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    [Real-time 3D echocardiography for estimation of severity in valvular heart disease : Impact on current guidelines].
    Herz 2017 Feb 22. Epub 2017 Feb 22.
    Medizinische Klinik III, Klinik für Kardiologie, Klinikum Westfalen, Am Knappschaftskrankenhaus 1, 44309, Dortmund, Deutschland.
    Besides providing spatial anatomic information on heart valves, real-time three-dimensional echocardiography (3DE) combined with color Doppler has the potential to overcome the limitations of flow quantification inherent to conventional 2D color Doppler methods. Recent studies validated the application of color Doppler 3DE (cD-3DE) for the quantification of regurgitation flow based on the vena contracta area (VCA) and the proximal isovelocity surface area (PISA) methods. Particularly the assessment of VCA by cD-3DE led to a change of paradigm by understanding of the VCA as being strongly asymmetric in the majority of patients and etiologies. Read More

    Lutembacher's syndrome: Is the mitral pathology always rheumatic?
    Indian Heart J 2017 Jan - Feb;69(1):20-23. Epub 2016 Jul 9.
    Dr. PK Sen Department of Cardiovascular & Thoracic Surgery, Seth GS Medical College and KEM Hospital, Mumbai, India.
    The mitral valve disease (MVD) in Lutembacher's syndrome has been infrequently analyzed from a pathological standpoint. In this study, we have attempted to elucidate the pathology of MVD in this interesting syndrome in 44 autopsied cases of combined non-primum atrial septal defect (ASD) and MVD collected over 16 years. The patients were divided into 3 groups: Group 1: non-primum ASD with clinically diagnosed mitral stenosis (MS)±regurgitation, Group 2: non-primum ASD with clinically diagnosed mitral regurgitation (MR) and, Group 3: non-primum ASD with no clinically evident MVD, but with mitral valve pathology diagnosed at autopsy. Read More

    Classification of severity of mitral regurgitation patients using multifractal analysis.
    Conf Proc IEEE Eng Med Biol Soc 2016 Aug;2016:6226-6229
    Owing to its efficiency and cost effectiveness, auscultation using a stethoscope is the primary diagnosis method preferred by most medical examiners for cardiovascular disease. Phonocardiography (PCG) is the next level of auscultation and an effective analysis technique in cardiology. This paper presents a method to quantify Mitral Regurgitation (MR) using PCG. Read More

    Analysis of immune cell populations in atrial myocardium of patients with atrial fibrillation or sinus rhythm.
    PLoS One 2017 22;12(2):e0172691. Epub 2017 Feb 22.
    Institute of Histology and Embryology, The First Faculty of Medicine, Charles University, Prague, Czech Republic.
    Background: Atrial fibrillation (AF) is the most common arrhythmia and despite obvious clinical importance remains its pathogenesis only partially explained. A relation between inflammation and AF has been suggested by findings of increased inflammatory markers in AF patients.

    Objective: The goal of this study was to characterize morphologically and functionally CD45-positive inflammatory cell populations in atrial myocardium of patients with AF as compared to sinus rhythm (SR). Read More

    Tricuspid Regurgitation Associated With Ischemic Mitral Regurgitation: Characterization, Evolution After Mitral Surgery, and Value of Tricuspid Repair.
    Ann Thorac Surg 2017 Feb 18. Epub 2017 Feb 18.
    Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
    Background: Tricuspid regurgitation (TR) often accompanies ischemic mitral regurgitation and is generally assumed to be a secondary consequence of altered hemodynamics of the left-sided regurgitation. We hypothesized that it may also be a direct consequence of right-sided ischemic disease. Therefore, our objectives were to (1) characterize the nature of this TR and (2) describe its time course after mitral valve surgery for ischemic mitral regurgitation, with or without concomitant tricuspid valve repair. Read More

    Results of Late Gadolinium Enhancement in Children Affected by Dilated Cardiomyopathy.
    Front Pediatr 2017 6;5:13. Epub 2017 Feb 6.
    Department of Imaging, Bambino Gesù - Children's Hospital IRCCS , Rome , Italy.
    Background: Little is known about the clinical value of late gadolinium enhancement (LGE), in children affected by dilated cardiomyopathy (DCM).

