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.
Specialty: Cardiology