Guidelines for the Evaluation of Prosthetic Valve Function With Cardiovascular Imaging: A Report From the American Society of Echocardiography Developed in Collaboration With the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular Computed Tomography

William A. Zoghbi, Pei Ni Jone, Mohammed A. Chamsi-Pasha, Tiffany Chen, Keith A. Collins, Milind Y. Desai, Paul Grayburn, Daniel W. Groves, Rebecca T. Hahn, Stephen H. Little, Eric Kruse, Danita Sanborn, Sangeeta B. Shah, Lissa Sugeng, Madhav Swaminathan, Jeremy Thaden, Paaladinesh Thavendiranathan, Wendy Tsang, Jonathan R. Weir-McCall, Edward Gill

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

In patients with significant cardiac valvular disease, intervention with either valve repair or valve replacement may be inevitable. Although valve repair is frequently performed, especially for mitral and tricuspid regurgitation, valve replacement remains common, particularly in adults. Diagnostic methods are often needed to assess the function of the prosthesis. Echocardiography is the first-line method for noninvasive evaluation of prosthetic valve function. The transthoracic approach is complemented with two-dimensional and three-dimensional transesophageal echocardiography for further refinement of valve morphology and function when needed. More recently, advances in computed tomography and cardiac magnetic resonance have enhanced their roles in evaluating valvular heart disease. This document offers a review of the echocardiographic techniques used and provides recommendations and general guidelines for evaluation of prosthetic valve function on the basis of the scientific literature and consensus of a panel of experts. This guideline discusses the role of advanced imaging with transesophageal echocardiography, cardiac computed tomography, and cardiac magnetic resonance in evaluating prosthetic valve structure, function, and regurgitation. It replaces the 2009 American Society of Echocardiography guideline on prosthetic valves and complements the 2019 guideline on the evaluation of valvular regurgitation after percutaneous valve repair or replacement.

Original languageEnglish (US)
Pages (from-to)2-63
Number of pages62
JournalJournal of the American Society of Echocardiography
Volume37
Issue number1
DOIs
StatePublished - Jan 2024

Keywords

  • Cardiac valves
  • Computed tomography
  • Doppler echocardiography
  • Echocardiography
  • Magnetic resonance imaging
  • Prosthetic valves
  • Heart
  • Magnetic Resonance Spectroscopy
  • Humans
  • Prostheses and Implants
  • Magnetic Resonance Imaging
  • Adult
  • Heart Valve Diseases/diagnosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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