    Materials And Methods: We retrospectively evaluated 15 patients (8 ± 6 years, 6 males) with diagnosis of DCM who underwent cardiac magnetic resonance since 2014. All scans were performed with a 1. Read More

    Stress echocardiography in patients who experienced mechanical ventilation weaning failure.
    J Crit Care 2017 Jan 18;39:66-71. Epub 2017 Jan 18.
    Harefield Hospital Intensive Care Unit, Royal Brompton and Harfield NHS Foundation Trust, UK.
    Introduction: Critically ill patients may suffer varying degrees of temporary myocardial dysfunction during respiratory weaning that could play an important role in weaning failure.

    Objectives: In this study, we tried to assess the existence of temporary diastolic dysfunction during respiratory weaning.

    Methods: Inclusion period is from 2006 to 2015. Read More

    Long-term cardiac (valvulopathy) safety of cabergoline in prolactinoma.
    Indian J Endocrinol Metab 2017 Jan-Feb;21(1):154-159
    Department of Endocrinology, Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra, India.
    Background: Clinical relevance of association of cabergoline use for hyperprolactinemia and cardiac valvulopathy remains unclear.

    Objective: The aim of the study was to determine the prevalence of valvular heart abnormalities in patients taking cabergoline for the treatment of prolactinoma and to explore any associations with the cumulative dose of drug used.

    Design: A cross-sectional echocardiographic study was performed in patients who were receiving cabergoline therapy for prolactinoma. Read More

    Role of Right Ventricular Dysfunction and Diabetes Mellitus in N-terminal pro-B-type Natriuretic Peptide Response of Patients With Severe Mitral Regurgitation and Heart Failure After MitraClip.
    Int Heart J 2017 Feb 20. Epub 2017 Feb 20.
    Department of Cardiology, Heart Center Brandenburg, Department of Cardiology, Medical School Brandenburg.
    MitraClip (MC) is an alternative therapeutic option for patients with severe mitral regurgitation (MR) who are at high surgical risk. Most candidates for MC have severe heart failure (HF) with increased N-terminal pro-B-type natriuretic peptide (NT-pro BNP) levels. We sought to clarify the response of NT-pro BNP after MC and to identify the determinants of NT-pro BNP nonresponders. Read More

    Effects of atrial fibrillation and heart rate on percutaneous mitral valve repair with MitraClip: results from the TRAnscatheter Mitral valve Interventions (TRAMI) registry.
    EuroIntervention 2017 Feb;12(14):1697-1705
    Zentrum für Kardiologie, Kardiologie 1, Universitätsmedizin Mainz, Mainz, Germany.
    Aims: In patients undergoing percutaneous edge-to-edge mitral valve repair for mitral valve regurgitation (MR), our aim was to evaluate acute and follow-up differences with pre-existing sinus rhythm (SR) or atrial fibrillation (AF), as well as comparisons stratified by baseline heart rate.

    Methods And Results: Seven hundred and sixty patients who underwent a MitraClip procedure were prospectively enrolled in the TRAnscatheter Mitral valve Interventions (TRAMI) registry, and stratified according to baseline heart rhythm and heart rate with a cut-off value of 70 beats per minute. Technical success, procedural characteristics and MR reduction were similar throughout the subgroups. Read More

    Anatomical Regurgitant Orifice Detection and Quantification from 3-D Echocardiographic Images.
    Ultrasound Med Biol 2017 Feb 16. Epub 2017 Feb 16.
    Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy.
    The vena contracta and effective regurgitant orifice area (EROA) are currently used for the clinical assessment of mitral regurgitation (MR) from 2-D color Doppler imaging. In addition to being highly user dependent and having low repeatability, these methods do not represent accurately the anatomic regurgitant orifice (ARO), which affects the adequate assessment of MR patients. We propose a novel method for semi-automatic detection and quantitative assessment of the 3-D ARO shape from 3-D transesophageal echocardiographic images. Read More

