Rashid Hashrul N, Rajani Ronak, Leipsic Jonathon, Maurovitch-Horvat Pál, Patterson Tiffany, Redwood Simon, Lee Jack, Hurrell Harriet, Nicholls Stephen J, Nasis Arthur, Seneviratne Sujith, Cameron James D, Prendergast Bernard, Gooley Robert P
MonashHeart, Monash Health and Monash Cardiovascular Research Centre, Monash University, Melbourne, Australia; Department of Cardiology, Guy's & St. Thomas' Hospital, London, United Kingdom.
Department of Cardiology, Guy's & St. Thomas' Hospital, London, United Kingdom.
J Cardiovasc Comput Tomogr. 2023 Jan-Feb;17(1):2-10. doi: 10.1016/j.jcct.2022.11.001. Epub 2022 Nov 8.
Subclinical leaflet thrombosis (LT) may occur following surgical and transcatheter aortic valve replacement. Computed tomography (CT) has become an established imaging modality to diagnose subclinical LT following bioprosthetic aortic valve replacement. Even so, there is a limited (but growing) experience in utilizing CT imaging for this indication. This review emphasizes a systematic approach to acquiring and analysing CT imaging for subclinical LT, highlighting evidence surrounding clinical sequelae of subclinical LT and anti-thrombotic implications following diagnosis.
在外科手术和经导管主动脉瓣置换术后可能会发生亚临床瓣叶血栓形成（LT）。计算机断层扫描（CT）已成为诊断生物人工主动脉瓣置换术后亚临床LT的既定成像方式。即便如此，在将CT成像用于这一适应症方面的经验有限（但在不断增加）。本综述强调了一种用于获取和分析亚临床LT的CT成像的系统方法，突出了围绕亚临床LT临床后遗症及诊断后抗血栓形成意义的证据。
