5,552 results match your criteria Imaging in Mitral Stenosis

Does patent foramen ovale presence procure favourable outcomes in patients with severe rheumatic mitral stenosis?

Int J Cardiovasc Imaging 2021 Jun 9. Epub 2021 Jun 9.

Cardiology Department, Mehmet Akif Ersoy Thoracic And Cardiovascular Surgery Training and Research Hospital, University Of Health Sciences Istanbul, Turgut Ozal Bulvarı no:11, 34303, Istanbul, Küçükçekmece, Turkey.

Mitral stenosis (MS) is tolerated for an extended period in patients with atrial septal defect (ASD) known as Lutembacher syndrome due to depressurizing effect. In a similar way, patients with patent foramen ovale (PFO) may have clinical benefits in severe MS. We aim to evaluate the clinical effects of PFO in rheumatic MS. Read More

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The assessment of mitral valve disease: a guideline from the British Society of Echocardiography.

Echo Res Pract 2021 May 1. Epub 2021 May 1.

B Rana, Cardiology, Hammersmith Hospitals NHS Trust, London, United Kingdom of Great Britain and Northern Ireland.

Mitral valve disease is common. Mitral regurgitation is the second most frequent indication for valve surgery in Europe and despite the decline of rheumatic fever in western societies, mitral stenosis of any aetiology is a regular finding in all echo departments. Mitral valve disease is therefore one of the most common pathologies encountered by echocardiographers, as both a primary indication for echocardiography and a secondary finding when investigating other cardiovascular disease processes. Read More

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Unilateral Diffuse Alveolar Hemorrhage Due to Selective Directionality of Mitral Regurgitant Jet in a Patient With Severe Aortic Stenosis.

Cureus 2021 Apr 27;13(4):e14714. Epub 2021 Apr 27.

Pulmonary and Critical Care Medicine, Ozarks Medical Center, West Plains, USA.

Diffuse alveolar hemorrhage (DAH) in cardiac diseases results from pulmonary capillary stress failure due to pulmonary venous hypertension. The most common cardiac causes of DAH are heart failure and mitral valvular disease. Patients typically manifest with hemoptysis, radiologic chest abnormalities, and anemia. Read More

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Comprehensive echocardiographic prediction of postprocedural transmitral pressure gradient following transcatheter mitral valve repair.

Int J Cardiovasc Imaging 2021 May 27. Epub 2021 May 27.

Department of Cardiology and Intensive Care, Asklepios Klinik St. Georg, Lohmühlenstrasse 5, 20099, Hamburg, Germany.

Iatrogenic mitral stenosis following transcatheter mitral valve repair (TMVR) for relevant mitral regurgitation (MR) is a potential adverse side-effect, known to affect long-term outcome. However, only few determinants of an elevated mean transmitral pressure gradient (TMPG) have been described thus far. We sought to develop an integrative model for the prediction of TMPG following MitraClip (MC) therapy. Read More

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Prognostic Implications of Associated Cardiac Abnormalities Detected on Echocardiography in Patients With Moderate Aortic Stenosis.

JACC Cardiovasc Imaging 2021 May 12. Epub 2021 May 12.

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

Objectives: This study aimed to evaluate the prevalence and prognostic value of the extent of extra-aortic valvular cardiac abnormalities in a large multicenter registry of patients with moderate AS.

Background: The prognostic significance of a new classification system that incorporates the extent of cardiac injury (beyond the aortic valve) has been proposed in patients with severe aortic stenosis (AS). Whether this can be applied to patients with moderate AS is unclear. Read More

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Optimizing Timing of Valve intervention in Asymptomatic Severe Valvular Heart Disease.

Can J Cardiol 2021 May 11. Epub 2021 May 11.

Department of Cardiology, Montreal Heart Institute, Montreal, Canada. Electronic address:

The management of valvular heart disease (VHD) has changed dramatically over the past decade with advances in cardiac imaging, the use of novel biomarkers and the development of transcatheter valve repair and replacement technology. International society guidelines have kept pace to provide recommendations for diagnosis, follow up and timing of intervention. The most challenging patient cohort for clinicians are patients with asymptomatic severe disease in whom the optimal timing of intervention can be ill-defined. Read More

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[Suspected Takotsubo Cardiomyopathy after Elective Mitral Valve Replacement:Report of a Case].

Kyobu Geka 2021 May;74(5):358-361

Department of Cardiovascular Surgery, Hamamatsu Rosai Hospital, Hamamatsu, Japan.

