ABC | Volume 113, Nº1, Julho 2019

Posicionamento Posicionamento sobre Indicações da Ecocardiografia em Adultos – 2019 Arq Bras Cardiol. 2019; 113(1):135-181 o ETE deve fornecer dados quanto à expansão adequada da prótese, à presença e ao grau de regurgitação protética e/ou paraprotética. Complicações do procedimento fazem parte da investigação pelo ecocardiograma. 13.7. Tratamento das Disfunções de Próteses A) Valve in valve: denomina-se “valve in valve” o implante de uma prótese via cateter sobre uma bioprótese disfuncionante. Pode ser feito em próteses em posição aórtica e mitral, sendo a última somente por via transapical. Omonitoramento durante o processo de chegada da prótese, seu implante e a identificação de complicações devem ser feitos pelo ETE. B) Oclusão de orifícios de regurgitação paraprotética: uma das possibilidades de regurgitação em uma prótese valvar é a presença de orifícios paraprotéticos. 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