    Anatomical features of acute mitral valve repair dysfunction: Additional value of three-dimensional echocardiography.
    Arch Cardiovasc Dis 2017 Feb 14. Epub 2017 Feb 14.
    Department of Cardiology, AP-HP, Bichat Hospital, 75018 Paris, France; Inserm U1148, Bichat Hospital, 75018 Paris, France; University Paris Diderot, Sorbonne Paris Cité, UMR-S 1148, 75870 Paris, France. Electronic address:
    Recurrence of mitral regurgitation after mitral valve repair is correlated with unfavourable left ventricular remodelling and poor outcome. This pictorial review describes the echocardiographic features of three types of acute mitral valve repair dysfunction, and the additional value of three-dimensional echocardiography. Read More

    Echocardiographic Parameters as Life Quality Predictors in Patients After Myocardial Infarction Treated with Different Methods.
    Med Arch 2016 Dec;70(6):419-424
    Polyclinic ¨Dr Nabil ¨ Sarajevo, Bosnia and Herzegovina.
    Introduction: Cardiovascular diseases are the leading cause of death in most countries. The aim was to examine the quality of life and to determine the differences in the quality of life in patients one year after myocardial infarction and the relationship between quality of life and echocardiographic parameters in these patients.

    Material And Methods: The research was a prospective, clinical, epidemiological study and was conducted at the Clinic of Cardiology, University Clinical Center Sarajevo (UCCS). Read More

    Infective endocarditis causing mitral valve stenosis - a rare but deadly complication: a case report.
    J Med Case Rep 2017 Feb 17;11(1):44. Epub 2017 Feb 17.
    Cardiology, Hennepin County Medical Center, 701 Park Avenue, Minneapolis, MN, 55415, USA.
    Background: Infective endocarditis rarely causes mitral valve stenosis. When present, it has the potential to cause severe hemodynamic decompensation and death. There are only 15 reported cases in the literature of mitral prosthetic valve bacterial endocarditis causing stenosis by obstruction. Read More

    Precautionary Measures for Successful Open Heart Surgery in G6PD Deficient Patient- A Case Report.
    J Clin Diagn Res 2016 Dec 1;10(12):PD11-PD12. Epub 2016 Dec 1.
    Assistant Professor, Department of Cardiothoracic and Vascular Surgery, Advanced Cardiac Center, Post Graduate Institute of Medical Education and Research , Sector 12, Chandigarh, India .
    Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is among the most common enzymatic disorders of red blood cells. Cardiac surgeries on this group of individuals are associated with an additional risk in terms of impaired oxygenation, prolonged ventilation and increased risk of haemolysis. These patients have a very low threshold for haemolysis due to oxidative stress. Read More

    An Unusual Occurrence of Methicillin Resistant Staphylococcal Endocarditis with Vancomycin Creep Phenomenon - A Therapeutic Challenge.
    J Clin Diagn Res 2016 Dec 1;10(12):OD12-OD14. Epub 2016 Dec 1.
    Professor, Department of Microbiology, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .
    Infective endocarditis by Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia is a common association and carries a high mortality. However, rising Minimum Inhibitory Concentrations (MICs) for vancomycin amongst MRSA strains is an emerging threat which carries poor prognosis and higher mortality. Here, we report a case of 41-year-old young non-addict gentleman presenting with fever of 3 days duration following recovery from an acute kidney injury necessitating haemodialysis. Read More

