24,799 results match your criteria Aortic Regurgitation


[Tricuspid regurgitation and indications for treatment].

G Ital Cardiol (Rome) 2019 Apr;20(4):27-35

Dipartimento Cardiovascolare, Azienda Sanitaria Universitaria Integrata di Trieste.

Tricuspid regurgitation is a frequent valvular heart disease, particularly in the elderly and in association with other left-sided heart diseases. It has an adverse prognostic impact, with progressively increasing mortality as the degree of regurgitation increases. Isolated or combined (with mitral and/or aortic) surgery remains the treatment of choice, provided operative risk is acceptable. Read More

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http://www.giornaledicardiologia.it/articoli.php?archivio=ye
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http://dx.doi.org/10.1714/3146.31276DOI Listing
April 2019
1 Read

Mid-term Clinical Outcomes in a Cohort of Asymptomatic or Mildly Symptomatic Korean Patients with Bicuspid Aortic Valve in a Tertiary Referral Hospital.

J Cardiovasc Imaging 2019 Apr;27(2):105-118

Valvular Heart Disease Center, Asan Medical Center Heart Institute, University of Ulsan College of Medicine, Seoul, Korea.

Background: Although bicuspid aortic valve (BAV) is one of the most common congenital heart diseases, clinical outcome data regarding BAV are still limited. We evaluated clinical characteristics and mid-term clinical outcomes of asymptomatic Korean patients with bicuspid aortic valve.

Methods: We initiated a prospective registry in 2014 at a tertiary referral hospital. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4250/jcvi.2019.2
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http://dx.doi.org/10.4250/jcvi.2019.27.e19DOI Listing
April 2019
1 Read

The David procedure for surgical management of neo-aortic root dilatation following the arterial switch operation: Technical aspects.

Multimed Man Cardiothorac Surg 2019 04 16;2019. Epub 2019 Apr 16.

Sana Cardiac Surgery Center Stuttgart, Stuttgart, Germany.

Progressive neo-aortic/pulmonary root dilatation and associated valve regurgitation if translocated into the aortic position, remains a major drawback and serious late complication following the arterial switch operation. This video tutorial presents the technical aspects and a step-by-step illustration of the valve-sparing reimplantation technique, which  allows the neo-aortic valve to be maintained late after the arterial switch operation. Read More

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http://dx.doi.org/10.1510/mmcts.2019.013DOI Listing

Feasibility of quantitative assessment of aortic regurgitation in a percutaneous closure of paravalvular leak: expanding videodensitometry.

EuroIntervention 2019 Apr 16. Epub 2019 Apr 16.

Irmandade da Santa Casa de Misericórdia de Limeira, Limeira, Brazil.

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http://dx.doi.org/10.4244/EIJ-D-19-00118DOI Listing
April 2019
3.769 Impact Factor

One Hundred and Counting: Dr. Dwight C. McGoon's Enduring Legacy.

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, Minnesota 55905.

Dr. Dwight C. McGoon, a prolific surgeon at the Mayo Clinic, achieved an amazing feat during the early days of cardiac surgery. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.02.073DOI Listing
April 2019
1 Read

Redo Valve-Sparing Root Replacement for Delayed Cusp Derangement from Ventricular Septal Defect.

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Cardiothoracic Surgery, Stanford University. Electronic address:

A 28-year-old gentleman with ventricular septal defect (VSD), double-chambered right ventricle (DCRV) with associated right ventricular outflow tract obstruction, and anomalous right coronary artery (RCA) underwent resection of the DCRV, trans-aortic VSD repair, and unroofing of anomalous RCA. Two years later, he returned with delayed presentation of VSD flow funnel related aortic cusp prolapse and symptomatic severe aortic regurgitation. He underwent reoperative valve-sparing aortic root replacement and aortic cusp repair with an excellent outcome. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.040DOI Listing

A case report of Guillain Barré syndrome revealing underlying infective endocarditis due to Cardiobacterium hominis.

Medicine (Baltimore) 2019 Apr;98(15):e15014

Service de Cardiologie Médicale, CHU de Nancy Hôpitaux de Brabois, Vandœuvre-lès-Nancy, France.

Rationale: Guillain-Barré syndrome (GBS) is an acute inflammatory polyradiculoneuropathy presumed to result from an infection-triggered autoimmune reaction.

Patient Concerns: This paper describes a 53-year-old man admitted to hospital for deterioration of his general condition.

Diagnosis: He developed GBS, confirmed by lumbar puncture and electromyogram, which recovered after intravenous immunoglobulins. Read More

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http://dx.doi.org/10.1097/MD.0000000000015014DOI Listing

Successful transcatheter mitral valve replacement in a patient with bioprosthetic valvular degeneration and severe regurgitation.

