[Transthoracic color Doppler echocardiography in the diagnosis of insufficiency of heart valve prostheses. A comparison with conventional Doppler sonography].
Color-coded and conventional pulsed wave/continuous wave Doppler detection of valvular or paravalvular regurgitation in 59 patients with 67 cardiac valve prostheses were compared; 21 patients had known regurgitation determined by auscultation. Analysis of the color-coded Doppler findings was made from videotape and blinded as to patient identity and clinical findings. Conventional Doppler Sonography detected 36 instances of aortic and 3 of mitral prosthetic regurgitation. Color-coded Doppler investigation detected 27 instances of aortic and 1 of mitral prosthetic regurgitation resulting in a sensitivity of 72% and specificity of 100% as compared to conventional Doppler sonography. All 21 patients with a regurgitant murmur had pathological conventional Doppler findings, but 3 of them did not show regurgitant flow in the color-coded Doppler examination. The apical four chamber view contributed most to the colour-coded Doppler detection of regurgitant flow, followed by the parasternal long axis view.
Weiss
P
P
Abteilung für Kardiologie, Medizinische Universitätskliniken, Kantonsspital Basel.
Hoffmann
A
A
Burckhardt
D
D
D000328:Adult; D000368:Aged; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D015150:Echocardiography, Doppler / Q000379:methods*; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D011474:Prosthesis Design; D011475:Prosthesis Failure
Transthorakale Farbdoppler-Echokardiographie zur Diagnose der Insuffizienz von Klappenprothesen. Ein Vergleich mit der konventionellen Dopplersonographie.