    Robotic trans-atrial and trans-mitral ventricular septal resection.
    Ann Cardiothorac Surg 2017 Jan;6(1):54-59
    Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University & Vidant Medical Center, Greenville, North Carolina, USA.
    Localized ventricular septal hypertrophy, also known as idiopathic hypertrophic subaortic stenosis or idiopathic hypertrophic subaortic septal obstruction (IHSS), can create severe ventricular outflow obstruction. This often results in a high sub-aortic pressure gradient with potentially lethal symptoms. In 1960, Braunwald described the hemodynamic characteristics of IHSS, and thereafter, Morrow developed a trans-aortic approach to resect a large part of the ventricular septum, enlarging the outflow tract. Read More

    Robotic mitral valve repair for degenerative posterior leaflet prolapse.
    Ann Cardiothorac Surg 2017 Jan;6(1):27-32
    Background: Robotic mitral valve (MV) repair is the least invasive surgical approach to the MV and provides unparalleled access to the valve. We sought to assess technical aspects and clinical outcomes of robotic MV repair for isolated posterior leaflet prolapse by examining the first 623 such cases performed in a tertiary care center.

    Methods: We reviewed the first 623 patients (mean age 56±9. Read More

    Clinical outcomes of robotic mitral valve repair: a single-center experience in Korea.
    Ann Cardiothorac Surg 2017 Jan;6(1):9-16
    Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
    Background: Since the inception of robotic mitral valve repair (MV) in 2007 at our institution, it has become an acceptable surgical option with proven efficacy and safety. The objective of this study is to analyze the early and long-term clinical outcomes of patients undergoing robotic MV repair.

    Methods: A total of 310 patients (aged 48. Read More

    Diagnosis of mitral valve cleft using real-time 3-dimensional echocardiography.
    J Thorac Dis 2017 Jan;9(1):159-165
    Department of Medical Ultrasound, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
    Background: Mitral valve cleft (MVC) is the most common cause of congenital mitral insufficiency, and MVC may occur alone or in association with other congenital heart lesions. Direct suture and valvuloplasty are the major and effective treatments for mitral regurgitation (MR) caused by MVC. Therefore, it is important to determine the location and magnitude of the pathological damage due to MVC when selecting a surgical procedure for treatment. Read More

    Acute Mitral Regurgitation After Removal of an Impella Device.
    Am J Cardiol 2017 Jan 25. Epub 2017 Jan 25.
    Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
    Acute mitral regurgitation is a very rare complication of an Impella device. We report a case of a 52-year-old man who had an Impella CP device placed for cardiogenic shock and developed acute mitral regurgitation after removal of the Impella. This was managed with the placement of TandemHeart device. Read More

    The adjustable slipknot technique for implanting neochordae in the repair of mitral valve prolapse.
    Multimed Man Cardiothorac Surg 2016 Dec 6;2016. Epub 2016 Dec 6.
    The adjustable slipknot technique is a novel procedure for implanting neochordae. The neochorda acts like a lasso. The procedure facilitates accurate assessment of the length of the neochordae. Read More


    The importance of age and weight on cavopulmonary shunt (stage II) outcomes after the Norwood procedure: Planned versus unplanned surgery.
    J Thorac Cardiovasc Surg 2017 Jan 17. Epub 2017 Jan 17.
    Department of Cardiac Surgery, Birmingham Children's Hospital, Birmingham, United Kingdom.
    Objective: The study objective was to evaluate the outcomes of the cavopulmonary shunt after the Norwood procedure with a particular focus on age, weight, and whether surgery was planned or expedited by clinical findings.

    Methods: We studied 297 consecutive patients with hypoplastic left heart syndrome undergoing the cavopulmonary shunt operation between 2002 and 2014. All patients underwent the Norwood procedure with a right ventricle to pulmonary artery conduit. Read More

    New Mitral Annuloplasty Ring Enables Oversizing of Transcatheter Heart Valve and Prevents Central or Paravalvular Leakage.
    Thorac Cardiovasc Surg 2017 Feb 10. Epub 2017 Feb 10.
    Department of Cardiac Surgery, University Heart Center Bonn, Bonn, Nordrhein-Westfalen, Germany.
    Background Transcatheter valve-in-ring strategies have been developed to treat recurrent mitral regurgitation (MR) after failing surgical annuloplasty. However, suboptimal THV expansion with consecutive paravalvular leakage (PVL) is a procedure-immanent issue. Methods A rigid, saddle-shaped ring was cut at four locations. Read More