Turk Kardiyol Dern Ars 2019 Apr;47(3):228-231

Department of Cardiology, İstanbul Medipol University Faculty of Medicine, İstanbul, Turkey.

The implantation of aortic transcatheter heart valves has been successfully performed throughout the world in hundreds of patients with severe dysfunction of a degenerated mitral bioprosthesis or those at high surgical risk for re-operation. The transseptal approach may be more technically challenging, but is a less invasive procedure and may have a lower mortality rate compared with a transapical approach, and also offers a quick patient recovery. This report is a description of a rare case in Turkey: a successful transseptal mitral valve replacement in a case of a failed bioprosthetic valve. Read More

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http://dx.doi.org/10.5543/tkda.2018.69679DOI Listing

Valve-sparing aortic root replacement in children: Outcomes from 100 consecutive cases.

J Thorac Cardiovasc Surg 2019 Mar 10;157(3):1100-1109. Epub 2018 Dec 10.

Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, Md.

Objective: Valve-sparing root replacement is an attractive alternative to composite mechanical or biologic prostheses for aortic root aneurysms in children. Data on outcomes in pediatric patients are limited. We present our institutional experience with 100 consecutive pediatric valve-sparing aortic root procedures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225223183322
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http://dx.doi.org/10.1016/j.jtcvs.2018.09.148DOI Listing
March 2019
1 Read
4.168 Impact Factor

Proximal aorta longitudinal strain predicts aortic root dilation rate and aortic events in Marfan syndrome.

Eur Heart J 2019 Apr 11. Epub 2019 Apr 11.

Department of Cardiology, Hospital Universitari Vall d'Hebron, CIBER-CV, Vall d'Hebron institut de Recerca, Universitat Autònoma de Barcelona, Paseo Vall d'Hebron 119-129, 08035 Barcelona, Spain.

Aims: Life expectancy in Marfan syndrome patients has improved thanks to the early detection of aortic dilation and prophylactic aortic root surgery. Current international clinical guidelines support the use of aortic root diameter as a predictor of complications. However, other imaging markers are needed to improve risk stratification. Read More

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http://dx.doi.org/10.1093/eurheartj/ehz191DOI Listing
April 2019
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Update on the clinical impact of mild aortic regurgitation after transcatheter aortic valve implantation: Insights from the Japanese multicenter OCEAN-TAVI registry.

Catheter Cardiovasc Interv 2019 Apr 11. Epub 2019 Apr 11.

Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.

Objectives: This study aimed to compare the clinical impact of mild postprocedural aortic regurgitation (post-AR) to that of none-trivial post-AR after transcatheter aortic valve implantation (TAVI) and to identify the vulnerability factors to mild post-AR.

Background: Moderate-severe post-AR, associated with increased mortality, is an important issue. However, the clinical impact of mild post-AR remains controversial. Read More

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http://dx.doi.org/10.1002/ccd.28279DOI Listing
April 2019
1 Read

Delayed aortic regurgitation due to traumatic pseudoaneurysm of the sinus of Valsalva.

Acute Med Surg 2019 Apr 28;6(2):185-187. Epub 2019 Jan 28.

Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba Japan.

Case: Pseudoaneurysm of the sinus of Valsalva (PSV) caused by trauma is rare. Surgical intervention is the standard treatment approach for traumatic PSV, as it has a high risk of rupture and is potentially fatal.We hereby report a 59-year-old man with traumatic PSV due to a traffic accident. Read More

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http://dx.doi.org/10.1002/ams2.386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442520PMC
April 2019
1 Read

Predicted coronary occlusion and Impella salvage during valve-in-valve transcatheter aortic valve replacement.

Cardiovasc Revasc Med 2019 Mar 29. Epub 2019 Mar 29.

Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America.

We describe an interesting case of a 71 years old fragile female, with progressive shortness of breath on exertion and ankle swelling, cardiac failure NYHA class III. She also had chest irradiation due to Hodgkin's disease many years before, previous surgical aortic valve replacement using bioprosthetic stent-less Freestyle #25 mm valve (Medtronic, Inc) in 2000 for severe aortic stenosis, history of cardiac arrest in 2012 and angioplasty to ostial RCA, PCI to ostial RCA in 2014, CABG (RA graft to RCA) in 2014 (RCA intra-stent restenosis with refractory ischemia), anemia requiring regular transfusions, bronchiectasis and chronic kidney disease. Because of the great comorbidities, STS 4. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.019DOI Listing
March 2019
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Correlation Between Aortic Angulation and Outcomes of Transcatheter Aortic Valve Replacement With New-Generation Valves.

