28,495 results match your criteria Aortic Regurgitation


Outcomes of aortic root replacement.

Authors:
Tirone David

Heart 2022 Jun 28. Epub 2022 Jun 28.

Surgery, Toronto General Hospital, Toronto, Ontario, Canada

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Prevalence of cardiac valvar abnormalities in children and young people with autosomal dominant polycystic kidney disease.

Pediatr Nephrol 2022 Jun 28. Epub 2022 Jun 28.

Department of Paediatric Nephrology, Evelina London Children's Hospital, Guys & St Thomas NHS Foundation Trust, Westminster Bridge Road, London, SE1 7EH, UK.

Background: Valvar abnormalities in children and adults with autosomal dominant polycystic kidney disease (ADPKD) have previously been reported as a frequent occurrence. Mitral valve prolapse (MVP), in particular, has been reported in almost one-third of adult patients and nearly 12% of children with ADPKD. Our objective in this study was to establish the prevalence of valvar abnormalities in a large, contemporary series of children and young people (CYP) with ADPKD. Read More

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Individualized prediction of risk of ascending aortic syndromes.

PLoS One 2022 27;17(6):e0270585. Epub 2022 Jun 27.

Department of Thoracic-, Cardiac- and Vascular Surgery, Odense University Hospital, Odense, Denmark.

Objectives: Although ascending aortic diameter changes acutely after dissection, recommendation for prophylactic surgery of thoracic aortic aneurysms rely on data from dissected aortas. In this case-control study we aim to identify risk markers for acute and chronic aortic syndromes of the ascending aorta (ACAS-AA). Furthermore, to develop a predictive model for ACAS-AA. Read More

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Moth-eaten like impact of automated titanium fasteners on aortic valve bioprosthesis: A word of caution.

Eur J Cardiothorac Surg 2022 Jun 27. Epub 2022 Jun 27.

Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland.

A 78 years old patient underwent his third biological aortic valve replacement (25 mm, Inspiris ResiliaTM, Edwards Lifesciences LLC, Irvine, USA) with COR-KNOT® (LSI Solutions, Victor, NY, USA) due to valve degeneration in 2018 at a foreign hospital. In 2021, the patient was diagnosed with severe aortic regurgitation and admitted to our hospital for his fourth surgery. Intraoperatively, a total of seven perforations in all three valve leaflets have been observed, which were obviously induced by the rigid metallic fasteners. Read More

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Neo-cusp Reconstruction Procedure for Aortic Regurgitation Induced by Transcatheter Occluder Device for Ventricular Septal Defect Closure.

World J Pediatr Congenit Heart Surg 2022 Jul;13(4):495-498

Department of Pediatric Cardiac Surgery, 425959Fortis Pediatric and Congenital Heart Centre, Mulund, Mumbai, India.

Aortic regurgitation after transcatheter device closure of a perimembranous ventricular septal defect is a known complication. We present the case of an 11-year-old boy with severe aortic valve regurgitation due to cusp perforation complicating previous device closure of a ventricular septal defect. The patient underwent successful aortic valve repair (neo-cusp reconstruction technique) by replacement of a cusp and shaving off of a rim of the device 5 years after device closure. Read More

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Surgery for Anomalous Aortic Origin of a Coronary Artery (AAOCA) in Children and Adolescents: A Meta-Analysis.

World J Pediatr Congenit Heart Surg 2022 Jul;13(4):485-494

Pediatric and Congenital Cardiac Surgery Unit, Padova, Veneto, Italy.

We conducted a systematic review and meta-analysis of the literature to assess the outcomes of surgery for the anomalous aortic origin of a coronary artery in children and young adults (<30 years). Thirteen publications were selected, including a total of 384 patients. Unroofing of the intramural segment was adopted in 92% (95% CI: 81%-98%) of cases, with pooled early and late mortality of 0% (95% CI: 0%-0. Read More

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tricuspid valve infective endocarditis.

Proc (Bayl Univ Med Cent) 2022 7;35(4):522-523. Epub 2022 Apr 7.

Department of Cardiology, State University of New York Upstate Medical University, Syracuse, New York.

is an alpha-hemolytic, gram-positive coccus that is responsible for 54/1,000,000 cases of all urinary tract infections. Risk factors include male gender, advanced age, and genitourinary tract abnormalities. It has often been misidentified as or due to its morphological similarities. Read More

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Intraoperative transesophageal echocardiography reveals diastolic mitral regurgitation caused by an aortic regurgitation jet.

J Echocardiogr 2022 Jun 24. Epub 2022 Jun 24.

