3,540 results match your criteria Imaging in Pulmonic 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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Double Outlet Right Ventricle with Unrelated Ventricular Septal Defect and Pulmonary Stenosis, in Natural Evolution, in a 36-Year-Old Woman.

Edmar Atik

Arq Bras Cardiol 2021 04;116(4):836-839

Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP - Brasil.

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Comprehensive assessment of the aortic valve in critically ill patients for the non-cardiologist. Part I: Aortic stenosis of the native valve.

Anaesthesiol Intensive Ther 2021 ;53(1):37-54

International Fluid Academy, Lovenjoel, Belgium.

Aortic stenosis (AS) causes left ventricular outflow obstruction. Severe AS has major haemodynamic implications in critically ill patients, in whom increased cardiac output and oxygen delivery are often required. Transthoracic echocardiography (TTE) plays a key role in the AS severity grading. Read More

View Article and Full-Text PDF
January 2021

A Novel Restorative Pulmonary Valve Conduit: Early Outcomes of Two Clinical Trials.

Front Cardiovasc Med 2020 4;7:583360. Epub 2021 Mar 4.

Cardiovascular Core Laboratories, MedStar Health Research Institute, Washington, DC, United States.

We report the first use of a biorestorative valved conduit (Xeltis pulmonary valve-XPV) in children. Based on early follow-up data the valve design was modified; we report on the comparative performance of the two designs at 12 months post-implantation. Twelve children (six male) median age 5 (2 to 12) years and weight 17 (10 to 43) kg, had implantation of the first XPV valve design (XPV-1, group 1; 16 mm ( = 5), and 18 mm ( = 7). Read More

View Article and Full-Text PDF

[Absence of arterial duct in fetus: an autopsy analysis].

Zhonghua Bing Li Xue Za Zhi 2021 Mar;50(3):213-216

Department of Pathology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China.

To analyze the absence of congenital arterial duct in fetus and to improve the diagnostic accuracy. Four hundred cases of congenital heart disease diagnosed by echocardiography during pregnancy were examined the fetal cardiovascular malformation and visceral malformation, and the absence of arterial duct was analyzed. There were 24(6%)cases of absence of arterial duct, including 19 cases of left aortic arch and five cases of right aortic arch. Read More

View Article and Full-Text PDF

Improving CT assessment for pulmonary hypertension in patients with severe aortic stenosis, correlation with right heart catheterization.

Clin Imaging 2021 Feb 3;77:122-129. Epub 2021 Feb 3.

Department of Medicine: Cardiology, University of Rochester Medical Center, Rochester, NY, USA.

Purpose: To identify CT parameters useful for assessment of pulmonary hypertension (PH) in patients with severe aortic stenosis (AS).

Materials And Methods: Retrospective study of 165 patients who had undergone right heart catheterization (RHC), and CTA of the thorax for preoperative aortic valve replacement (TAVR) planning. These were divided into groups based on mean pulmonary artery (PA) pressure (mPAP) of 25 mm Hg on RHC (85 cases and 80 controls). Read More

View Article and Full-Text PDF
February 2021

Tissue Doppler Imaging (E/e') and Pulmonary Capillary Wedge Pressure in Patients With Severe Aortic Stenosis.

J Cardiothorac Vasc Anesth 2021 Jun 2;35(6):1646-1653. Epub 2021 Feb 2.

Tufts Medical Center, Anesthesiology and Perioperative Medicine, Boston, MA. Electronic address:

Objective: Although American and European consensus statements advocate using the ratio of the transmitral E velocity and tissue Doppler early diastolic mitral annular velocity (E/e') in the assessment of left-sided heart filling pressures, recent reports have questioned the reliability of this ratio to predict left atrial pressures in a variety of disease states. The authors hypothesized that there is a clinically significant correlation between E/e' and pulmonary capillary wedge pressure (PCWP) in patients with severe aortic stenosis.

Design: Retrospective cohort study. Read More

View Article and Full-Text PDF

Supravalvar aortic stenosis: Imaging characteristics and associations on multidetector computed tomography angiography.

J Card Surg 2021 Apr 15;36(4):1389-1400. Epub 2021 Feb 15.

Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

Aim: To evaluate the imaging features and associations in patients with supravalvar aortic stenosis on multidetector computed tomography (CT) angiography.