Curr Probl Cardiol 2019 Mar 14. Epub 2019 Mar 14.

The aim of this study was to assess the correlation of aortic angulation (AA) on immediate postprocedural and long-term outcomes following transcatheter aortic valve replacement (TAVR) with new-generation valves. There is limited and conflicting data on the impact of AA on short- and long-term outcomes in patients undergoing TAVR. Available studies to date were done with first-generation valves. Read More

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http://dx.doi.org/10.1016/j.cpcardiol.2019.03.004DOI Listing
March 2019
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Aortic annulus measurement with computed tomography angiography reduces aortic regurgitation after transfemoral aortic valve replacement compared to 3-D echocardiography: a single-centre experience.

Clin Res Cardiol 2019 Apr 10. Epub 2019 Apr 10.

Division of Cardiology, Angiology, Pneumology and Intensive Medical Care, Department of Internal Medicine I, University Hospital Jena, Friedrich Schiller University Jena, Am Klinikum 1, 07747, Jena, Germany.

Background: Accurate assessment of the aortic annulus is crucial for successful transcatheter aortic valve replacement (TAVR), in particular to prevent paravalvular regurgitation (PVR). We compared aortic annular sizing using multidetector computed tomography (MDCT) and three-dimensional transoesophageal echocardiography (3-D TEE) to determine the predictive value of MDCT.

Methods And Results: All patients admitted for transfemoral TAVR [n = 227; 48. Read More

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http://link.springer.com/10.1007/s00392-019-01462-6
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http://dx.doi.org/10.1007/s00392-019-01462-6DOI Listing
April 2019
3 Reads

Prenatal Diagnosis and Successful Palliation of Absent Aortic Valve with Hypoplastic Left Heart Syndrome: A Case Report and Review of Literature.

AJP Rep 2019 Apr 9;9(2):e121-e126. Epub 2019 Apr 9.

Division of Pediatric Cardiology, University of Texas Medical Branch, Galveston, Texas.

 Congenital absence of the aortic valve leaflets is a rare association with hypoplastic left heart syndrome (HLHS).  A 37-year-old pregnant woman was referred for fetal evaluation of possible HLHS at 22 weeks of gestation. The fetal echocardiogram (ECHO) was remarkable for a hypoplastic left atrium, nearly atretic mitral valve, small left ventricle, and a hypoplastic aortic valve with severe aortic insufficiency. Read More

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http://dx.doi.org/10.1055/s-0038-1677480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456327PMC
April 2019
1 Read

Mixed aortic valve disease treated with transcatheter aortic valve replacement in a high risk patient presenting with acute decompensated heart failure.

Catheter Cardiovasc Interv 2019 Apr 10. Epub 2019 Apr 10.

Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California.

Mixed aortic valve disease refers to the combination of aortic regurgitation (AR) and aortic stenosis (AS). Commonly etiologies include a bicuspid aortic valve, rheumatic heart disease, and endocarditis superimposed upon a stenotic aortic valve. Treatment depends upon the severity of disease, the presence of symptoms and the size and function of the left ventricle. Read More

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http://dx.doi.org/10.1002/ccd.28221DOI Listing
April 2019
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Transcatheter closure of doubly committed subarterial ventricular septal defects with the Amplatzer ductal occluder: initial experience.

Cardiol Young 2019 Apr 10:1-6. Epub 2019 Apr 10.

Department of Cardiology, Fujian Heart Center, Provincial Institute of Coronary Disease,Affiliated Union Hospital of Fujian Medical University,Fuzhou, Fujian,China.

Background: There is limited experience about transcatheter closure of doubly committed subarterial ventricular septal defects with Amplatzer ductal occluder.

Methods: Between March, 2015 and July, 2017, a total of 22 patients with doubly committed subarterial ventricular septal defects received transcatheter closure using Amplatzer ductal occluder and underwent clinical follow-up for at least 6 months.

Results: Device implantation was finally successful in 21 (95. Read More

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http://dx.doi.org/10.1017/S104795111900009XDOI Listing
April 2019
1 Read

Impact of moderate to severe mitral stenosis in patients undergoing transcatheter aortic valve replacement.

Int J Cardiol 2019 Mar 28. Epub 2019 Mar 28.

Quebec Heart & Lung Institute, Laval University, Quebec City, Quebec, Canada. Electronic address:

Objective: In patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR), the impact of concomitant mitral stenosis (MS) remains unknown. The aim of this study was to determine the incidence and impact of moderate to severe MS in patients undergoing TAVR.

