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Chinese Journal of Diagnostics(Electronic Edition) ›› 2014, Vol. 02 ›› Issue (01): 1-8. doi: 10.3877/cma.j.issn.2095-655X.2014.01.001

Special Issue:

• Special Elaboration •     Next Articles

Echocardiographic detection of early complications after aortic valve replacement

Li Fan1, Chunsheng Wang1, Leilei Cheng2,()   

  1. 1. Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China
  • Received:2013-11-30 Online:2014-02-26 Published:2014-02-26
  • Contact: Leilei Cheng
  • About author:
    Corresponding Author: Cheng Leilei, Email:

Abstract:

Aortic valve replacement (AVR) is generally accepted as the standard operation to treat symptomatic aortic valvular diseases now.AVR can apparently improve the clinical symptoms and hemodynamics of patients with aortic valve stenosis or regurgitation.AVR has good effect and a higher long-term survival rate. Although transcatheter aortic valve implantation (TAVI) has also been accepted as an effective means to treat aortic valvular diseases, AVR is still the most reliable surgical procedure.Echocardiography is the most important method to diagnose aortic valve stenosis or regurgitation.Echocardiography is also a safe and reliable non-invasive detecting technique, which has important value on having preoperative evaluation, determining operation indication, choosing operation procedure and judging prognosis.The early complications of AVR affect the prognosis of patients after the surgery.Echocardiography is the most widely used clinical methodology for detecting the early complications that occurred within 30 days after the surgical procedure of AVR.Conventional echocardiography is most widely used, but new echocardiographic techniques such as tissue Doppler imaging(TDI), two-dimensional or three-dimensional speckle tracking imaging (2D or 3D-STI) and stress echocardiography are getting more and more attentive in recent years.However, there isn′t enough sufficient evidence to prove the predictive value of echocardiography on early complications after AVR.This article reviewed echocardiographic detective methods of main early complications after AVR, which may provide evidence to study the predictive value of preoperative echocardiographic index on early postoperative complications.

Key words: Aortic valve replacement, Echocardiography, Early complications

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