Materials And Methods: We retrospectively reviewed all CT angiography studies performed for evaluation of congenital heart diseases at our institution through the period from January 2014 to June 2020. Cases with supravalvar aortic stenosis were identified and classified as syndromic and nonsyndromic based on history, physical examination, and relevant investigations. Read More

View Article and Full-Text PDF

Right-heart contrast echocardiography reveals missed patent ductus arteriosus in a postpartum woman with pulmonary embolism: A case report.

World J Clin Cases 2021 Jan;9(3):639-643

Department of Echocardiography, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China.

Background: As an established, simple, inexpensive, and surprisingly effective diagnostic tool, right-heart contrast echocardiography (RHCE) might help in solving a vexing diagnostic problem. If performed appropriately and interpreted logically, RHCE allows for differentiation of various usual and unusual right-to-left shunts based on the site of injection and the sequence of microbubble appearance in the heart.

Case Summary: A 31-year-old woman was readmitted to hospital with a 2-mo history of worsening palpitation and chest distress. Read More

View Article and Full-Text PDF
January 2021

Dual energy imaging in cardiothoracic pathologies: A primer for radiologists and clinicians.

Eur J Radiol Open 2021 20;8:100324. Epub 2021 Jan 20.

Institute for Diagnostic and Interventional Radiology, University Hospital Cologne, Cologne, Germany.

Recent advances in dual-energy imaging techniques, dual-energy subtraction radiography (DESR) and dual-energy CT (DECT), offer new and useful additional information to conventional imaging, thus improving assessment of cardiothoracic abnormalities. DESR facilitates detection and characterization of pulmonary nodules. Other advantages of DESR include better depiction of pleural, lung parenchymal, airway and chest wall abnormalities, detection of foreign bodies and indwelling devices, improved visualization of cardiac and coronary artery calcifications helping in risk stratification of coronary artery disease, and diagnosing conditions like constrictive pericarditis and valvular stenosis. Read More

View Article and Full-Text PDF
January 2021

Outcomes 60 years after surgical valvotomy for isolated congenital pulmonary valve stenosis.

J Card Surg 2021 Apr 1;36(4):1531-1533. Epub 2021 Feb 1.

Section of Pediatric Cardiothoracic Surgery, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.

Congenital pulmonary valve stenosis (PVS) is a common congenital heart defect. In the infancy of cardiac surgery, open surgical valvotomy or closed surgical transventricular pulmonary valvotomy (Brock procedure) were the mainstays of therapy. We report the longest-known published follow-up of two women who as young children underwent pulmonary valvotomy for PVS and subsequent uncomplicated open pulmonary valve replacement over 60 years later. Read More

View Article and Full-Text PDF

Assessment of immediate effects of percutaneous balloon mitral valvuloplasty on right ventricular and pulmonary functions in severe rheumatic mitral stenosis patients using speckle tracking echocardiography and spirometry.

J Cardiovasc Thorac Res 2020 24;12(4):280-285. Epub 2020 Nov 24.

Department of Cardiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.

The current study was sought to assess the immediate effect of percutaneous balloonmitral valvuloplasty (PBMV) on right ventricular (RV) and pulmonary functions using speckle tracking echocardiography (STE) and spirometry respectively. Two-dimensional speckle tracking and doppler studies for strain and strain rate imaging of RV were performed before PBMV, after 48h and 15 days of PBMV using echocardiography and spirometry. Mitral valve area, peak and mean mitral valve transannular pressure gradients, late filling velocities,Wilkins score, Systolic pulmonary artery pressure, TAPSE, RV end-diastolic and end-systolic areas,RV fractional area change and Tei index were measured. Read More

View Article and Full-Text PDF
November 2020

Pregnancy Management in a Patient With Congenital Heart Disease and Severe Right Ventricle to Pulmonary Artery Conduit Stenosis.

Ochsner J 2020 ;20(4):452-455

Department of Cardiovascular Disease, John Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, LA.

Pregnancy causes multiple hemodynamic changes that place significant stress on the cardiovascular system. With advancements in medical care, individuals with complex congenital heart disease are living into their childbearing years. Much remains to be understood about the effects and management of pregnancy in individuals with complex congenital heart disease. Read More

View Article and Full-Text PDF
January 2020

A Review of the Surgical Management of Aorto-ventricular Tunnels.