Anesthesiology, Cardiovascular Surgery, and Cardiology, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa, 247-0083, Japan.

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Warfarin resistance: possibilities to solve this problem. A case report.

J Int Med Res 2022 Jun;50(6):3000605221103959

Department of Internal Medicine Number 2, Bogomolets National Medical University, Kyiv, Ukraine.

Effective prevention of thromboembolism is essential for patients with mechanical prosthetic heart valves. For this group of patients, vitamin K antagonists (VKAs) remain the drug group of choice despite the widespread use of new anticoagulants in other diseases. As a consequence, warfarin resistance remains a serious challenge for physicians. Read More

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Center Valve Preference and Outcomes of Transcatheter Aortic Valve Replacement: Insights From the AMTRAC Registry.

JACC Cardiovasc Interv 2022 Jun;15(12):1266-1274

Department of Cardiology, University Hospital of León, León, Spain.

Background: Data on outcomes of transcatheter aortic valve replacement (TAVR) using balloon-expandable valves (BEVs) or self-expandable valves (SEVs) as well as the impact of center valve preference on these outcomes are limited.

Objectives: The aim of this study was to compare outcomes of TAVR procedures using third-generation BEVs and SEVs stratified by center valve preference.

Methods: In a multicenter registry (n = 17), 13 centers exhibited valve preference (66. Read More

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Impact of progressive aortic regurgitation on outcomes after left ventricular assist device implantation.

Heart Vessels 2022 Jun 23. Epub 2022 Jun 23.

Department of Cardiology, University Hospital Center Zagreb, Zagreb, Croatia.

Aortic regurgitation (AR) following continuous flow left ventricular assist device implantation (cf-LVAD) may adversely impact outcomes. We aimed to assess the incidence and impact of progressive AR after cf-LVAD on prognosis, biomarkers, functional capacity and echocardiographic findings. In an analysis of the PCHF-VAD database encompassing 12 European heart failure centers, patients were dichotomized according to the progression of AR following LVAD implantation. Read More

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Valvular Heart Disease Epidemiology.

Med Sci (Basel) 2022 Jun 15;10(2). Epub 2022 Jun 15.

Allegheny Health Network, Pittsburgh, PA 15212, USA.

Valvular heart disease is a rapidly growing cause of global cardiovascular morbidity and mortality with diverse and evolving geographic distribution. The prevalence of rheumatic heart disease, the most common valvular heart disease (affecting approximately 41 million people), has been rising in developing nations, likely due to the expansion of the young adult population and the decrease in premature mortality that has resulted from improved access to antibiotics, microbiological testing, and echocardiography. Rheumatic heart disease has also been rising among the impoverished and, often, indigenous populations of developed nations, spurring public health initiatives that are aimed at alleviating healthcare disparities. Read More

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Surgical treatment of post-infarction papillary muscle rupture: systematic review and meta-analysis.

Ann Cardiothorac Surg 2022 May;11(3):252-260

Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.

Background: Papillary muscle rupture (PMR) is a rare but potentially fatal complication following acute myocardial infarction (AMI). Surgical treatment is considered the standard of care. This systematic review and meta-analysis aims to evaluate the early outcomes after surgical correction of post-AMI PMR. Read More

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Impact of Transcatheter Aortic Valve Implantation Among Patients With Co-existing Mild to Moderate Mitral Regurgitation.

Am J Cardiol 2022 Jun 19. Epub 2022 Jun 19.

Palo Alto Medical Foundation. Electronic address:

A subset of patients with severe aortic stenosis (AS) who are who underwent transcatheter aortic valve implantation (TAVI) also has mitral regurgitation (MR). Clinical outcomes in these patients with combined MR and AS have varied. The purpose of this study was to assess clinical outcomes and echocardiographic outcomes after TAVI in patients with preprocedural MR. Read More

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A Case of CABG in a Patient with High Risk of Coronary Obstruction during TAV-in-TAV.

Ann Thorac Cardiovasc Surg 2022 Jun 23. Epub 2022 Jun 23.

Department of Cardiovascular Surgery, Osaka University Hospital, Suita, Osaka, Japan.

A 94-year-old man who underwent transcatheter aortic valve (TAV) replacement 6 years ago was admitted because of exertional dyspnea. Transthoracic echocardiography revealed severe aortic regurgitation owing to TAV dysfunction. The patient was considered to have a high risk of occlusion of the sinus of Valsalva during TAV-in-TAV. Read More

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Treatment of severe acute mitral regurgitation following thoracoabdominal aortic aneurysm repair.

J Card Surg 2022 Jun 21. Epub 2022 Jun 21.

Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA.

