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    1 OF 984

    The big parade: emerging percutaneous mitral and tricuspid valve devices.
    EuroIntervention 2017 Sep;13(AA):AA51-AA59
    St. Thomas' Hospital, London, United Kingdom.
    Over the last decade, percutaneous intervention for the treatment of aortic stenosis has become commonplace with >300,000 implantations performed worldwide. With this now being an established therapy, focus has shifted to the more intricate challenge of mitral and tricuspid valve disease, where there remains a large population of patients with unmet clinical needs. These complex anatomical structures demand unique approaches to treat a wide range of pathologies involving the valve leaflets, annulus and chordae. Read More

    A "double crossover technique" in an obese patient undergoing transfemoral transcatheter aortic valve implantation: How to accomplish hemostasis percutaneously?
    Cardiovasc Revasc Med 2017 Sep 2;18(6):440-444. Epub 2017 Apr 2.
    Department of Cardiology, New Tokyo Hospital, Chiba, Japan. Electronic address:
    Percutaneous transfemoral transcatheter aortic valve implantation (TF-TAVI) is generally an acceptable procedure but may be associated with vascular complications at femoral access sites, particularly in obese patients. This report aimed to describe a case of successful performance of our "double crossover technique" in an obese patient undergoing TF-TAVI with a percutaneous transfemoral intra-aortic balloon pump (TF-IABP). A 75-year-old man presented with heart failure due to a left ventricular ejection fraction of 35% and low-flow, low-gradient severe aortic stenosis. Read More

    Addition of albumin to Traditional Risk Score Improved Prediction of Mortality in Individuals Undergoing Transcatheter Aortic Valve Replacement.
    J Am Geriatr Soc 2017 Sep 23. Epub 2017 Sep 23.
    Heart Center, Chaim Sheba Medical Center, Tel Hashomer, Israel.
    Objectives: The ability of the Society of Thoracic Surgeons (STS) and European System for Cardiac Operative Risk Evaluation (EuroSCORE)-2 scores to predict outcomes after transcatheter aortic valve replacement (TAVR) is insufficient. Frailty and serum albumin as a frailty marker were shown to correlate with prognosis after TAVR. We sought to evaluate the additive value of serum albumin to STS and EuroSCORE-2 scores to predict mortality in individuals undergoing TAVR. Read More

    Comparative outcomes of transcatheter aortic valve replacement in African American and Caucasian patients with severe aortic stenosis.
    Catheter Cardiovasc Interv 2017 Sep 23. Epub 2017 Sep 23.
    Division of Cardiology, West Virginia University, Morgantown, West Virginia.
    Background: Racial disparities in cardiovascular care have been extensively investigated. The introduction of transcatheter aortic valve replacement (TAVR) revolutionized the treatment of aortic stenosis (AS) in the last decade. Whether a racial disparity in the utilization and outcome of TAVR exists is unknown. Read More

    A comparison of the fully repositionable and retrievable Boston Lotus and direct flow medical valves for the treatment of severe aortic stenosis: A single center experience.
    Catheter Cardiovasc Interv 2017 Sep 20. Epub 2017 Sep 20.
    Interventional Cardiology, San Raffaele Hospital, Milan, Italy.
    Background: Second generation transcatheter aortic valve implantation (TAVI) devices have been designed to reduce the rate of paravalvular leak (PVL) and other complications. An important technological advancement has been the ability to fully reposition devices to facilitate optimal implantation depth and position to reduce the likelihood of PVL.

    Objectives: To compare procedural and 30-day outcomes according to the Valve Academic Research Consortium (VARC)-2 criteria following TAVI with the fully repositionable and retrievable Lotus and DFM devices. Read More

    Congenital aortic valve repair using CorMatrix(®) : A histologic evaluation.
    Xenotransplantation 2017 Sep 22. Epub 2017 Sep 22.
    Institute of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland.
    Background: The reconstruction of heart valves provides substantial benefits, particularly in the pediatric population. We present our experience using decellularized extracellular matrix (dECM, CorMatrix(®) ) for aortic valve procedures.