    Immediate increase of cardiac output after percutaneous mitral valve repair (PMVR) determined by echocardiographic and invasive parameters: Patzelt: Increase of cardiac output after PMVR.
    Int J Cardiol 2017 Jan 26. Epub 2017 Jan 26.
    University Hospital, Department of Cardiology and Cardiovascular Medicine, Eberhard Karls University Tuebingen, 72076 Tuebingen, Germany. Electronic address:
    Background: Successful percutaneous mitral valve repair (PMVR) in patients with severe mitral regurgitation (MR) causes changes in hemodynamics. Echocardiographic calculation of cardiac output (CO) has not been evaluated in the setting of PMVR, so far. Here we evaluated hemodynamics before and after PMVR with the MitraClip system using pulmonary artery catheterization, transthoracic (TTE) and transesophageal (TEE) echocardiography. Read More

    Catheter Ablation of Ventricular Tachycardia in Patients with MitraClip Device: Preliminary Findings.
    J Cardiovasc Electrophysiol 2017 Feb 10. Epub 2017 Feb 10.
    Arrhythmia Unit and Electrophysiology Laboratories, San Raffaele University Hospital, Milan, Italy.
    Introduction: Patients with mitral regurgitation are increasingly treated by percutaneous implantation of a MitraClip device. We investigate the feasibility and safety of the transmitral catheter route for catheter ablation of VT (ventricular tachycardia) in these patients.

    Methods: The mitral valve with the MitraClip in situ was crossed under transesophageal three-dimensional echocardiographic and fluoroscopic guidance using a steerable sheath for ablation of the left ventricle. Read More

    Multiple cardiac complications after adjuvant therapy for breast cancer: the importance of echocardiography. A case report and review of the literature.
    Med Ultrason 2017 Jan;19(1):117-120
    Department of Cardiology, Coltea Clinical Hospital, "Carol Davila" Universtity of Medicine and Pharmacy, Bucharest, Romania.
    Cardiovascular complications induced by adjuvant cancer therapies may become symptomatic after many years, being responsible for increased morbidity and mortality in long-term survivors. We report a case of a 54-year old female admitted for severe heart failure induced by myocardial and valvular damage after postoperative adjuvant therapy for left breast cancer 6 years ago. Her recent history revealed nonST elevation myocardial infarction in the absence of significant cardiovascular risk factors. Read More

    [Double Valve Replacement and Tricuspid Annuloplasty in a Patient with Situs Inversus Totalis and Mirror-image Dextrocardia;Report of a Case].
    Kyobu Geka 2017 Feb;70(2):135-137
    Department of Cardiovascular Surgery, Northern Okinawa Cardiovascular Center, Nago, Japan.
    Situs inversus totalis and mirror-image dextrocardia is a rare congenital anomaly. A 79-year-old man with a history of atrial fibrillation presented to our hospital with chest oppression. Chest X-ray and computed tomography showed mirror-image dextrocardia and situs inversus totalis. Read More

    Three-dimensional assessment of mitral valve annulus dynamics and impact on quantification of mitral regurgitation.
    Eur Heart J Cardiovasc Imaging 2017 Feb 7. Epub 2017 Feb 7.
    Departments of Cardiology and Cardiothoracic Surgery, Heart Lung Centre, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, PO Box 9600, 2300 RC Leiden, The Netherlands.

    Prognostic Implication of Post-MitraClip Vena Contracta Area in Heart- Failure Patients with Functional Mitral Regurgitation.
    EuroIntervention 2017 Feb 8. Epub 2017 Feb 8.
    Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.
    Aims: Significant functional mitral regurgitation (FMR) in elderly heart-failure patients is increasingly being treated by MitraClip implantation. We sought to assess the prognostic implications of the intraprocedural assessment of vena contracta area (VCA) after MitraClip therapy in such patients.