An asymptomatic 63-year-old male with chronic type B aortic dissection underwent repair of an expanding 6.1 cm extent I thoracoabdominal aortic aneurysm. His postoperative course was complicated by respiratory failure from severe acute mitral regurgitation likely due to papillary muscle rupture, which was corrected with transcatheter MitraClip edge-to-edge repair. Read More

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Acute native aortic regurgitation.

J Card Surg 2022 Jun 21. Epub 2022 Jun 21.

Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences, Bursa, Turkey.

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Preliminary results of a simplified aortic valve-sparing technique: A feasibility study.

J Card Surg 2022 Jun 21. Epub 2022 Jun 21.

Inserm U1011, CHU Lille, Institut Pasteur de Lille, EGID, University of Lille, Lille, France.

Background And Aim Of The Study: To evaluate whether the simplified valve-sparing technique (SVST) implies clinical outcomes comparable or not with those of established David technique in the surgery of aortic root.

Methods: We collected the records of patients who had undergone aortic root surgery with the SVST or standard David technique (SDT) at our institution between January 2009 and December 2018. The primary endpoints were the incidence of all-cause death, reoperation for any reason, and postoperative complications. Read More

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[The value of preservation of subvalvular structures in patients with mitral and aortic valve replacement surgery and its effect on left ventricular contractility].

Zhonghua Yi Xue Za Zhi 2022 Jun;102(24):1839-1845

Adult Cardiac Surgery, Heart Center of Henan Provincial People's Hospital, Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University , Zhengzhou 450003, China.

To discuss the clinical value of preserving subvalvular structure in mitral and aortic valve replacement surgery and its effect on left ventricular contractility. A total of 97 patients who underwent mitral valve replacement surgery in the Adult Cardiac Surgery of Heart Center of Henan Provincial People's Hospital, Central China Fuwai Hospital from June 2016 to December 2018 were selected as the research subjects, of whom 45 cases were preserved subvalvular structure and 52 cases were in the total resection group (intraoperative total resection of the mitral valve and subvalvular chordae tendineae). General cardiac function indexes and left ventricular function quantitative indexes were compared before and in 3 months and 6 months after the operation of the two groups; The changes of the overall longitudinal strain of the long axis of the apex and the overall circumferential strain of the short axis of the left ventricle determined by the two-dimensional speckle tracking technology were compared before and after the operation. Read More

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Transcatheter closure of periprosthetic leaks.

Authors:
Mario Gössl

Prog Cardiovasc Dis 2022 Jun 16. Epub 2022 Jun 16.

Minneapolis Heart Institute at Abbott Northwestern Hospital, United States of America. Electronic address:

Percutaneous paravalvular leak closure represents a small but important niche in structural interventions in the current era of interventional cardiology. It is estimated that paravalvular regurgitation affects 2-17% of all implanted prosthetic heart valves (which equates to 500 to 10,200 cases annually). Patients may present with clinical signs and evidence of heart failure, hemolysis or both. Read More

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Severe mitral valve insufficiency caused by standard surgical aortic valve implantation and its reparation using suture-less prosthesis.

J Cardiothorac Surg 2022 Jun 18;17(1):159. Epub 2022 Jun 18.

Department of Physiology, Faculty of Medicine in Pilsen, Charles University, Alej Svobody 1655/76, 323 00, Pilsen, Czech Republic.

Background: Aortic valve stenosis is the most frequent cardiac valve pathology in the western world. Surgical aortic valve replacement is the gold standard for the treatment of significant degenerative aortic valve diseases.

Case Presentation: This case report highlights an unexpected abnormal iatrogenic shortening of the aorto-mitral continuity and its deformity, during traditional AVR using sutured stented aortic prosthesis as the first choice, which caused significant mitral valve regurgitation. Read More

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Valve-sparing root replacement after the Ross procedure.

J Thorac Cardiovasc Surg 2022 May 2. Epub 2022 May 2.

Section of Pediatric Cardiovascular Surgery, Department of Cardiac Surgery, University of Michigan Medical School, Ann Arbor, Mich; Division of Cardiothoracic Surgery, Department of Surgery, UCLA Health, Los Angeles, Calif. Electronic address:

Objectives: The Ross procedure is a preferred treatment for infants and children with aortic valve disease. Progressive neoaortic root dilation and neoaortic insufficiency can occur after the Ross procedure, and because of the young age of these patients, valve-sparing aortic root replacement procedures have advantages compared with the Bentall procedure. The aim of this study is to describe our experience with different techniques of aortic valve-sparing root replacement in this unique cohort of patients. Read More

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Aortic local biomechanical properties in ascending aortic aneurysms.

