Skip to main content
SpringerLink
Log in

Intracardiac echocardiography to diagnose pannus formation after aortic valve replacement

  • Case Report
  • Published:
Journal of Echocardiography Aims and scope Submit manuscript

Abstract

A 66-year-old female, under regular follow-up for 20 years after aortic valve replacement (19-mm Carbomedics), presented dyspnea on effort and hypotension during hemodialysis. A transthoracic echocardiogram showed elevation of transvalvular velocity up to 4 m/s, but the structure around the aortic prosthesis was difficult to observe due to artifacts. Fluoroscopy revealed normal motion of the leaflets of the mechanical valve. Intracardiac echocardiography (ICE) revealed a pannus-like structure in the left ventricular outflow tract. Transesophageal echocardiogram also revealed this structure. ICE can visualize structural abnormalities around a prosthetic valve after cardiac surgery even in patients in whom conventional imaging modalities failed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ali S, George LK, Das P, et al. Intracardiac echocardiography: clinical utility and application. Echocardiography. 2011;28:582–90.

    Article  PubMed  Google Scholar 

  2. Osman F, Steeds R. Use of intra-cardiac ultrasound in the diagnosis of prosthetic valve malfunction. Eur J Echocardiogr. 2007;8:392–4.

    Article  PubMed  Google Scholar 

  3. Barbetseas J, Nagueh SF, Pitsavos C, et al. Differentiating thrombus from pannus formation in obstructed mechanical prosthetic valves: an evaluation of clinical, transthoracic and transesophageal echocardiographic parameters. J Am Coll Cardiol. 1998;32:1410–7.

    Article  CAS  PubMed  Google Scholar 

  4. Silvestry FE, Kadakia MB, Willhide J, et al. Initial experience with a novel real-time three-dimensional intracardiac ultrasound system to guide percutaneous cardiac structural interventions: a phase 1 feasibility study of volume intracardiac echocardiography in the assessment of patients with structural heart disease undergoing percutaneous transcatheter therapy. J Am Soc Echocardiogr. 2014;27:978–83.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan

    Yoshiya Yamamoto, Takahiro Ohara, Akira Funada, Hiroyuki Takahama, Makoto Amaki, Takuya Hasegawa, Yasuo Sugano, Hideaki Kanzaki & Toshihisa Anzai

Authors
  1. Yoshiya Yamamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takahiro Ohara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Akira Funada
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hiroyuki Takahama
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Makoto Amaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Takuya Hasegawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Yasuo Sugano
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Hideaki Kanzaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Toshihisa Anzai
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Takahiro Ohara.

Ethics declarations

Conflict of interest

All authors report that they have no conflict of interest.

Human rights statements and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later revisions. Informed consent was obtained from all patients for inclusion in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yamamoto, Y., Ohara, T., Funada, A. et al. Intracardiac echocardiography to diagnose pannus formation after aortic valve replacement. J Echocardiogr 14, 39–41 (2016). https://doi.org/10.1007/s12574-015-0272-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12574-015-0272-2

Keywords

Search

Navigation