    Methods: We retrospectively reviewed the case histories of 6 patients (aged from 2 months - 14 years) who underwent surgery for severe aortic valve stenosis (n = 4) or regurgitation (n = 2). Read More

    Predictors of permanent pacemaker implantation after transfemoral aortic valve implantation with the Lotus valve.
    Am Heart J 2017 Oct 19;192:57-63. Epub 2017 Jul 19.
    Department of Internal Medicine II, University of Ulm, Ulm, Germany. Electronic address:
    Background: Permanent pacemaker implantation (PPMI) after transcatheter aortic valve implantation is of high clinical relevance, but PPMI rates differ widely between valve types. Although the Lotus valve can be repositioned, reported rates for PPMI are high. The predictors of PPMI after Lotus valve implantation have not been defined yet. Read More

    Unexpected Left Atrial Thrombus After Aortic Valve Replacement and Left Atrial Ligation With AtriClip Device: A Case Report.
    A A Case Rep 2017 Sep 20. Epub 2017 Sep 20.
    From the *Department of Anesthesiology, †Department of Surgery, and ‡Cooper Medical School of Rowan University, Camden, New Jersey; and §Department of Anesthesia, Cooper University HealthCare, Cooper Medical School of Rowan University, Camden, New Jersey.
    We report the unexpected transesophageal echocardiography (TEE) finding of a left atrial (LA) thrombus near the end of cardiopulmonary bypass and after deployment of an AtriClip (Atricure, Inc, Westchester, OH) in an 84-year-old man with atrial fibrillation and aortic stenosis undergoing aortic valve replacement and LA appendage ligation. TEE examination before cardiopulmonary bypass and deployment of the AtriClip had not shown a thrombus in the LA appendage. The heart was rearrested and thrombus was successfully removed through a left atriotomy. Read More

    Transcatheter Aortic Valve Replacement: Outcomes, Indications, Complications, and Innovations.
    Curr Treat Options Cardiovasc Med 2017 Sep 22;19(10):81. Epub 2017 Sep 22.
    Cardiology Division, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB8-852E, Boston, MA, 02114, USA.
    Opinion Statement: Transcatheter aortic valve replacement (TAVR) has become the standard of care for the treatment of severe aortic stenosis in individuals who are at prohibitive surgical risk and presents a viable alternative to surgery in selected patients who are at high operative risk. To date, outcomes from the PARTNER (Placement of AoRtic TraNscathetER Valve) and Medtronic CoreValve® US Pivotal trials continue to show the benefits of TAVR in these high-risk subgroups out to 5 and 3 years, respectively (as reported by Mack et al. Lancet. Read More

    Sex Differences in the Utilization and Outcomes of Surgical Aortic Valve Replacement for Severe Aortic Stenosis.
    J Am Heart Assoc 2017 Sep 21;6(9). Epub 2017 Sep 21.
    West Virginia University Heart & Vascular Institute, Morgantown, WV
    Background: Studies assessing the differential impact of sex on outcomes of aortic valve replacement (AVR) yielded conflicting results. We sought to investigate sex-related differences in AVR utilization, patient risk profile, and in-hospital outcomes using the Nationwide Inpatient Sample.

    Methods And Results: In total, 166 809 patients (63% male and 37% female) who underwent AVR between 2003 and 2014 were identified, and 48. Read More

    Aortic Valve Replacement: Are We Spoiled for Choice?
    Semin Thorac Cardiovasc Surg 2017 Aug 18. Epub 2017 Aug 18.
    Department of Cardiothoracic Surgery, St Bartholomew's Hospital, London, UK.
    Management of aortic valve disease and, in particular, aortic valve stenosis has evolved through the course of time from medical management and balloon valvuloplasty to the presumed gold-standard surgical intervention. However, with the advent of surgical innovation, intra- and postoperative patients monitoring, understanding of hemodynamic dysfunction, and choices of prosthesis, conventional surgical aortic valve replacements are currently being challenged in particular in moderate- and high-risk patients. Although the long-term results and survival are not robustly available, the durability of the new prosthesis, repair, and the freedom from reoperation remain debatable. Read More

