Intracardiac Echocardiography to Diagnose Bioprosthetic Pulmonary Valve Thrombosis

Christopher J DeZorzi; Justin P Sheehy; Adnan Chhatriwalla; Anthony Magalski; John T Saxon

doi:10.1016/j.jaccas.2021.02.025

Intracardiac Echocardiography to Diagnose Bioprosthetic Pulmonary Valve Thrombosis

JACC Case Rep. 2021 Apr 21;3(4):682-685. doi: 10.1016/j.jaccas.2021.02.025. eCollection 2021 Apr.

Authors

Christopher J DeZorzi¹, Justin P Sheehy¹, Adnan Chhatriwalla^{1

2}, Anthony Magalski^{1

2}, John T Saxon^{1

2}

Affiliations

¹ Cardiology, University of Missouri-Kansas City, Kansas City, Missouri, USA.
² Cardiology Department, Saint Luke's Mid America Heart Institute, Kansas City, Missouri, USA.

Abstract

A 48-year-old woman presented with heart failure and bioprosthetic pulmonary valve regurgitation 2 years after pulmonary valve replacement. Intracardiac echocardiography demonstrated uniform thickening of a single prosthetic valve leaflet suggesting leaflet thrombosis rather than bioprosthetic valve degeneration. After 3 months of anticoagulation, valve regurgitation and symptoms improved. (Level of Difficulty: Intermediate.).

Keywords: ICE, intracardiac echocardiography; TEE, transesophageal echocardiogram; echocardiography; pulmonic valve; tetralogy of Fallot.

Publication types

Case Reports