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Cardiac Computed Tomography for Structural Heart Disease Assessment and Therapeutic Planning: Focus on Prosthetic

Alpana Senapati1, Nadeen N Faza1, John Mahmarian2

  • 1METHODIST DEBAKEY HEART & VASCULAR CENTER, HOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.

Methodist Debakey Cardiovascular Journal
|July 17, 2020
PubMed

Insights

Prosthetic valve dysfunction (PVD) affects up to 6% of valve surgeries, posing diagnostic challenges. This review highlights multimodality imaging, particularly cardiac MDCT, for PVD evaluation and management.

Area of Science:

  • Cardiovascular Imaging and Intervention
  • Cardiac Surgery and Valve Disease

Background:

  • Prosthetic valve dysfunction (PVD) complicates over 100,000 US valve surgeries annually, with up to 6% incidence.
  • PVD presents significant diagnostic challenges and can be life-threatening.

Purpose of the Study:

  • To review the prevalence, incidence, and etiologies of prosthetic valve dysfunction (PVD).
  • To assess the role of multimodality imaging, focusing on cardiac multidetector computed tomography (MDCT), in evaluating PVD.
  • To explore MDCT's utility in preprocedural planning for transcatheter devices and redo surgeries, and discuss management strategies.

Main Methods:

  • Literature review focusing on prosthetic valve dysfunction (PVD).
  • Emphasis on multimodality imaging techniques, particularly cardiac multidetector computed tomography (MDCT).
  • Analysis of MDCT's application in preprocedural planning and patient management.

Main Results:

  • Cardiac MDCT is a valuable tool for diagnosing and evaluating prosthetic valve dysfunction (PVD).
  • MDCT aids in preprocedural planning for transcatheter interventions and redo surgical procedures.
  • The review synthesizes current knowledge on PVD etiologies and management strategies.

Conclusions:

  • Multimodality imaging, especially cardiac MDCT, plays a crucial role in the comprehensive evaluation of patients with prosthetic valve dysfunction (PVD).
  • MDCT facilitates optimized treatment planning and management of PVD, improving patient outcomes.

Keywords:
CT fusion imagingmultidetector computed tomographyprosthetic valve dysfunction

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