    Valve-in-Valve Transcatheter Aortic Valve Implantation: A Novel Approach to Treat Paravalvular Leak.
    Ann Thorac Surg 2017 Oct;104(4):e325-e327
    Department of Cardiothoracic/Vascular Surgery, McGovern Medical School, University of Texas-Houston, and Memorial Hermann-Texas Medical Center, Houston, Texas.
    Enlarging or "cracking" a surgical stented bioprosthetic valve during valve-in-valve transcatheter aortic valve implantation (TAVI) increases orifice area, reducing transvalvular energy losses. We demonstrate that TAVI with valve cracking can be used to treat paravalvular leak (PVL) while providing optimal aortic valve physiology. A 61-year-old woman with a history of aortic valve replacement with a stented bioprosthesis presented with heart failure. Read More

    Influence of Iliac Stenotic Lesions on Blood Flow Patterns Near a Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) Stent Configuration.
    J Endovasc Ther 2017 Sep 1:1526602817732952. Epub 2017 Sep 1.
    1 Department of Vascular Surgery, Rijnstate Hospital, Arnhem, the Netherlands.
    Purpose: To investigate the effect of distal stenotic lesions on flow patterns near a covered endovascular reconstruction of the aortic bifurcation (CERAB) configuration used in the treatment of aortoiliac occlusive disease.

    Method: Laser particle image velocimetry measurements were performed using in vitro models of the aortic bifurcation with and without a CERAB configuration in place. A hemodynamically nonsignificant stenosis (ΔP: 9 mm Hg), a hemodynamically significant (ΔP: 26 mm Hg) stenosis, and a total occlusion were simulated in the left iliac arteries. Read More

    Intra-Pericardial Use of Recombinant Factor VIIa in a Patient With Acute Hemorrhagic Pericardial Effusion Following Transcutaneous Aortic Valve Replacement-A Case Report.
    Lab Med 2017 Aug;48(3):262-265
    The University of Texas Health Science Center at Houston, Department of Pathology and Laboratory Medicine.
    Perioperative bleeding can be a serious life-threatening complication in adult patients undergoing cardiac surgery, given the older age and additional comorbidities present in this patient population. The standard treatment options include transfusion of blood components and surgical re-exploration. We report the first case of an elderly female patient treated with local administration of recombinant factor VIIa (rFVIIa) for intractable hemorrhagic pericardial effusion, which developed following a transcutaneous aortic valve replacement (TAVR) procedure for severe aortic stenosis. Read More

    Echocardiographic Screening of Rheumatic Heart Disease in American Samoa.
    Pediatr Cardiol 2017 Sep 20. Epub 2017 Sep 20.
    Division of Pediatric Cardiology, Oregon Health and Science University, CDRC-P, 707 SW Gaines St., Portland, OR, 97239, USA.
    While rheumatic heart disease (RHD) is a treatable disease nearly eradicated in the United States, it remains the most common form of acquired heart disease in the developing world. This study used echocardiographic screening to determine the prevalence of RHD in children in American Samoa. Screening took place at a subset of local schools. Read More

    Estimating pressure gradients by auscultation: How technology (echocardiography) can help improve clinical skills.
    World J Cardiol 2017 Aug;9(8):693-701
    Division of Pediatric Cardiology, Hassenfeld Children's Hospital of New York at NYU Langone, Fink Children's Center, New York, NY 10016, United States.
    Aim: To extend our previously-published experience in estimating pressure gradients (PG) via physical examination in a large patient cohort.

    Methods: From January 1, 1997 through December 31, 2009, an attending pediatric cardiologist compared clinical examination (EXAM) with Doppler-echo (ECHO), in 1193 patients with pulmonic stenosis (PS, including tetralogy of Fallot), aortic stenosis (AS), and ventricular septal defect (VSD). EXAM PG estimates were based primarily on a murmur's pitch, grade, and length. Read More

    Is there evidence for statins in the treatment of aortic valve stenosis?
    World J Cardiol 2017 Aug;9(8):667-672
    Royal Brompton Hospital and Harefield Trust, London SW3 6NP, United Kingdom.
    Research revealed that the pathogenesis of aortic stenosis (AS) not merely comprises of a mechanical wear and tear process yet that active biological processes, similar to those of coronary artery disease are involved, a promising role for statins in disease-modifying therapy was suggested. However, recently, many prospective studies could not observe decreased progression nor regression of the disease. Here, we review the current knowledge on the pathomechanisms of AS and its similarities and differences with atherosclerosis. Read More

