TRICUSPID PROSTHESIS MALFUNCTION UNMASKED BY EXERCISE STRESS ECHOCARDIOGRAPHY

Authors

  • Carlos Cotrim Heart Center do Hospital da Cruz Vermelha Lisboa, Portugal
  • Francisco Costa Departamento de Cardiologia da GNR e Hospital de Santa Cruz Lisboa, Portugal
  • Luis Baquero Heart Center do Hospital da Cruz Vermelha Lisboa, Portugal

DOI:

https://doi.org/10.48729/pjctvs.35

Abstract

Exercise echocardiography is used mainly in the study of patients with coronary artery disease, however the technique is increasingly used in the study of other pathologies. We present the first case of use of exercise stress echocardiography for clinical decision in one patient with biological prostheses in tricuspid position. The clinical exam, the echocardiogram, the cardiac MRI, the NT proBNP were normal and the patient has been considered to have no indication for surgery. The patient was only presented and accepted for surgery after the results of exercise stress echocardiography.

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References

Bonow R, Carabello B, Chatterjee K. ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease. J Am Coll Cardiol 2006;48:e1-e143.

Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Barón-Esquivias G, Baumgartner H, Borger MA, Carrel TP, De Bonis M, Evangelista A, Falk V, Iung B, Lancellotti P, Pierard P, Price S, Schafers HJ, Schuler G, Stepinska J, Swedberg K, Takkenberg J, Von Oppell UO, Windecker S, Zamorano JL, Zembala M, Bax JJ, Ceconi C, Dean V, Deaton C, Fagard R, Funck-Brentano C, Hasdai D, Hoes A, Kirchhof P, Knuuti J, Kolh P, McDonagh T, Moulin C, Popescu BA, Reiner Z, Sechtem U, Sirnes PA, Tendera M, Torbicki A, Segesser LV, Badano LP, Bunc M, Claeys MJ, Drinkovic N, Filippatos G, Habib G, Kappetein AP, Kassab R, Lip GYH, Moat N, Nickenig G, Otto CM, Pepper J, Piazza N, Pieper PG, Rosenhek R, Shuka N, Schwammenthal E, Schwitter J, Tornos P, Trindade PT, Walther T. Guidelines on thr management of valvular heart disease (versión 2012) Eur Heart J 2012 doi:10.1093/eurheartj/ehs109.

Lancellotti P, Pellikka PA, Budts W, Chaudhry FA, Donal E, Dulgheru R, Edvardsen T, Garbi M, Ha JW, Kane GC, Kreeger J, Mertens L, Pibarot P, Picano E, Ryan T, Tsutsui JM, Varga A. The Clinical Use of Stress Echocardiography in Non-Ischaemic Heart Disease: Recommendations from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. J Am Soc Echocardiogr. 2017 Feb;30(2):101-138.

Picano E, Pibarot P, Lancellotti P,Monin JL, Bonow RE. The emerging role of exercise testing and stress echocardiography in valvular heart disease. J Am Coll Cardiol. 2009 Dec 8;54(24):2251-2260.

Rahimtoola SH. The problem of valve prosthesis-patient mismatch. Circulation 1978;58:20-24.

Pibarot P, Dumesnil JG. Hemodynamic and clinical impact of prosthesis-patient mismatch in the aortic valve and its prevention. J Am Coll Cardiol 2000;36:1131-1141.

Pibarot P, Dumesnil JG, Jobin J. Hemodynamic and physical performance during maximal exercise in patients with an aortic bioprosthetic valve: comparison of stentless versus stented bioprosthesis. J Am Coll Cardiol 1999;34:1609-1617.

Hobson NA, Wilkinson GA, Cooper GH, Wheeldon NM, Lynch J. Hemodynamic assessment of mitral mechanical prosthesis under high flow conditions: comparison between dynamic exercise and dobutamine stress. J Heart Valve Dis 2006;15:87-91.

Lopes LR, Cotrim C, João I, Catarino C, Carrageta M. Suspected dysfunction of a Starr-Edwards aortic prosthesis implanted 33 years ago: The role of exercise stress echocardiography. Case report. Rev Port Cardiol. 2006;25(9):849-853.

Cotrim C, João I, Fazendas P, Almeida AR, Lopes L, Stuart B, Cruz I, Caldeira D, Loureiro MJ, Morgado G, Pereira H. Clinical applications of exercise stress echocardiography in the treadmill with upright evaluation during and after exercise. Cardiovasc Ultrasound. 2013;11:26

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Published

17-04-2021

How to Cite

1.
Cotrim C, Costa F, Baquero L. TRICUSPID PROSTHESIS MALFUNCTION UNMASKED BY EXERCISE STRESS ECHOCARDIOGRAPHY. Rev Port Cir Cardiotorac Vasc [Internet]. 2021 Apr. 17 [cited 2024 May 22];27(3):215-6. Available from: https://pjctvs.com/index.php/journal/article/view/35

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Section

Clinical Cases