    Methods And Results: MitraClip therapy with intraprocedural assessment of VCA was performed in 97 heart-failure patients (74±10 years; 66 men; left ventricular ejection fraction [LVEF] 31±12%; 93 patients in New York Heart Association [NYHA] functional class III [n=59] or IV [n=34]; 86 patients with FMR severity 3+ [n=65] or 4+ [n=21]). Read More

    Hopscotch technique: A novel method for percutaneous closure of paravalvular leaks.
    Catheter Cardiovasc Interv 2017 Feb 7. Epub 2017 Feb 7.
    North Shore LIJ Health System, Lenox Hill Heart and Vascular Institute of New York, New York.
    Objectives: To describe the feasibility and safety of the Hopscotch Technique, a novel method to close paravalvular leaks.

    Background: Successful closure of paravalvular leaks requires the complete seal of irregular defects, frequently interrupted by remaining sutures or tissue that converts a large defect into a complex series of contiguous smaller defects. Successful treatment with devices placed in a single space is impossible with constrained appearance and significant residual leak; therefore, new techniques to deploy smaller devices in the correct location are needed. Read More

    A Case of Neonatal Marfan Syndrome: A Management Conundrum and the Role of a Multidisciplinary Team.
    Case Rep Pediatr 2017 11;2017:8952428. Epub 2017 Jan 11.
    Department of Paediatric Cardiology, John Radcliffe Hospital, Oxford OX3 9DU, UK.
    Neonatal Marfan syndrome (nMFS) is a rare condition with a poor prognosis. It is genotypically and phenotypically distinct from the typical Marfan syndrome and carries a poorer prognosis. This case report describes the progression of a 14-month-old girl diagnosed with nMFS at 5 months of age. Read More

    One-year outcome of percutaneous mitral valve repair in patients with severe symptomatic mitral valve regurgitation.
    World J Cardiol 2017 Jan;9(1):39-46
    Michael Gotzmann, Department of Cardiology, Marien-Hospital Witten, Ruhr-University Bochum, 58452 Witten, Germany.
    Aim: To investigate one-year outcomes after percutaneous mitral valve repair with MitraClip(®) in patients with severe mitral regurgitation (MR). METHODS Our study investigated consecutive patients with symptomatic severe MR who underwent MitraClip(®) implantation at the University Hospital Bergmannsheil from 2012 to 2014. The primary study end-point was all-cause mortality. Read More

    Henoch-Schonlein purpura, post-streptococcal glomerulonephritis and acute rheumatic carditis after Group A β-haemolytic streptococcal infection.
    Paediatr Int Child Health 2017 Feb 6:1-3. Epub 2017 Feb 6.
    a Division of Pediatric Nephrology, Department of Pediatrics , Medical Faculty of Dokuz Eylul University , Izmir , Turkey.
    Besides association with acute rheumatic fever (ARF) and acute glomerulonephritis (APSGN), in up to 40% of cases, Group A β-haemolytic streptococcal (GABHS) infections are also implicated as a trigger for Henoch-Schonlein purpura (HSP). A 7-year-old girl with GABHS throat infection who developed HSP, APSGN and rheumatic carditis is reported. She presented with palpable purpura and arthritis in both ankles and later developed carditis characterised by mitral/aortic regurgitation and glomerulonephritis characterised by mixed nephritic/nephrotic syndrome. Read More

    IgG4-positive cell infiltration in various cardiovascular disorders - results from histopathological analysis of surgical samples.
    BMC Cardiovasc Disord 2017 Feb 3;17(1):52. Epub 2017 Feb 3.
    Department of Cardiology, Osaka Medical College, Daigaku-machi 2-7, Takatsuki, Osaka, 569-8686, Japan.
    Background: The diagnosis of Immunoglobulin G4 (IgG4)-related disease (IgG4-RD), in general, depends on serum IgG4 concentrations and histopathological findings; therefore, diagnosis of IgG4-RD in cardiovascular organs/tissues is often difficult owing to the risk of tissue sampling.

