Detection of pannus by multidetector-row computed tomography.
Prosthetic valve dysfunction (PVD) due to pannus formation is an infrequent but serious complication. A 72-year-old man who underwent aortic valve replacement was diagnosed with PVD and aneurysm of the Sinus of Valsalva. Multidetector-row computed tomography (MDCT) was used to examine the cause of PVD before reoperation. MDCT demonstrated that tissue regarded as pannus extended from the left ventricular septum into the pivot guard. These findings were confirmed by observations during reoperation. MDCT can be a useful diagnostic technique for the anatomical and functional evaluation of PVD.
Department of Surgery and Radiology, Kurume University, School of Medicine, Kurume, Japan. tesshi@med.kurume-u.ac.jp
Hideki
H
Teshima
Nobuhiko
N
Hayashida
Naofumi
N
Enomoto
Shigeaki
S
Aoyagi
Koji
K
Okuda
Masafumi
M
Uchida
D000368:Aged; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging; D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D012850:Sinus of Valsalva; D014057:Tomography, X-Ray Computed