (Level of Difficulty: Intermediate.)

Original language	English (US)
Article number	101853
Pages (from-to)	101853
Journal	JACC: Case Reports
Volume	15
DOIs	https://doi.org/10.1016/j.jaccas.2023.101853
State	Published - Jun 7 2023

Keywords

CT fusion
aortic angiography
multimodality imaging
paravalvular leak

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jaccas.2023.101853

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title = "When Echocardiography Is Challenging in Localizing Bioprosthetic Aortic Regurgitation: Dye Don't Lie",

abstract = "Transesophageal echocardiography is the main imaging modality for localizing and quantifying prosthetic aortic regurgitation. We describe a case of bioprosthetic aortic paravalvular leak (PVL) where transesophageal echocardiography was inadequate; aortic root angiography and computed tomography fusion were critical in diagnosing and guiding closure. Multimodality imaging can be pivotal in localizing PVL and guiding transcatheter PVL closure. (Level of Difficulty: Intermediate.)",

keywords = "CT fusion, aortic angiography, multimodality imaging, paravalvular leak",

author = "Taha Hatab and Priscilla Wessly and Syed Zaid and Nadeen Faza and Chang, {Su Min} and Kleiman, {Neal S.} and Little, {Stephen H.} and Goel, {Sachin S.}",

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T2 - Dye Don't Lie

AU - Hatab, Taha

AU - Wessly, Priscilla

AU - Zaid, Syed

AU - Faza, Nadeen

AU - Chang, Su Min

AU - Kleiman, Neal S.

AU - Little, Stephen H.

AU - Goel, Sachin S.

PY - 2023/6/7

Y1 - 2023/6/7

N2 - Transesophageal echocardiography is the main imaging modality for localizing and quantifying prosthetic aortic regurgitation. We describe a case of bioprosthetic aortic paravalvular leak (PVL) where transesophageal echocardiography was inadequate; aortic root angiography and computed tomography fusion were critical in diagnosing and guiding closure. Multimodality imaging can be pivotal in localizing PVL and guiding transcatheter PVL closure. (Level of Difficulty: Intermediate.)

AB - Transesophageal echocardiography is the main imaging modality for localizing and quantifying prosthetic aortic regurgitation. We describe a case of bioprosthetic aortic paravalvular leak (PVL) where transesophageal echocardiography was inadequate; aortic root angiography and computed tomography fusion were critical in diagnosing and guiding closure. Multimodality imaging can be pivotal in localizing PVL and guiding transcatheter PVL closure. (Level of Difficulty: Intermediate.)

KW - CT fusion

KW - aortic angiography

KW - multimodality imaging

KW - paravalvular leak

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When Echocardiography Is Challenging in Localizing Bioprosthetic Aortic Regurgitation: Dye Don't Lie

Abstract

Keywords

ASJC Scopus subject areas

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