    Could circulating fetuin A be a biomarker of aortic valve stenosis?
    Int J Cardiol 2017 Sep 17. Epub 2017 Sep 17.
    Centro Cardiologico Monzino IRCCS, Milan, Italy. Electronic address:
    Background: Aortic valve stenosis (AVS) is a multifactorial-progressive pathological process. In the past decades, many studies have focus their attention on circulating biomarkers able to identify AVS and/or to predict its progression. One of the many biomarkers studied is the fetuin A. Read More

    Lipoprotein(a) and cardiovascular disease: current state and future directions for an enigmatic lipoprotein.
    Front Biosci (Landmark Ed) 2018 Jan 1;23:1099-1112. Epub 2018 Jan 1.
    Section of Cardiovascular Research, Department of Medicine Baylor College of Medicine,Houston, TX,
    Lipoprotein (a) (Lp (a)) is a complex polymorphic lipoprotein. Although structurally similar to low-density lipoprotein, Lp(a) has a glycoprotein, apolipoprotein(a) (apo(a)), attached to the apolipoprotein B-100 component. Several unique properties of Lp(a) can be attributed to the presence of apo(a). Read More

    Fiber-reinforced computational model of the aortic root incorporating thoracic aorta and coronary structures.
    Biomech Model Mechanobiol 2017 Sep 19. Epub 2017 Sep 19.
    Mechanical Engineering Department, McGill University, Montreal, QC, H3A 0C3, Canada.
    Cardiovascular diseases are still the leading causes of death in the developed world. The decline in the mortality associated with circulatory system diseases is accredited to development of new diagnostic and prognostic tools. It is well known that there is an inter relationship between the aortic valve impairment and pathologies of the aorta and coronary vessels. Read More

    A numerical study of the hemodynamic effect of the aortic valve on coronary flow.
    Biomech Model Mechanobiol 2017 Sep 19. Epub 2017 Sep 19.
    Department of Mechanical Engineering and Mechatronics, Ariel University, P.O. Box 3, 44837, Ariel, Israel.
    During diastole, coronary perfusion depends on the pressure drop between the myocardial tissue and the coronary origin located at the aortic root. This pressure difference is influenced by the flow field near the closing valve leaflets. Clinical evidence is conclusive that patients with severe aortic stenosis (AS) suffer from diastolic dysfunction during hyperemia, but show increased coronary blood flow (CBF) during rest. Read More

    The relationship between preoperative frailty and outcomes following transcatheter aortic valve implantation: a systematic review and meta-analysis.
    Eur Heart J Qual Care Clin Outcomes 2017 Apr;3(2):123-132
    BHF Centre for Cardiovascular Science, University of Edinburgh, Room SU305, Chancellor's Building, Edinburgh EH16 4SB, UK.
    Aims: Transcatheter aortic valve implantation (TAVI) is an increasingly common intervention for patients with aortic stenosis deemed high risk for major cardiac surgery, but identifying those who will benefit can be challenging. Frailty reflects physiological reserve and may be a useful prognostic marker in this population. We performed a systematic review and meta-analysis of the association between frailty and outcomes after TAVI. Read More

    Outcomes of Aortic Valve Replacement According to Surgical Approach in Intermediate and Low Risk Patients: A Propensity Score Analysis.
    Heart Lung Circ 2017 Sep 6. Epub 2017 Sep 6.
    Department of Cardiovascular Surgery, Hospital Universitario de La Princesa, Madrid, Spain.
    Background: Previous trials have shown that, among high-risk patients with aortic stenosis, survival rates are similar for transcatheter aortic-valve implantation (TAVI) and surgical aortic valve replacement. The study aimed to compare the outcomes of aortic valve replacement according to the adopted surgical approach in intermediate and low risk patients.

