4D Flow Cardiac Magnetic Resonance Uncovers the Cause of Bioprosthetic Pulmonary Valve Dysfunction

Yonatan Z S Rotman; Laith Alshawabkeh; Michael Horowitz; Albert Hsiao

doi:10.1016/j.jaccas.2019.10.005

4D Flow Cardiac Magnetic Resonance Uncovers the Cause of Bioprosthetic Pulmonary Valve Dysfunction

JACC Case Rep. 2019 Nov 27;1(4):485-486. doi: 10.1016/j.jaccas.2019.10.005. eCollection 2019 Dec.

Authors

Yonatan Z S Rotman¹, Laith Alshawabkeh², Michael Horowitz², Albert Hsiao²

Affiliations

¹ Maimonides Medical Center, Brooklyn, New York.
² University of California-San Diego, La Jolla, California.

Abstract

We present a case of a 20-year-old man with tetralogy of Fallot status post-repair with a transannular patch and left pulmonary artery reconstruction at age 1 and subsequent pulmonary valve replacement with bioprosthetic valve 3 years ago. A transthoracic echocardiogram revealed severe bioprosthetic valve insufficiency. Cardiac magnetic resonance with 4-dimensional flow revealed a paravalvular leak. (Level of Difficulty: Intermediate.).

Keywords: 4D, 4-dimensional; ACHD, adult congenital heart disease; CMR, cardiac magnetic resonance; LPA, left pulmonary artery; TOF, tetralogy of Fallot; congenital heart defect; pulmonary valve; valve replacement.