Cardiothoracic & vascular anesthesia

Hypoattenuated Leaflet Thickening: A Comprehensive Review of Contemporary Data

J Cardiothorac Vasc AnesthPublished Narrative review

Study context

Population
Patients after surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR) with hypoattenuated leaflet thickening (HALT)
Outcome
HALT incidence after SAVR or TAVR
Follow-up
Within a year

Main finding

As reported in the abstract

  • Nearly one-third of patients develop HALT after SAVR or TAVR

Further findings

Clinical course of HALT

HALT typically represents subclinical leaflet thrombosis in asymptomatic patients, often detected incidentally; may worsen, causing leaflet immobility and/or valve deterioration
No consensus on screening and management of HALT after TAVR or SAVR

Original publication

Hypoattenuated Leaflet Thickening: A Comprehensive Review of Contemporary Data. J Cardiothorac Vasc Anesth. Published 2 July 2024. doi:10.1053/j.jvca.2024.06.043

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