7 results
Aortic Valve Prosthesis Paravalvular Leak 

Severe aortic regurgitation due to paravalvular leak of a partially dehiscent
Valve Prosthesis Paravalvular ... regurgitation due to paravalvular ... Steph_Achenbach #paravalvular
Submitral Cardiac Aneurysm seen on Ventriculogram

S/P MVR with bio prosthetic valve, severe MR, paravalvular , submitral
valve, severe MR, paravalvular
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Prosthetic valve: Paravalvular
Gerbode Defect (LV → RA Shunt) on Echocardiogram

After MVR, on second post op day surgeon heard
asked to rule out paravalvular
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
abnormalities (suggests perivalvular
Figure. An approach to the diagnostic use of echocardiography (echo). Rx indicates prescription; TEE, transesophageal
echocardiography; and
suggestion of perivalvular
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
abnormalities (suggests perivalvular