Device landing zone calcification predicts significant paravalvular regurgitation after transcatheter aortic valve replacement: A real time three-dimensional transesophageal echocardiography study

Hirotsugu Mihara, Kentaro Shibayama, Kenji Harada, Javier Berdejo, Yuji Itabashi, Raj R. Makkar, Takahiro Shiota

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Paravalvular regurgitation (PVR) after transcatheter aortic valve replacement (TAVR) is one of the major complications with negative clinical prognosis. Therefore, its prediction is important for further improvement of the outcome. We present a case with TAVR, in which we successfully evaluated aortic valve calcification protruding inward and into the left ventricular outflow tract by real time three-dimensional transesophageal echocardiography, and predicted significant PVR after the procedure. In conclusion, device landing zone calcification protruding inward is a key for the prediction of significant PVR after TAVR. Mini-Abstract Paravalvular regurgitation (PVR) after transcatheter aortic valve replacement (TAVR) is one of the major complications with negative clinical prognosis. Therefore, its prediction is important for further improvement of the outcome. We present a case with TAVR, in which we successfully evaluated aortic valve calcification protruding inward and into left ventricular outflow tract by real time three-dimensional transesophageal echocardiography, and predicted significant PVR after the procedure. In conclusion, device landing zone calcification protruding inward is a key for the prediction of significant PVR after TAVR.

Original languageEnglish
JournalEchocardiography
Volume31
Issue number5
DOIs
Publication statusPublished - 2014
Externally publishedYes

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Three-Dimensional Echocardiography
Transesophageal Echocardiography
Equipment and Supplies
Transcatheter Aortic Valve Replacement

Keywords

  • aortic stenosis
  • calcification
  • echocardiography
  • three-dimensional
  • transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Device landing zone calcification predicts significant paravalvular regurgitation after transcatheter aortic valve replacement : A real time three-dimensional transesophageal echocardiography study. / Mihara, Hirotsugu; Shibayama, Kentaro; Harada, Kenji; Berdejo, Javier; Itabashi, Yuji; Makkar, Raj R.; Shiota, Takahiro.

In: Echocardiography, Vol. 31, No. 5, 2014.

Research output: Contribution to journalArticle

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abstract = "Paravalvular regurgitation (PVR) after transcatheter aortic valve replacement (TAVR) is one of the major complications with negative clinical prognosis. Therefore, its prediction is important for further improvement of the outcome. We present a case with TAVR, in which we successfully evaluated aortic valve calcification protruding inward and into the left ventricular outflow tract by real time three-dimensional transesophageal echocardiography, and predicted significant PVR after the procedure. In conclusion, device landing zone calcification protruding inward is a key for the prediction of significant PVR after TAVR. Mini-Abstract Paravalvular regurgitation (PVR) after transcatheter aortic valve replacement (TAVR) is one of the major complications with negative clinical prognosis. Therefore, its prediction is important for further improvement of the outcome. We present a case with TAVR, in which we successfully evaluated aortic valve calcification protruding inward and into left ventricular outflow tract by real time three-dimensional transesophageal echocardiography, and predicted significant PVR after the procedure. In conclusion, device landing zone calcification protruding inward is a key for the prediction of significant PVR after TAVR.",
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AU - Mihara, Hirotsugu

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AU - Harada, Kenji

AU - Berdejo, Javier

AU - Itabashi, Yuji

AU - Makkar, Raj R.

AU - Shiota, Takahiro

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