Methods: The study included 2113 consecutive patients (mean age: 80 ± 9 years, mean STS: 6. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.03.053DOI Listing
March 2019
1 Read

External suture annuloplasty for mild to moderate and moderate aortic regurgitation due to an isolated type Ic lesion.

Gen Thorac Cardiovasc Surg 2019 Apr 8. Epub 2019 Apr 8.

Department of Cardiac Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Objective: Whether mild to moderate and moderate aortic regurgitation should be corrected surgically during other cardiovascular surgeries remains controversial. We evaluated the effectiveness of external suture annuloplasty in such cases.

Methods: Among 95 patients undergoing aortic valve repair between December 2013 and March 2018, five patients with mild to moderate and moderate aortic regurgitation due to aortic annulus dilatation (type Ic lesion) underwent surgery for mitral regurgitation and/or thoracic aortic aneurysm. Read More

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http://dx.doi.org/10.1007/s11748-019-01119-1DOI Listing
April 2019
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Warfarin calcifies human aortic valve interstitial cells at high-phosphate conditions via pregnane X receptor.

J Bone Miner Metab 2019 Apr 8. Epub 2019 Apr 8.

Department of Pharmacology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Warfarin, a vitamin K antagonist, is the most common anticoagulant used to prevent thromboembolisms associated with atrial fibrillation or following valvular surgery. Although several studies have revealed that long-term warfarin use accelerates aortic valve calcification and the development of aortic stenosis (AS), the detailed mechanism for this phenomenon remains unclear. Therefore, our aim was twofold: to establish the conditions for warfarin-induced calcification of human aortic valve interstitial cells (HAVICs) using high-inorganic phosphate (Pi) conditions and to investigate the underlying mechanism. Read More

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http://dx.doi.org/10.1007/s00774-019-01001-3DOI Listing
April 2019
1 Read

Current Key Issues in Transcatheter Aortic Valve Replacement Undergoing a Paradigm Shift.

Circ J 2019 Apr 5. Epub 2019 Apr 5.

Cardiovascular Center, Department of Internal Medicine, Seoul National University Hospital.

As a new technology in the management of valvular heart disease, transcatheter aortic valve replacement (TAVR) has drawn much attention since its emergence. To date, numerous studies have investigated the safety and efficacy of TAVR in patients of various risk profiles with severe aortic stenosis (AS) and demonstrated comparable or superior outcomes of TAVR when compared with surgical aortic valve replacement (SAVR). The favorable outcomes of TAVR in inoperable patients, as well as in high- and intermediate-risk patients, are endorsed in current guidelines, and trials of low-risk patients have shown non-inferior or even superior results of TAVR than for SAVR, suggesting that the clinical indications of TAVR can be expanded to low-risk patients. Read More

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http://dx.doi.org/10.1253/circj.CJ-19-0096DOI Listing
April 2019
1 Read

Current status and future perspective of structural heart disease intervention.

J Cardiol 2019 Apr 5. Epub 2019 Apr 5.

Heart Center Bonn, Department of Medicine II, University Hospital Bonn, Germany. Electronic address:

Valvular heart diseases are one of the most frequent causes for heart failure. Degenerative diseases of the aortic and mitral valve as well as a dysfunctional tricuspid valve disease result in a worse clinical outcome if severe. Minimal-invasive, surgical and/or catheter-based structural heart disease (SHD) interventions have recently seen a dramatic increase. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09145087193008
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http://dx.doi.org/10.1016/j.jjcc.2019.02.022DOI Listing
April 2019
3 Reads

Complete unroofing of the intramural coronary artery for anomalous aortic origin of a coronary artery: The role of commissural resuspension?

J Thorac Cardiovasc Surg 2019 Mar 2. Epub 2019 Mar 2.

Department of Cardiovascular Surgery, Children's National Health System, Washington, DC. Electronic address:

Objectives: Although surgical repair of an anomalous aortic origin of the coronary artery has low operative mortality, longer-term risk of ischemia and aortic regurgitation remains concerning. We routinely perform aortic commissure resuspension after unroofing and sought to evaluate the outcomes with regard to aortic valve competence, symptoms, and signs of ischemia with this approach.

Methods: Twenty-six consecutive patients who received the unroofing procedure for anomalous aortic origin of the coronary artery (10 left; 16 right) between 2004 and 2016 were reviewed. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.01.140DOI Listing
March 2019
1 Read
4.168 Impact Factor

Phenotypes of aortic valve disease according to detailed anatomical classification of patients who underwent aortic valve replacement surgery.

Cardiovasc Pathol 2019 Jan 19;41:1-7. Epub 2019 Jan 19.

