Mitral prosthetic valve assessment by echocardiographic guidelines

Abstract

Compared with a native valve, the prosthetic valve is inherently obstructive, and the type and size of prosthesis determines what is considered normal function. The assessment of mitral prosthetic valve function requires an integrative process using 2-dimensional, 3-dimensional, and Doppler echocardiographic modalities, in addition to transesophageal and transthoracic echocardiography. The echocardiographic interpretation of function depends on knowing the exact type, size, and even the date of implantation. This review discusses the echocardiographic assessment of prosthetic mitral valve function based on current American and European guidelines.