Acta Biomater 2022 Jun 14. Epub 2022 Jun 14.

ImViA laboratory, University of Burgundy, Dijon, France; Department of Medical Imaging, University Hospital of Dijon, Dijon, France.

Ascending aortic aneurysm (AsAA) is a high-risk cardiovascular disease with an increased incidence over years. In this study, we compare different risk factors based on the pre-failure behavior (from a biomechanical point of view) obtained ex-vivo from an equi-biaxial tensile test. A total of 100 patients (63 ± 12 years, 72 males) with AsAA replacement, were recruited. Read More

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Major Adverse Cardiac Events after Elective Infrarenal Endovascular Aortic Aneurysm Repair.

J Vasc Surg 2022 Jun 14. Epub 2022 Jun 14.

Department of Surgery, Rijnstate, Arnhem, The Netherlands.

Objective: There is a significant cardiac morbidity and mortality after endovascular aneurysm repair (EVAR). However, information about long-term risk of cardiac events after EVAR and potential predictors is lacking. Therefore, the aim of this study was to determine incidence and predictors of major adverse cardiac events (MACE) at one- and five-years after elective EVAR for infrarenal abdominal aortic aneurysms. Read More

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Attached right aortic valve leaflet causing ischemia and severe regurgitation: Successful repair with Ozaki technique.

J Card Surg 2022 Jun 17. Epub 2022 Jun 17.

Cardiology Department, National Cardiovascular Institute, EsSalud, Lima, Peru.

Introduction: Coronary artery occlusion due to fusion of a leaflet to the sinotubular junction is a rare finding that we should consider in the differential diagnosis of young patients who have aortic regurgitation and angina.

Patient And Method: We present a young female with severe aortic regurgitation due to right coronary fusion who underwent mini-invasive aortic valve reconstruction.

Results: Postoperative evolution was satisfactory. Read More

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Use of cardiac magnetic resonance imaging and cardiac magnetic resonance feature-tracking strain analysis to characterize and differentiate aortic annular strain patterns in aortic valve regurgitation versus normal aortic valves.

Authors:
Arthur Hill

J Card Surg 2022 Jun 17. Epub 2022 Jun 17.

Department of Surgery, Division of Cardiothoracic Surgery, University of California, San Francisco, California, USA.

Background: Understanding the aortic annulus is important for obtaining reproducible and durable aortic valve (AV) repair and allowing advances for transcatheter AV replacement treatment of aortic regurgitation (AR). Significant limitations exist when using echocardiography and computed tomography-based imaging with feature tracking at the aortic annulus.

Aims: Cardiac magnetic resonance is used to obtain regional longitudinal strain and can be modified to obtain circumferential annular strain at the fibrous and muscular portions of the AV annulus. Read More

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Comparison of early-stage stenosis and regurgitation results among patients who underwent aortic valve repair.

Cardiol Young 2022 Jun 17:1-6. Epub 2022 Jun 17.

Department of Pediatric Cardiac Surgery, Kartal Kosuyolu High Education and Training Hospital, Istanbul, Turkey.

Introduction: This study aimed to analyse the results of paediatric aortic valve repairs in our institution.

Method: The data of 57 patients under 18 years of age who underwent aortic valve repair between 2014 and 2019 were retrospectively analysed. Early postoperative reoperation and hospital mortality rates were evaluated based on the ages of the patients, their preoperative diagnoses, and the surgical techniques used. Read More

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Aortic valve repair for isolated right coronary leaflet prolapse.

JTCVS Tech 2022 Jun 3;13:26-30. Epub 2022 Mar 3.

Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WVa.

Objectives: Isolated right coronary leaflet prolapse is a common cause of nonaneurysmal aortic insufficiency, but can rarely occur in patients with proximal aortic aneurysms. Standardized techniques for routine autologous repair of this disorder are presented.

Methods: Most aortic valve leaflet prolapse is isolated to the right coronary leaflet, with hypertension and annular dilatation being contributory. Read More

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Use of a sutureless aortic valve in reoperative aortic valve replacement.

JTCVS Tech 2022 Jun 26;13:31-39. Epub 2022 Feb 26.

Division of Cardiothoracic Surgery, University of Washington Medical Center, Seattle, Wash.

Objectives: Management of degenerated bioprosthetic aortic valves remains a challenge. Valve-in-valve transcatheter aortic valve replacement (AVR) has limited utility in the presence of small annuli/prosthetic valves. Sutureless valves may offer an advantage over traditional redo AVR by maximizing effective orifice area due to their unique design as well as ease of implant. Read More

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