Reports of takotsubo cardiomyopathy following cardiac surgery are rare. We report a case of postoperative takotsubo cardiomyopathy after mitral valve replacement (MVR). The patient was a 70-yearold woman with mitral stenosis, regurgitation, and a medical history of long-standing persistent atrial fibrillation. Read More

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Postpartum maternal collapse-a first-time presentation of severe mitral stenosis: a case report.

J Med Case Rep 2021 May 4;15(1):225. Epub 2021 May 4.

Tulubolo General Hospital, Tulu Bolo, Ethiopia.

Background: Among cardiac causes for postpartum maternal collapse, severe mitral stenosis is not listed as a potential cause in current literature. We report a rare case of severe mitral stenosis that presented with severe hypoxia and maternal decompensation in early postpartum period for the first time. A 30-year-old para 2, abortus 1, Ethiopian woman developed severe hypoxia and rapid deterioration on her sixth postoperative day after cesarean delivery for fetal bradycardia with a good fetal outcome. Read More

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Left ventricular systolic function impairment in children after balloon valvuloplasty for congenital aortic stenosis assessed by 2D speckle tracking echocardiography.

PLoS One 2021 29;16(4):e0248862. Epub 2021 Apr 29.

Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland.

Aims: The aim of the study was to evaluate left ventricular (LV) remodeling and systolic function using two-dimensional speckle tracking echocardiographic (2D STE) imaging in children at a long-term (more than 36 months, 107.5±57.8 months) after balloon valvuloplasty for aortic stenosis (BAV). Read More

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Histopathological Characterization of Mitral Valvular Lesions from Patients with Rheumatic Heart Disease.

Arq Bras Cardiol 2021 03;116(3):404-412

Universidade Federal de Minas Gerais, Belo Horizonte, MG - Brasil.

Background: The underlying mechanisms by which rheumatic heart disease (RHD) lead to severe valve dysfunction are not completely understood.

Objective: The present study evaluated the histopathological changes in mitral valves (MV) seeking an association between the pattern of predominant valvular dysfunction and histopathological findings.

Methods: In 40 patients who underwent MV replacement due to RHD, and in 20 controls that underwent heart transplant, histological aspects of the excised MV were analyzed. Read More

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Effect of Mitral Valve Gradient After MitraClip on Outcomes in Secondary Mitral Regurgitation: Results From the COAPT Trial.

JACC Cardiovasc Interv 2021 Apr;14(8):879-889

Cardiovascular Research Foundation, New York, New York, USA; Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: https://twitter.com/GreggWStone.

Objectives: The authors sought to evaluate the association between mean mitral valve gradient (MVG) and clinical outcomes among patients who underwent MitraClip treatment for secondary mitral regurgitation (SMR) in the COAPT (Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation) trial.

Background: In the COAPT trial, patients with heart failure (HF) and severe SMR who remained symptomatic despite guideline-directed medical therapy had marked 2-year reductions in mortality and HF hospitalizations after treatment with MitraClip.

Methods: MitraClip-treated patients were divided into quartiles (Q) based on discharge echocardiographic MVG (n = 250). Read More

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Computed Tomography to Select Patients for Transcatheter Mitral Valve Replacement: The Challenge of Standardization.

JACC Cardiovasc Imaging 2021 Mar 17. Epub 2021 Mar 17.

Department of Cardiology, Leiden University Medical Centre, Leiden, the Netherlands.

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Prognostic implications of cardiac damage classification based on computed tomography in severe aortic stenosis.

Eur Heart J Cardiovasc Imaging 2021 Apr 14. Epub 2021 Apr 14.

Department of Cardiology, Heart Lung Centre, Leiden University Medical Centre, Albinusdreef 2, 2300 RC Leiden, The Netherlands.

Aims: An echocardiographic staging system of severe aortic stenosis (AS) based on additional extra-valvular cardiac damage has been associated with prognosis after transcatheter aortic valve implantation (TAVI). Multidetector row computed tomography (MDCT) is key in the evaluation of AS patients undergoing TAVI and can potentially detect extra-valvular cardiac damage. This study aimed at evaluating the prognostic implications of an MDCT staging system of severe AS in patients undergoing TAVI. Read More

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[Successful Surgical Management for Ischemic Heart Failure with Fractional Flow Reserve Derived from Computed Tomography:Report of a Case].

Kyobu Geka 2021 Mar;74(3):224-227

Department of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan.