    Methods: This is a retrospective, observational, cohort study of prospectively collected data from 421 patients undergoing isolated aortic valve replacement between 2011 and 2015. Read More

    Atherosclerotic Disease and its Relationship to Lumbar Degenerative Disc Disease, Facet Arthritis and Stenosis with Computed Tomography Angiography.
    PM R 2017 Sep 13. Epub 2017 Sep 13.
    Emory University School of Medicine. Electronic address:
    Background: The intervertebral disc is the largest avascular structure in the body. It relies on passive diffusion from arteries at the periphery of the disc for nutrition. Prior studies have suggested a correlation between vascular disease and lumbar degenerative disc disease (DDD) but the association with facet arthritis and stenosis has not been evaluated. Read More

    B-Type Natriuretic Peptide and High-Sensitivity Cardiac Troponin for Risk Stratification in Low-Flow, Low-Gradient Aortic Stenosis: A Substudy of the TOPAS Study.
    JACC Cardiovasc Imaging 2017 Sep 9. Epub 2017 Sep 9.
    Institut Universitaire de Cardiologie et de Pneumologie de Québec/Québec Heart & Lung Institute, Laval University, Québec, Québec, Canada. Electronic address:
    Objectives: The objective of this study was to determine the prognostic value of combined measures of B-type natriuretic peptide (BNP) and high-sensitivity cardiac troponin T (hsTnT) in patients with low-flow, low-gradient aortic stenosis (LF-LG AS) who had either a preserved or reduced left ventricular ejection fraction (LVEF).

    Background: An elevated BNP level is associated with increased risk of mortality in patients with LF-LG AS. The incremental prognostic value of hsTnT in these patients is unknown. Read More

    Watchful Waiting in Aortic Stenosis: the Problem of Acute Decompensation.
    Am J Med 2017 Sep 12. Epub 2017 Sep 12.
    Wolfson Institute of Preventive Medicine, Charterhouse Square, London EC1M 6BQ, United Kingdom.
    Background: Acute decompensation with heart failure, angina or syncope may be the first indication of undiagnosed aortic stenosis, but should be uncommon when the disorder is known and managed by watchful waiting. There is a lack of information on the proportion of patients with acute decompensated aortic stenosis with and without a prior diagnosis and their outcomes.

    Methods: We examined the records of patients with aortic stenosis (ICD code 135. Read More

    How TAVI registries report clinical outcomes-A systematic review of endpoints based on VARC-2 definitions.
    PLoS One 2017 14;12(9):e0180815. Epub 2017 Sep 14.
    Interdisciplinary Centre for Health Technology Assessment (HTA) and Public Health (IZPH), Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Bavaria, Germany.
    Introduction: Transcatheter aortic valve implantation (TAVI) has been demonstrated to be an alternative treatment for severe aortic stenosis in patients considered as high surgical risk. Since its first human implantation by Cribier et al., TAVI has been shown to increase survival rate and quality of life for high surgical risks patients. Read More

    Influence of increased heart rate and aortic pressure on resting indices of functional coronary stenosis severity.
    Basic Res Cardiol 2017 Sep 13;112(6):61. Epub 2017 Sep 13.
    Department of Biomedical Engineering and Physics, Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD, Amsterdam, The Netherlands.
    Baseline assessment of functional stenosis severity has been proposed as a practical alternative to hyperemic indices. However, intact autoregulation mechanisms may affect intracoronary hemodynamics. The aim of this study was to investigate the effect of changes in aortic pressure (Pa) and heart rate (HR) on baseline coronary hemodynamics and functional stenosis assessment. Read More

    Successful cerebral thrombectomy for a nonagenarian with stroke in the subacute phase after transcatheter aortic valve implantation.
    Surg Neurol Int 2017 22;8:193. Epub 2017 Aug 22.
    Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
    Background: Thromboembolic events are infrequent but serious complications of transcatheter aortic valve implantation (TAVI), occurring in 2.3-10% of the patients. However, the cause of post-TAVI stroke is unclear. Read More

    Septal alcoholization in hypertrophic cardiomyopathy: about 11 cases.
    Pan Afr Med J 2017 13;27:196. Epub 2017 Jul 13.
    Department of cardiology and cardiovascular diseases, Teaching hospital of Clermont-Ferrand, France.
    Outcomes of septal alcoholization in hypertrophic obstructive cardiomyopathy are not enough studied in all centers. The purpose of this study was to determine the outcomes of septal alcoholization in hypertrophic obstructive cardiomyopathy in our hospital. A retrospective and prospective descriptive study focused on all patients aged at least 18 years treated by alcohol septal ablation between July 2005 and June 2010 in the cardiology unit of Clermont-Ferrand teaching Hospital. Read More