World J Pediatr Congenit Heart Surg 2021 Jan;12(1):103-115

Cardiothoracic Sciences Centre, 28730All India Institute of Medical Sciences, New Delhi, India.

We present a synthesis of 95 published investigations of the exceedingly rare tunnels that can exist between the aortic root and the left or right ventricles. From the 220 suitable cases included in these investigations, we reviewed the clinical presentations, modalities used for diagnosis, surgical approaches, and outcomes. Diagnostic information was provided by clinical presentation, radiographic findings, saline contrast echocardiography, computed tomographic angiocardiography, magnetic resonance imaging, cardiac catheterization, and angiocardiography. Read More

View Article and Full-Text PDF
January 2021

Rare congenital quadricuspid pulmonary valve stenosis evaluated by CMR.

Oxf Med Case Reports 2020 Dec 28;2020(12):omaa112. Epub 2020 Dec 28.

Oxford Centre for Clinical Magnetic Resonance Research, Radcliffe Department of Medicine, University of Oxford, John Radcliffe Hospital, Oxford, UK.

View Article and Full-Text PDF
December 2020

Computed Tomography Measurements in Assessment of Idiopathic Vocal Fold Paralysis.

J Voice 2020 Dec 22. Epub 2020 Dec 22.

Department of Otolaryngology, University of Kansas Medical Center, Kansas City, Kansas.

Objective: Our study aimed to both identify the incidence and clinical presentation of patients presenting with idiopathic vocal fold paralysis (IVFP). Secondarily we aimed to assess the radiographic findings of computed tomography (CT) studies along the course of the vagus and recurrent laryngeal nerves (RLN), specifically measuring for potential areas of compression at the skull base and mediastinum. We hypothesized that a proportion of patients diagnosed with IVFP would have significant differences in measurements when compared to age-gender matched controls on CT imaging. Read More

View Article and Full-Text PDF
December 2020

Pulmonary hypertension in aortic valve stenosis.

Trends Cardiovasc Med 2020 Dec 17. Epub 2020 Dec 17.

Cardiology Department, Kantonsspital St. Gallen, Switzerland.

In patients with severe aortic stenosis (AS), pulmonary hypertension (PH) typically is indicative of a decompensated disease state with exhausted compensatory mechanisms of the left ventricle, meaning a heart failure state resulting from AS-related "cardiac injury". In the present review article, we discuss new insights into the pathophysiology of AS-induced PH, the prognostic impact, and potential options to prevent and treat PH in this setting. We emphasize recent data from studies focused on invasive hemodynamics in patients with severe AS that are being evaluated for aortic valve replacement, particularly the key relevance of combined pre- and post-capillary PH. Read More

View Article and Full-Text PDF
December 2020

Anomalous left coronary artery from the pulmonary artery repair outcomes: Preoperative mitral regurgitation persists in the follow-up.

J Card Surg 2021 Feb 16;36(2):530-535. Epub 2020 Dec 16.

Pediatric Cardiovascular Surgery Department, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Objective: This study aims to present the midterm outcomes of surgical correction of the anomalous left coronary artery from the pulmonary artery (ALCAPA) with a focus on mitral regurgitation (MR).

Methods: Medical records of 36 ALCAPA patients who underwent surgery in a single center were retrospectively reviewed.

Results: There were one (2. Read More

View Article and Full-Text PDF
February 2021

Pulmonary root translocation in corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis with dextrocardia.

J Card Surg 2021 Feb 16;36(2):748-751. Epub 2020 Dec 16.

Department of Cardiovascular and Thoracic Surgery, All India Institute of Medical Sciences, New Delhi, India.

We present 13 years old with history of cyanosis and diagnosis of congenitally corrected transposition of great arteries with ventricle septal defect and pulmonary stenosis with dextrocardia. He underwent modified Senning procedure with pulmonary root translocation. Postoperative recovery was uneventful and was extubated on postoperative day 1. Read More

View Article and Full-Text PDF
February 2021

CT and MRI for Repaired Complex Adult Congenital Heart Diseases.

Korean J Radiol 2021 03 30;22(3):308-323. Epub 2020 Nov 30.

Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

An increasing number of adult congenital heart disease (ACHD) patients continue to require life-long diagnostic imaging surveillance using cardiac CT and MRI. These patients typically exhibit a large spectrum of unique anatomical and functional changes resulting from either single- or multi-stage palliation and surgical correction. Radiologists involved in the diagnostic task of monitoring treatment effects and detecting potential complications should be familiar with common cardiac CT and MRI findings observed in patients with repaired complex ACHD. Read More

View Article and Full-Text PDF

Bicuspidization reconstruction for regurgitant quadricuspid pulmonary valve concomitant pulmonary artery aneurysm graft replacement.

J Card Surg 2021 Feb 7;36(2):716-719. Epub 2020 Dec 7.

Department of Cardiovascular Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.

Large pulmonary artery aneurysm with severe pulmonary valve regurgitation due to the quadricuspid pulmonary valve (Type F) was found in a 54-year-old woman with fatigue and dyspnea on exertion, and in New York Heart Association (NYHA) functional class III. The annulus plication and bicuspidization technique were successfully used for the pulmonary valvular reconstruction. Then, the main pulmonary artery was replaced with Dacron graft and the left pulmonary arterioplasty was performed. Read More

View Article and Full-Text PDF
February 2021

It Takes a Big Chamber to Disguise a Giant.

Circ Cardiovasc Imaging 2020 12 3;13(12):e010695. Epub 2020 Dec 3.

Department of Cardiology of Hospital de Braga, Portugal.

View Article and Full-Text PDF
December 2020

Surgical management for an adult, female patient, with Ebstein Anomaly on Tricuspid Valve that has Subvalvular membrane with severe PS and multiple VSDs-A case report.

Heart Surg Forum 2020 Oct 16;23(6):E781-E785. Epub 2020 Oct 16.

Senior Consultant, Department of Cardiac Surgery, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh.

Ebstein's anomaly is a rare and complexed heart defect that affects the tricuspid valve and is accountable for around 1% of congenital cardiac abnormalities. It is one of the most common congenital causes of tricuspid valve regurgitation. Ebstein's anomaly is often diagnosed prenatally due to its severe cardiomegaly. Read More

View Article and Full-Text PDF
October 2020

Suspicion of intraoperative left main coronary artery extrinsic compression with Perceval® sutureless bioprosthesis.

J Card Surg 2021 Jan 22;36(1):377-380. Epub 2020 Nov 22.

Department Cardiac Surgery, Hospital Universitario Son Espases, Palma de Mallorca, Spain.

We present an uncommon case of intraoperative transient myocardial ischemia related to suspicion of left main stem artery extrinsic compression caused by the radial force of the stent of Perceval® bioprosthesis. No other cases have been described, but some similarities can be found with extrinsic coronary compression in percutaneous pulmonary valves. Surgeons should be aware of this complication in patients with coronary anomalies or with bicuspid anatomy. Read More

View Article and Full-Text PDF
January 2021

Mid- to long-term follow-up of pulmonary valve replacement with BioIntegral injectable valve.

Eur J Cardiothorac Surg 2020 Nov 19. Epub 2020 Nov 19.

Cardiac Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Objectives: Chronic pulmonary valve (PV) regurgitation is a common late sequela after repair of congenital heart diseases like tetralogy of Fallot or pulmonary stenosis, leading to right ventricular dilatation and failure and increased late morbidity and mortality. Timely reoperation may lead to a complete right ventricular recovery. An injectable PV allows pulmonary valve replacement, with or without cardiopulmonary bypass, under direct observation, thereby minimizing the impact of surgery on cardiac function. Read More

View Article and Full-Text PDF
November 2020

Lessons of the month: A forgotten classic: Delayed diagnosis of mitral stenosis presenting initially as Ortner's syndrome.

Clin Med (Lond) 2020 11;20(6):e267-e268

Universiti Teknologi MARA, Sungai Buloh, Malaysia.

We present a rare case of delayed diagnosis of mitral stenosis, initially presenting with hoarseness in her voice due to left recurrent laryngeal nerve (LRLN) compression. A 60-year-old woman presented to the otorhinolaryngology department following complaints of progressive hoarseness in voice over a 6-month period. There was dysphonia but no additional evidence of a cranial nerve IX or X palsy on examination, with subsequent flexible nasopharyngolaryngoscopy demonstrating left vocal cord palsy. Read More

View Article and Full-Text PDF
November 2020