National Clinical Research Center of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China; Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China. Electronic address:

Background: The anatomy of the aortic valves plays an important role in the progression of aortic valve disease (AVD) and determination of the appropriate treatment strategy. We described and compared AVD phenotypes according to detailed anatomical classifications and assessed the accuracy of imaging diagnostics using surgical diagnosis as the gold standard.

Methods And Results: The study enrolled 602 patients (mean age 55. Read More

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http://dx.doi.org/10.1016/j.carpath.2019.01.004DOI Listing
January 2019
3 Reads
2.336 Impact Factor

Aortopathy and regurgitation in bicuspid valve patients increase the risk of aortopathy in relatives.

Int J Cardiol 2019 Mar 18. Epub 2019 Mar 18.

Department of Anesthesia, Critical Care & Pain Medicine, Beth Israel Deaconess Medical Center, Boston, United States of America.

Background: Bicuspid aortic valve (BAV) is the most frequent cardiac congenital valvular disease. Although the BAV risk of first degree relatives (FDR) has been assessed (7-9%), there is little information as to the heritable risk for aortopathy.

Objective: Identify the specific risk for regional aortopathy in FDR with tricuspid aortic valve (TAV) of BAV patients according to their aortic phenotype and aortic regurgitation (AR). Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.03.031DOI Listing
March 2019
3 Reads

Aortic valve repair or replacement in patients with aortic regurgitation: A systematic review and meta-analysis.

J Card Surg 2019 Apr 6. Epub 2019 Apr 6.

School of Medicine, University of Liverpool, Liverpool, UK.

Objective: To systematically compare clinical outcomes between aortic valve repair and replacement in patients with aortic regurgitation.

Methods: A comprehensive literature search was undertaken among the four major databases (PubMed, Embase, Scopus, and Ovid) to identify all published data comparing clinical outcomes of aortic valve repair vs replacement. Database searched from inception to November 2018. Read More

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http://dx.doi.org/10.1111/jocs.14032DOI Listing
April 2019
7 Reads

Valve-sparing root replacement and composite valve graft replacement in patients with aortic regurgitation: From the Japan Cardiovascular Surgery Database.

J Thorac Cardiovasc Surg 2019 Feb 15. Epub 2019 Feb 15.

Japan Cardiovascular Surgery Database, Tokyo, Japan.

Objectives: The advantage of valve-sparing root replacement (VSRR) over aortic root replacement with a composite valve graft (CVG) remains unclear. We compared these 2 procedures with regard to early outcomes with propensity score matching using the Japan Cardiovascular Surgery Database.

Methods: Of 5303 patients from the Japan Cardiovascular Surgery Database who had undergone aortic root replacement in 2008 to 2017, emergent/urgent or redo cases and those with infective endocarditis or aortic stenosis were excluded (included n = 3841). Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.01.122DOI Listing
February 2019
2 Reads

Fate and long-term prognostic implications of mitral regurgitation in patients undergoing transcatheter aortic valve replacement.

Int J Cardiol 2019 Mar 27. Epub 2019 Mar 27.

Heart Center, Segeberger Kliniken, Bad Segeberg, Germany.

Background: The management of patients with mitral regurgitation (MR) undergoing transcatheter aortic valve replacement (TAVR) is challenging. We sought to investigate the evolution and long-term prognostic impact of residual post-TAVR MR.

Methods: The severity of MR was assessed at baseline and at 30 days and six months post-TAVR. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.03.048DOI Listing
March 2019
3 Reads

1-Year Outcomes of the CENTERA-EU Trial Assessing a Novel Self-Expanding Transcatheter Heart Valve.

JACC Cardiovasc Interv 2019 Apr;12(7):673-680

Department of Cardiovascular Surgery, University Heart Center, Hamburg, Germany.

Objectives: The purpose of this study is to report the 1-year results of the CENTERA-EU trial.

Background: The CENTERA transcatheter heart valve (THV) (Edwards Lifesciences, Irvine, California) is a low-profile (14-F eSheath compatible), self-expanding nitinol valve, with a motorized delivery system allowing for repositionability. The 30-day results of the CENTERA-EU trial demonstrated the short-term safety and effectiveness of the valve. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19368798193038
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http://dx.doi.org/10.1016/j.jcin.2019.01.231DOI Listing
April 2019
3 Reads

Native Aortic and Tricuspid Valve Endocarditis Complicated by Embolic ST Elevation Myocardial Infarction.

Case Rep Cardiol 2019 3;2019:1348607. Epub 2019 Mar 3.

Sidney Kimmel Medical College at Thomas Jefferson University, USA.

