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Assessment of normal and abnormal prosthetic mitral valves by Doppler echocardiography

Doppler in prosthetic mitral valves

The International Journal of Cardiac Imaging volume 6, pages 11–21 (1990)Cite this article

Abstract

Pulsed, continuous-wave, and color Doppler were performed in 165 normal mitral prostheses and 58 patients with prosthetic dysfunction (46 regurgitant and 12 obstructive valves) proved by catheterization and/or surgery. Mean mitral gradient (MG) and pressure half-time (PHT) were determined in all cases.

Among normal prostheses, a wide range of both MG and PHT was observed in each type of valve and a considerable overlap between valves of different size. St-Jude's valve had the most optimal hemodynamics. Mild mitral insufficiency was detected in 14% of tissue and 24% of mechanical mitral valves.

Repeat studies were performed in 30 patients over a 2.4 years period. Nine patients developed Doppler evidence of new prosthetic dysfunction, while Doppler parameters remained unchanged in 21 patients during the follow-up period.

Among malfunctioning valves, Doppler correctly identified all cases of prosthetic obstruction (n=12), and 42 of 46 regurgitant valves.

We conclude that Doppler echocardiography is a very useful technique in both non-invasive assessment and follow-up of normal prosthetic valves in the mitral position and in detecting prosthetic dysfunction, especially when prosthetic obstruction is present.

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Affiliations

  1. Department of Cardiology, LA TIMONE Hospital, Marseille, France

    Gilbert Habib, Michel Benichou, Jean-Louis Bonnet, Philippe Jau, Jacques Bille, Pierre Djiane & Roger Luccioni

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  1. Gilbert Habib
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  2. Michel Benichou
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  3. Jean-Louis Bonnet
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  4. Philippe Jau
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  5. Jacques Bille
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  6. Pierre Djiane
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  7. Roger Luccioni
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Habib, G., Benichou, M., Bonnet, JL. et al. Assessment of normal and abnormal prosthetic mitral valves by Doppler echocardiography. Int J Cardiac Imag 6, 11–21 (1990). https://doi.org/10.1007/BF01798428

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  • DOI: https://doi.org/10.1007/BF01798428

Key words

  • doppler echocardiography
  • prosthetic mitral valves
  • malfunctioning mitral prostheses
  • follow-up of mitral prostheses