A 71-year-old woman was referred to our hospital for mitral valve repair and coronary artery bypass grafting (CABG). Conventional coronary artery angiography showed stenosis in the right coronary artery (RCA) and two diagonal branches, whereas transthoracic echocardiography (TTE) showed diffuse hypokinesis and mild-to-moderate mitral valve regurgitation. Fractional flow reserve derived from computed tomography (FFRct) demonstrated two additional lesions in the coronary artery at the left anterior descending artery (LAD) and the high lateral (HL) branch. Read More

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[Elective Mitral Valve Repair for Acute Mitral Regurgitation Due to Anterior Papillary Muscle Rupture:Report of a Case].

Kyobu Geka 2021 Mar;74(3):213-216

Department of Cardiovascular Surgery, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan.

An 83-year-old woman with congestive heart failure due to severe mitral regurgitation was referred to our department. Because acute coronary syndrome was suspected, the patient underwent emergent coronary artery angiography, which showed 75% stenosis of segment 2 and 90% stenosis of segment 11. Subsequently, segment 11 was treated by percutaneous coronary intervention. Read More

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Comparison between 2D and 3D Echocardiographic Parameters used for Diagnostic and Therapeutic Purpose in Patients with Rheumatic Mitral Stenosis.

Mymensingh Med J 2021 Apr;30(2):281-291

Dr Shiblee Sadeque Shakil, Senior Consultant, Department of Cardiology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh; E-mail:

Rheumatic heart disease causes a substantial number of morbidity and mortality in South Asia. With the increasing urbanization & antibiotic availability, it is now in declining trends. The prevalence of Rheumatic Fever and Chronic Rheumatic Heart Disease in Bangladesh is 0. Read More

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Water-suppression cycling 3-T cardiac H-MRS detects altered creatine and choline in patients with aortic or mitral stenosis.

NMR Biomed 2021 Jul 7;34(7):e4513. Epub 2021 Apr 7.

Wolfson Brain Imaging Centre, University of Cambridge, Cambridge, UK.

Cardiac proton spectroscopy ( H-MRS) is widely used to quantify lipids. Other metabolites (e.g. Read More

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[Prosthetic repair of aortic valve cusps with autopericardium in children. State of the art and prospects].

Angiol Sosud Khir 2021 ;27(1):191-198

Department of Hospital Surgery of the Medical Faculty, I.M. Sechenov First Moscow Medical University of the RF Ministry of Public Health, Moscow, Russia; Institute of Cardioaortic Surgery, Petrovsky National Research Centre of Surgery, Moscow, Russia.

According to the results of modern researchers, the main techniques used in congenital pathology of the aortic valve in children include balloon catheter dilatation of the aortic valve, surgical valvuloplasty, the Ross procedure and replacement of the aortic valve with a mechanical prosthesis. Many surgeons point out that these techniques in congenital pathology of the aortic valve yield suboptimal results. This is often due to the lack of a clear-cut definition between surgeons as to what operation should be performed in a particular age group. Read More

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ACARPA, a rare case of ALCAPA.

J Card Surg 2021 Jul 6;36(7):2569-2571. Epub 2021 Apr 6.

Department of Cardiac Surgery, Ghent University Hospital, Ghent, Belgium.

An anomalous circumflex coronary artery arising from the right pulmonary artery is very rare. Clinical presentation varies from absence of symptoms to arrhythmia and sudden cardiac death. Since prevalence is very low, no definite therapy has been delineated yet. Read More

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Ventriculocoronary Fistulas with Hypoplastic Left Heart in a Neonate: Imaging with Cardiac CT.

Case Rep Radiol 2021 16;2021:6657447. Epub 2021 Mar 16.

Department of Radiology, İstanbul Yeni Yüzyıl University, Gaziosmanpaşa Hospital, İstanbul, Turkey.

Fistulous communications between the ventricular cavities and the coronary arterial tree can be found in the presence of hypoplasia of the left ventricle, especially when the ventricular septum is intact and mitral stenosis and aortic atresia subtype are present. The cardiac CT provides excellent anatomic information especially in the evaluation of extracardiac vessels and coronary arteries. In this case study, we report a newborn with ventriculocoronary fistulas (VCFs) with the hypoplastic left disease diagnosed with cardiac CT. Read More

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Clinical and echocardiographic trends in percutaneous balloon mitral valvuloplasty.

J Cardiothorac Surg 2021 Apr 1;16(1):68. Epub 2021 Apr 1.

Heart Institute, Emek Medical Center, 21 Yitzhak Rabin Boulevard, 18101, Afula, Israel.