Acute myocardial infarction due to a coronary embolic event can occur as a complication of infective endocarditis in up to 2.9% of cases and can frequently be the presenting symptom. A 35-year-old female presented with 4 hours of typical chest pain and was found to have ST elevations in inferior leads as well as an elevated serum Troponin I of 8. Read More

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http://dx.doi.org/10.1155/2019/1348607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421800PMC
March 2019
2 Reads

Diagnostic value of noninvasive pulse pressure measurements in Warmblood horses with aortic regurgitation.

J Vet Intern Med 2019 Apr 2. Epub 2019 Apr 2.

Equine Department, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

Background: Noninvasive blood pressures (NIBP) and pulse pressures (PP) have not been published in horses with aortic and mitral regurgitation (AR or MR).

Objectives: To investigate NIBP and PP in healthy Warmblood horses and horses with AR and MR and propose PP cutoffs to identify and stage AR severity.

Animals: Seventy-three Warmblood horses (healthy, 10; AR, 31; MR, 32). Read More

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http://dx.doi.org/10.1111/jvim.15494DOI Listing
April 2019
2 Reads

Impact of a tailored surgical approach on autograft root dimensions in patients undergoing the Ross procedure for aortic regurgitation†.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiac Surgery, Montreal Heart Institute, Université de Montréal, Montreal, Canada.

Objectives: The Ross procedure in patients with aortic regurgitation (AR) has been associated with increased autograft dilatation and late reintervention. The aim of this study was to evaluate the impact of a tailored approach aimed at mitigating that risk on early changes in autograft root dimensions following the Ross procedure in patients with AR.

Methods: From 2011 to 2018, 241 consecutive patients underwent a Ross procedure with >1 year of follow-up [46 (7) years]. Read More

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http://dx.doi.org/10.1093/ejcts/ezz105DOI Listing
April 2019
2 Reads
3.304 Impact Factor

[Aortic valve disease].

MMW Fortschr Med 2019 Apr;161(6):42-46

Universitätsklinik für Innere Medizin II, Abteilung für Kardiologie, Medizinische Universität Wien, Währinger Gürtel 18-20, A-1090, Wien, Österreich.

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http://dx.doi.org/10.1007/s15006-019-0358-2DOI Listing
April 2019
1 Read

Contemporary Outcomes and Factors Associated With Mortality After a Fetal or Postnatal Diagnosis of Common Arterial Trunk.

Can J Cardiol 2019 Apr 11;35(4):446-452. Epub 2018 Dec 11.

Divisions of Cardiology and Cardiovascular Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Common arterial trunk (CAT) is a rare anomaly with a spectrum of pathology. We sought to identify current trends and factors associated with postnatal outcomes.

Methods: This was a single-centre review including 153 live births with planned surgery. Read More

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http://dx.doi.org/10.1016/j.cjca.2018.12.006DOI Listing
April 2019
1 Read

Upregulated Autophagy in Calcific Aortic Valve Stenosis Confers Protection of Valvular Interstitial Cells.

Int J Mol Sci 2019 Mar 25;20(6). Epub 2019 Mar 25.

Department of Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden.

Autophagy serves as a cell survival mechanism which becomes dysregulated under pathological conditions and aging. Aortic valve thickening and calcification causing left ventricular outflow obstruction is known as calcific aortic valve stenosis (CAVS). CAVS is a chronic and progressive disease which increases in incidence and severity with age. Read More

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http://dx.doi.org/10.3390/ijms20061486DOI Listing
March 2019
2 Reads

Early and Midterm Outcomes of Valve-Sparing Aortic Root Replacement-Reimplantation Technique.

Aorta (Stamford) 2018 Oct 1;6(5):113-117. Epub 2019 Apr 1.

Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts.

Background:  Valve-sparing aortic root replacement (VSARR) is an increasingly popular alternative to traditional aortic root replacement for aortic root aneurysm disease with a normal aortic valve. We evaluated the early and midterm outcomes of VSARR-reimplantation technique (VSARR-RT) done at a single institution over a decade.

Materials And Methods:  We performed a retrospective study of all patients who underwent VSARR-RT between January 2004 and July 2014. Read More

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http://dx.doi.org/10.1055/s-0039-1683383DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443388PMC
October 2018
3 Reads

Time course of left ventricular remodelling and mechanics after aortic valve surgery: aortic stenosis vs. aortic regurgitation.

Eur Heart J Cardiovasc Imaging 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, ZA Leiden, The Netherlands.