    Mitral regurgitation in patients with severe aortic stenosis: diagnosis and management.
    Heart 2017 Sep 13. Epub 2017 Sep 13.
    Baylor University Medical Center, Baylor Heart and Vascular Hospital, Dallas, Texas, USA.
    Severe aortic stenosis (AS) and mitral regurgitation (MR) frequently coexist. Although some observational studies have reported that moderate or severe MR is associated with higher mortality, the optimal management of such patients is still unclear. Simultaneous replacement of both aortic and mitral valves is linked to significantly higher morbidity and mortality. Read More

    Aortic Valve Stenosis Alters Expression of Regional Aortic Wall Shear Stress: New Insights From a 4-Dimensional Flow Magnetic Resonance Imaging Study of 571 Subjects.
    J Am Heart Assoc 2017 Sep 13;6(9). Epub 2017 Sep 13.
    Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL
    Background: Wall shear stress (WSS) is a stimulus for vessel wall remodeling. Differences in ascending aorta (AAo) hemodynamics have been reported between bicuspid aortic valve (BAV) and tricuspid aortic valve patients with aortic dilatation, but the confounding impact of aortic valve stenosis (AS) is unknown.

    Methods And Results: Five hundred seventy-one subjects underwent 4-dimensional flow magnetic resonance imaging in the thoracic aorta (210 right-left BAV cusp fusions, 60 right-noncoronary BAV cusp fusions, 245 tricuspid aortic valve patients with aortic dilatation, and 56 healthy controls). Read More

    Endovascular stenting of mid-aortic syndrome due to Takayasu arteritis.
    Acta Chir Belg 2017 Sep 13:1-5. Epub 2017 Sep 13.
    a Faculty of Medicine, Gaziosmanpasa Hospital Cardiology Department , Istanbul Yeni Yuzyil University , Istanbul , Turkey.
    Introduction-patients: Takayasu arteritis may involve various parts of the aorta and its major branches. It leads to occlusive or aneurysmal disease of the vessel. It can be treated either with surgery or percutaneous intervention. Read More

    Detection of specific Chlamydia pneumoniae and cytomegalovirus antigens in human carotid atherosclerotic plaque in a Chinese population.
    Oncotarget 2017 Aug 18;8(33):55435-55442. Epub 2017 Jul 18.
    Department of Neurosurgery, The Third Affiliated Hospital of Soochow University, Changzhou, China.
    To explore the relationship between certain pathogens, such as chlamydia pneumonia (Cpn) and cytomegalovirus (CMV), and carotid atherosclerosis (AS) in a Chinese population.Twenty-five carotid atherosclerotic stenosis patients from the Beijing Tiantan Hospital (affiliated with Capital Medical University) participated in the study. After undergoing digital subtraction angiography (DSA) and/or computed tomography angiography (CTA), the degree of carotid artery stenosis was over 70% in all cases, and the patients underwent carotid endarterectomy. Read More

    Is neutrophyl to lymphocyte ratio really a useful marker for all grades of degenerative aortic stenosis?
    Turk Kardiyol Dern Ars 2017 Sep;45(6):506-513
    Department of Cardiology, Antalya Training and Research Hospital, Antalya, Turkey.
    Objective: Inflammatory processes play an important role in cardiac valve calcification and ossification. The aim of this study was to investigate the relationship between the neutrophil-lymphocyte ratio (NLR) and degenerative aortic stenosis (AS).

