Description

A prosthetic valve may malfunction if certain conditions occur.


Cause

Stenosis

Regurgitation

stent creep

x

 

pannus

x

x

calcification

x

x

support structure deformation, fracture, trauma, under-expansion

x

 

prosthesis-patient mismatch

x

 

endocarditis

x

x

prosthetic valve thrombosis

x

x

native leaflet prolapse impeding prosthetic valve motion

x

 

malposition (too high, too low)

 

x

acute malcoaptation

 

x

leaflet wear, tear, prolapse, etc

 

x

suture breakage or disruption

 

x

 

where:

• Stent creep is a structural deterioration of a bioprosthetic valve with permanent inward deflection of the stent posts.

• Coaptation refers to the coming together of the heart valves leaflets. Malcoaptation means that the valves do not come together properly, allowing a regurgitant jet.


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