Aims: Pressure overload in aortic stenosis (AS) and both pressure and volume overload in aortic regurgitation (AR) induce concentric and eccentric hypertrophy, respectively. These structural changes influence left ventricular (LV) mechanics, but little is known about the time course of LV remodelling and mechanics after aortic valve surgery (AVR) and its differences in AS vs. AR. Read More

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http://dx.doi.org/10.1093/ehjci/jez049DOI Listing
April 2019
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Clinical outcomes of self-expandable vs. balloon-expandable TAVI for severe aortic stenosis.

Acta Cardiol 2019 Apr 1:1-8. Epub 2019 Apr 1.

a Department of Medicine , University of Melbourne , Fitzroy, Australia.

Background: Transcatheter aortic valve implantation (TAVI) is an established therapy for patients with severe aortic stenosis (AS). There is limited data exploring differences in outcomes post-TAVI SEV vs. BEV. Read More

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http://dx.doi.org/10.1080/00015385.2019.1572959DOI Listing
April 2019
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Anti-Neutrophil Cytoplasmic Antibody (ANCA) Associated Vasculitis Causes Aortic Valve Degeneration and Severe Aortic Regurgitation.

Am J Case Rep 2019 Apr 1;20:423-429. Epub 2019 Apr 1.

Department of Cardiology, Odense University Hospital, Odense, Denmark.

BACKGROUND Granulomatosis with polyangiitis (GPA)/Wegener's granulomatosis (WG) and eosinophilic granulomatosis with polyangiitis (EGPA)/Churg-Strauss' syndrome (CSS) are ANCA (antineutrophil cytoplasmic antibodies) associated vasculitides that can affect the heart, predominantly the myocardium. Valvular affection is rare and is described anecdotally. The purpose of this case report was to present aortic valve affection of an ANCA positive vasculitis. Read More

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https://www.amjcaserep.com/abstract/index/idArt/912693
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http://dx.doi.org/10.12659/AJCR.912693DOI Listing
April 2019
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Cardiac surgery 2018 reviewed.

Clin Res Cardiol 2019 Mar 30. Epub 2019 Mar 30.

Department of Cardiothoracic Surgery, Friedrich-Schiller-University of Jena, Am Klinikum 1, 07747, Jena, Germany.

For the year 2018, more than 22,000 published references can be found in PubMed when entering the search term "cardiac surgery". As in the last 4 years, this review focusses on conventional cardiac surgery publications which provide important and interesting information especially relevant for non-surgical colleagues. Interventional techniques have been considered if they were published in the context of classic surgical techniques. Read More

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http://dx.doi.org/10.1007/s00392-019-01470-6DOI Listing
March 2019
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Impact of valvular resistance on aortic regurgitation after transcatheter aortic valve replacement according to the type of prosthesis.

Clin Res Cardiol 2019 Mar 30. Epub 2019 Mar 30.

Department of Cardiology, Swiss Cardiovascular Center, Bern University Hospital, Freibrugstrasse, 3010, Bern, Switzerland.

Background: The impact of aortic valvular resistance (VR) on the degree of post-transcatheter aortic valve replacement (TAVR) aortic regurgitation (AR) remains unclear. The objective of the study was to investigate the relationship between VR and paravalvular AR after TAVR.

Methods: Between August 2007 and December 2015, 708 TAVR patients had sufficient data to calculate VR before the intervention and were eligible for the present analysis. Read More

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http://dx.doi.org/10.1007/s00392-019-01469-zDOI Listing
March 2019
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Ventricular interactions and electromechanical dyssynchrony after Ross and Ross-Konno operations.

J Thorac Cardiovasc Surg 2019 Feb 27. Epub 2019 Feb 27.

Section of Congenital Heart Surgery, Heart Institute, Children's Hospital Colorado, University of Colorado Denver Anschutz Medical Campus, Aurora, Colo.

Objectives: Ross and Ross-Konno operations are associated with the inherent risk of residual ventricular septal dysfunction and injury to the conduction system. However, comprehensive biventricular functional outcomes on magnetic resonance imaging after Ross and Ross-Konno procedures are unknown. The purpose of this study was to evaluate and compare the degree of electrical and mechanical dyssynchrony using cardiac magnetic resonance imaging in patients late after Ross and Ross-Konno operations. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.02.057DOI Listing
February 2019
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Echocardiography in Transcatheter Aortic Valve Replacement.

Heart Lung Circ 2019 Mar 8. Epub 2019 Mar 8.

Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands. Electronic address:

Transcatheter aortic valve replacement (TAVR) is a safe and efficient alternative for surgical valve aortic replacement in patients with symptomatic severe aortic stenosis who are inoperable or have a high risk for surgery. Randomised clinical trials have shown that TAVR is not inferior to surgical aortic valve replacement in intermediate-risk patients and ongoing trials will demonstrate the effects of TAVR in asymptomatic severe aortic stenosis patients and in patients with heart failure and moderate aortic stenosis. Continuous developments in procedural and post-procedural management along with increased operator experience and technical improvements and ongoing advances in imaging modalities (particularly in three-dimensional techniques), have reduced the procedural risks and the incidence of complications such as paravalvular aortic regurgitation. Read More

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http://dx.doi.org/10.1016/j.hlc.2018.12.020DOI Listing
March 2019
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[Aortic Valve Repair for Bicuspid Aortic Valve (BAV) Regurgitation Combined with Stanford Type A Acute Aortic Dissection].

Kyobu Geka 2019 Mar;72(3):190-193

Department of Cardiovascular Surgery, Obihiro Hospital, Obihiro, Japan.

A 44-year-old male developed Stanford type A acute aortic dissection combined with bicuspid aortic valve( BAV) regurgitation. Aortic valve repair was performed by central plication and subcommissural annuloplasty. Additionally, replacement of the ascending aorta and the aortic root were performed with hemi-remodeling technique by replacing the non-coronary sinus. Read More

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March 2019
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Double homemade fenestrated stent graft for total endovascular aortic arch repair.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France.

Objective: The aim of this retrospective analysis was to evaluate the outcomes of physician-modified double fenestrated stent grafts for total endovascular aortic arch repair: one proximal large fenestration for the brachiocephalic trunk and the left common carotid artery and one distal fenestration for the left subclavian artery (LSA).

Methods: From January 2017 through February 2018, 17 patients (88.2% elective) underwent thoracic endovascular aortic repair (TEVAR) with double homemade fenestrated stent graft for total endovascular aortic arch repair to maintain supra-aortic trunk patency. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.054DOI Listing
March 2019
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Outcomes of Acute Conduction Abnormalities Following Transcatheter Aortic Valve Implantation With a Balloon Expandable Valve and Predictors of Delayed Conduction System Abnormalities in Follow-up.

Am J Cardiol 2019 Mar 13. Epub 2019 Mar 13.

George Washington University Hospital, Washington, District of Columbia.

Transcatheter aortic valve implantation (TAVI) is an acceptable treatment for severe aortic stenosis in high or intermediate risk patients. Conduction abnormalities are a known complication of TAVI. Most abnormalities occur perioperatively but can develop later. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.02.050DOI Listing
March 2019
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Neo-aortic insufficiency late after staged reconstruction for hypoplastic left heart syndrome: impact of differences in initial palliative procedures.

Heart Vessels 2019 Mar 27. Epub 2019 Mar 27.

Department of Pediatric Cardiology, Nagano Children's Hospital, Nagano, Japan.

The neo-aortic insufficiency in patients with hypoplastic left heart syndrome is an important sequela. We assessed the risks of the neo-aortic valve deterioration by the difference of initial palliations: Group I underwent primary Norwood (Nw) with systemic-to-pulmonary artery shunt (SPS), Group II underwent bilateral pulmonary artery banding (bPAB) and subsequent Nw with SPS (bPAB-Nw/SPS), Group III underwent bPAB and subsequent Nw with bidirectional Glenn (BDG) procedure (bPAB-Nw/BDG). The neo-aortic valve z score changes over time did not reach statistical significance in all groups (p = 0. Read More

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http://dx.doi.org/10.1007/s00380-019-01376-3DOI Listing
March 2019
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Septic True Aneurysm of the Posterior Tibial Artery Diagnosed after Anterior Arthroscopic Debridement of a Septic Ankle following Infective Endocarditis: A Case Report.

J Orthop Case Rep 2018 Nov-Dec;8(6):68-73

Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.

Introduction: There have been reports of true aneurysm of the posterior tibial artery, but only three reports have described true aneurysm of the posterior tibial artery at the ankle, and there has been only one report of tarsal tunnel syndrome caused by true aneurysm of this artery. In this case report, we describe a rare case of true septic aneurysm of the posterior tibial artery presenting as tarsal tunnel syndrome which was found after anterior arthroscopic debridement of a septic ankle in a 55-year-old man.

Case Report: 13 years earlier, this patient had undergone aortic valve replacement for severe aortic regurgitation caused by infective endocarditis with aortic valve vegetations. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424318PMC
March 2019
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Left ventricular flow in the presence of aortic regurgitation.

J Biomech 2019 Apr 9;87:211. Epub 2019 Mar 9.

School of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, Georgia; Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S00219290193016
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http://dx.doi.org/10.1016/j.jbiomech.2019.01.060DOI Listing
April 2019
4 Reads