    Methods: Prevalence of IgG4-positive lymphoplasmacytic infiltration in 103 consecutive cardiovascular surgical samples from 98 patients with various cardiovascular diseases was analyzed immunohistochemically.

    Results: The diagnoses of the enrolled patients included aortic aneurysm (abdominal, n = 8; thoracic, n = 9); aortic dissection (n = 20); aortic stenosis (n = 24), aortic regurgitation (n = 10), and mitral stenosis/regurgitation (n = 17). Read More

    [Ebstein's anomaly revealed by fetal-placental anasarca. Original case study].
    Pan Afr Med J 2016 28;24:279. Epub 2016 Jul 28.
    Equipe de Recherche en Santé et Nutrition du Couple Mère Enfant, Service de Médecine et de Réanimation Néonatale à l'Hôpital d'Enfant de Rabat, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Maroc.
    Ebstein's anomaly is a congenital heart defect rarely revealed by fetal-placental anasarca. Our study reports an original case of Ebstein's anomaly diagnosed during fetal-placental anasarca assessment, revealed by antenatal ultrasound, objectifying hydramnios, ascites and pericardial effusion. Echocardiography allowed the identification of Ebstein's disease with significant tricuspid insufficiency, mitral regurgitation (grade 3) and patent ductus arteriosus. Read More

    Cardiac Resynchronization Therapy Device Implantation in a Patient with Cardiogenic Shock under Percutaneous Mechanical Circulatory Support.
    Korean Circ J 2017 Jan 23;47(1):132-135. Epub 2016 Dec 23.
    Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
    65-year-old woman was admitted to our hospital with acute decompensated heart failure with reduced left ventricular ejection fraction and severe mitral regurgitation. Electrocardiography revealed a typical left bundle branch block and atrial fibrillation. Her condition deteriorated despite administering high-doses of inotropes and vasopressors. Read More

    Cardiac Magnetic Resonance Imaging Versus Transthoracic Echocardiography for Prediction of Outcomes in Chronic Aortic or Mitral Regurgitation.
    Am J Cardiol 2017 Jan 5. Epub 2017 Jan 5.
    Division of Cardiology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington.
    In subjects with aortic regurgitation (AR) or mitral regurgitation (MR), transthoracic echocardiography (TTE) is recommended for surveillance. Few prospective studies have directly compared the ability of TTE and cardiac magnetic resonance (CMR) to predict clinical outcomes in AR and MR. We hypothesized that, given its higher reproducibility, CMR would predict the need for valve surgery or heart failure (HF) hospitalization better than TTE. Read More

    Usefulness of the MrWALLETS Scoring System to Predict First Diagnosed Atrial Fibrillation in Patients With Ischemic Stroke.
    Am J Cardiol 2017 Jan 5. Epub 2017 Jan 5.
    Stroke Unit, Medical Department of Continuity of Care and Disability, S.Orsola-Malpighi Hospital, Bologna, Italy; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
    Some cryptogenic strokes are caused by undetected paroxysmal atrial fibrillation (AF) and could benefit from oral anticoagulation. In this study, we searched for echocardiographic parameters associated with first diagnosed AF, to form a scoring system for the identification of patients with AF. We examined 571 patients with ischemic stroke (72. Read More

    Aggregatibacter aphrophilus infective endocarditis confirmed by broad-range PCR diagnosis: A case report.
    Int J Surg Case Rep 2017 Jan 19;31:150-153. Epub 2017 Jan 19.
    Department of Infectious Diseases, Japan Red Cross Ise Hospital, Ise, Japan.
    Introduction: Aggregatibacter aphrophilus is a rare cause of infective endocarditis. This pathogen is difficult to identify with common culture methods, which can lead to incorrect diagnosis and treatment.

    Presentation Of Case: A 72-year-old woman was admitted to a community hospital with a persistent high fever and deteriorating renal function. Read More

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