4D Flow Cardiac Magnetic Resonance Uncovers the Cause of Bioprosthetic Pulmonary Valve Dysfunction.
- Author(s): Rotman, Yonatan ZS
- Alshawabkeh, Laith
- Horowitz, Michael
- Hsiao, Albert
- et al.
Published Web Locationhttps://doi.org/10.1016/j.jaccas.2019.10.005
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.).