Background: The prevalence of Rheumatic Mitral Stenosis (MS) has significantly changed over the last decades. We intend to examine patient demographics, Echocardiographic characteristics, procedural success rates, and complications throughout 30-years.

Methods: We conducted a single-center descriptive observational study. Read More

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An unusual case of spontaneous obstructive thrombus complicating rheumatic mitral stenosis.

N Z Med J 2021 03 12;134(1531):114-119. Epub 2021 Mar 12.

Cardiothoracic Surgeon, Wellington Heart & Lung Unit, Wellington, New Zealand.

We describe a rare case of native mitral valve thrombosis in a patient with rheumatic mitral valve disease without predisposing thrombophilia. The patient presented in heart failure with a new diagnosis of mitral stenosis. After a period of intravenous diuresis there was a sudden cardiovascular collapse. Read More

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Dynamic left ventricular outflow tract obstruction in Takotsubo cardiomyopathy resulting in cardiogenic shock.

BMJ Case Rep 2021 Mar 24;14(3). Epub 2021 Mar 24.

Cardiology, Amsterdam UMC, Amsterdam, Noord-Holland, The Netherlands

We report a case of a 73-year-old female patient, who was admitted to the coronary care unit due to chest pain, malaise and near syncope. During physical examination, the patient was hypotensive and there were signs of left-sided heart failure and a loud systolic murmur. Echocardiogram showed apical ballooning with dynamic left ventricular outflow tract obstruction, based on systolic anterior motion of the mitral valve with important mitral valve regurgitation. Read More

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Gerbode defect following surgical mitral valve replacement and tricuspid valve repair: a case report.

Eur Heart J Case Rep 2021 Feb 30;5(2):ytaa534. Epub 2020 Dec 30.

Division of Cardiovascular Medicine, Department of Internal Medicine, University Hospitals Cleveland Medical Center/Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.

Background: Gerbode defect is a congenital or acquired communication between the left ventricle and right atrium. While the defect is becoming a more well-recognized complication of cardiac surgery, it presents a diagnostic and therapeutic challenge for providers. This case highlights the predisposing factors and imaging features that may assist in the diagnosis of Gerbode defect, as well as potential approaches to treatment. Read More

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February 2021

Current Updates on Pre-eclampsia: Maternal and Foetal Cardiovascular Diseases Predilection, Science or Myth? : Future cardiovascular disease risks in mother and child following pre-eclampsia.

Curr Hypertens Rep 2021 03 10;23(3):16. Epub 2021 Mar 10.

Optics and Imaging Center, Doris Duke Medical Research Institute, College of Health Sciences, University of Kwa-Zulu Natal, Durban, South Africa.

Purpose Of Review: Cardiovascular diseases (CVD), including pre-eclampsia (PE), remain the major cause of death and morbidity in women. This review elucidates the current knowledge, state of research and scientific information available on the post-event implications and complications of PE regarding maternal and foetal cardiovascular health. Does PE expose, predispose or aggravate a predilection to maternal and foetal CVD later in life?

Recent Findings: Women with a history of PE are reported to have stiffer arteries and are more likely to develop cardiovascular problems with time, especially aortic stenosis and mitral regurgitation, which were not hitherto linked with hypertensive pregnancy. Read More

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Aortic valve bypass for high-risk patients with symptomatic aortic stenosis: A case report.

J Card Surg 2021 Jun 8;36(6):2153-2155. Epub 2021 Mar 8.

Department of Cardiac Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

There are a significant number of symptomatic aortic stenosis (AS) patients not referred to the traditional methods for some complex conditions. We described a case of a 61-year-old female with severe symptomatic AS, calcific small aortic annulus (16.6 mm), narrow porcelain ascending aorta (aortic root: 14. Read More

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Projecting the Transmitral Mean Gradient in Degenerative Mitral Stenosis for Heart Rate and Stroke Volume.

JACC Cardiovasc Imaging 2021 Mar;14(3):571-572

Division of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas, USA.

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Advances in Rheumatic Mitral Stenosis: Echocardiographic, Pathophysiologic, and Hemodynamic Considerations.

J Am Soc Echocardiogr 2021 Feb 27. Epub 2021 Feb 27.

Icahn School Medicine at Mount Sinai, New York, New York. Electronic address:

Echocardiography is the primary imaging modality used in patients with mitral stenosis. Doppler-derived measurements of mitral pressure half-time are commonly used to calculate mitral valve area, but a number of hemodynamic confounders associated with advanced age limit its utility. Planimetry remains the gold standard for determining mitral valve area and may be performed using two- or three-dimensional imaging. Read More

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February 2021