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Diagnosis flowchart in case of suspicion of bioprosthesis valve dysfunction. BVD: bioprosthesis valve dysfunction; MSCT: multi-slice computed tomography; TEE: trans-esophageal echocardiography; TTE: trans-thoracic echocardiography; [18F]-FDG-PET: [18]-fluorodeoxyglucose-positron emission tomography. *: nuclear imaging may be applicable in case of high clinical suspicion of endocarditis with inconclusive TTE/TEE.