    Methods: A total of 220 patients with AS and 158 healthy individuals who were a control group were included in the study. Read More

    Predicting changes in flow category in patients with severe aortic stenosis and preserved left ventricular ejection fraction on medical therapy.
    Echocardiography 2017 Sep 13. Epub 2017 Sep 13.
    Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore, Singapore.
    Background/objectives: Controversy surrounds the prognosis and management of patients with paradoxical low-flow severe aortic stenosis (AS) with preserved left ventricular ejection fraction (LVEF). It was not certain if patients in a particular flow category remained in the same category as disease progressed. We investigated whether there were switches in categories and if so, their predictors. Read More

    Isolated Right Juxtaposition of the Atrial Appendages in Adult With Bicuspid Aortic Valve Stenosis.
    World J Pediatr Congenit Heart Surg 2017 Sep;8(5):635-636
    1 Department of Cardiovascular Surgery, Ibn Sina Hospital University, Rabat, Morocco.
    We report the case of a 30-year-old male who had symptomatic bicuspid aortic valve stenosis. Operative findings unexpectedly revealed right juxtaposition of the atrial appendages. This is a rare association, as juxtaposition of atrial appendages is generally associated with more complex forms of congenital heart disease. Read More

    Transcatheter aortic valve implantation. Expert Consensus of the Association of Cardiovascular Interventions of the Polish Cardiac Society and the Polish Society of Cardio-Thoracic Surgeons, approved by the Board of the Polish Cardiac Society….
    Kardiol Pol 2017 ;75(9):937-964
    2nd Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland.
    Patients with severe symptomatic aortic stenosis have a poor prognosis with medical management alone, and surgical aortic valve replacement can improve symptoms and survival. In recent years, transcatheter aortic valve implantation (TAVI) has been demonstrated to improve survival in inoperable patients and to be an alternative treatment in patients in whom the risk of surgical morbidity or mortality is high or intermediate. A representative expert committee, summoned by the Association of Cardiovascular Interventions of the Polish Cardiac Society (ACVI) and the Polish Society of Cardio-Thoracic Surgeons, devel-oped this Consensus Statement in transcatheter aortic valve implantation. Read More

    Pathology of self-expanding transcatheter aortic valves: Findings from the CoreValve US pivotal trials.
    Catheter Cardiovasc Interv 2017 Sep 12. Epub 2017 Sep 12.
    CVPath Institute, Inc, Gaithersburg, Maryland.
    Background: Transcatheter aortic valve replacement (TAVR) has recently become an alternative to surgical aortic valve replacement for patients with severe aortic stenosis. However, paravalvular leaks, possible leaflet thrombosis, and device durability following TAVR remain unresolved issues.

    Methods And Results: We conducted the first systematic microscopic and macroscopic pathologic analysis of self-expanding CoreValve transcatheter aortic valves removed at autopsy or surgically from the U. Read More

    Valvular Heart Disease in Women, Differential Remodeling, and Response to New Therapies.
    Curr Treat Options Cardiovasc Med 2017 Sep 11;19(9):74. Epub 2017 Sep 11.
    The Zena and Michael A. Wiener Cardiovascular Institute, The Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1030, New York, NY, 10029-6574, USA.
    Opinion Statement: In the United States, valvular heart disease (VHD) has a prevalence of 2.5%, most commonly presenting as aortic stenosis (AS) or mitral valve regurgitation (MR) and increasingly observed to be of a degenerative etiology. Women frequently have latent symptoms despite significant disease, and it is therefore pertinent to consider both clinical symptoms and imaging findings for decision-making on treatment. Read More

    [Ruptured Aneurysm of the Sinus of Valsalva Accompanied with a Bicuspid Aortic Valve in an Elderly Man;Report of a Case].
    Kyobu Geka 2017 Sep;70(10):851-854
    Department of Cardiovascular Surgery, Odawara Cardiovascular Hospital, Odawara, Japan.
    The combination of ruptured aneurysm of the sinus of Valsalva and a bicuspid aortic valve is very rare in an elderly person. A 71-year-old man with ruptured aneurysm of the sinus of Valsalva and a bicuspid aortic valve had undergone an operation. He was admitted to his other hospital because of heart failure. Read More

    [Three Surgical Cases of Quadricuspid Aortic Valve].
    Kyobu Geka 2017 Sep;70(10):811-815
    Department of Cardiovascular Surgery, Osaka Medical College, Takatsuki, Japan.
    Quadricuspid aortic valve is a rare congenital disease. We experienced 3 surgical cases of quadricuspid aortic valve. Patient 1 was a 72-year-old man who was noted to have a quadricuspid aortic valve associated with aortic regurgitation and an ascending aortic aneurysm(51 mm in diameter). Read More

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