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    1 OF 443

    The Use of Rapid Deployment Valves in Combined Aortic and Mitral Valve Surgery: One-Year Clinical and Echocardiographic Outcomes.
    Innovations (Phila) 2017 May 25. Epub 2017 May 25.
    From the Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bochum, Germany.
    Objective: Patients undergoing multiple valve surgery represent a high-risk group who could potentially benefit from a reduction of cross-clamp and cardiopulmonary bypass times because prolonged bypass and cross-clamp times are considered independent risk factors for increased morbidity and mortality after cardiac surgery.

    Methods: Between July 2013 and November 2014, 16 patients underwent rapid deployment aortic valve replacement with the EDWARDS INTUITY valve system in the setting of concomitant mitral disease. Fifteen patients showed mitral regurgitation, whereas one patient had severe mitral stenosis. Read More

    Transfemoral transcatheter ACURATE-neo™ aortic valve replacement in a patient with a previous mechanical mitral valve.
    J Card Surg 2017 May 24. Epub 2017 May 24.
    Heart Team, Clínica Santa Maria, Bari, Italy.
    Transcatheter aortic valve replacement (TAVR) in the presence of a mechanical mitral valve (MMV) prosthesis is challenging due to the stiff mitral cage in the boundaries of the aorto-mitral curtain. We describe the technique for TAVR using the ACURATE-neo™ aortic bioprosthesis in a patient with a MMV prosthesis. Read More

    Improved Technical Success, Postnatal Outcomes and Refined Predictors of Outcome for Fetal Aortic Valvuloplasty.
    Ultrasound Obstet Gynecol 2017 May 22. Epub 2017 May 22.
    Department of Cardiology, Boston Children's Hospital, Boston, MA.
    Background: Fetal aortic valvuloplasty (FAV) may prevent progression of mid-gestation aortic stenosis (AS) to hypoplastic left heart syndrome (HLHS).

    Methods: We evaluate outcomes in 123 fetuses that underwent FAV between 2000 and 2015. We analyze whether technical success and biventricular (Biv) outcome changed from the early era (2000-08) to a more recent era (2009-15) and identify pre-FAV predictors of Biv outcome. Read More

    Improvement of left ventricular diastolic function and left heart morphology in young women with morbid obesity six months after bariatric surgery.
    Cardiol J 2017 May 25. Epub 2017 May 25.
    Department of Internal Medicine and Cardiology, Medical University of Warsaw, Poland.
    Background: Obesity contributes to left ventricular diastolic dysfunction (LVDD) and may lead to diastolic heart failure. Weight loss (WL) after bariatric surgery (BS) may influence LV morphology and function. Using echocardiography, this study assessed the effect of WL on LV diastolic function (LVDF) and LV and left atrium (LA) morphology 6 months after BS in young women with morbid obesity. Read More

    Fifteen years' experience with the use of artificial chords for valve reconstruction in children†.
    Eur J Cardiothorac Surg 2017 May 23. Epub 2017 May 23.
    Department of Cardiothoracic Surgery, Leiden University Center, Leiden, Netherlands.
    Objectives: To retrospectively review our experience with artificial chords in mitral and tricuspid reconstructive surgery in children.

    Methods: All consecutive paediatric (<18 years) patients who underwent mitral or tricuspid valve reconstruction with the use of artificial chords in our centre in the past 15 years were retrospectively analysed.

    Results: Thirty-nine patients (age 3 days to 17 years) underwent reconstruction of the mitral ( n  = 27) or tricuspid ( n  = 12) valve using artificial chords. Read More

    Mitral Valve Repair for Pure Mitral Regurgitation Followed Years Later by Mitral Valve Replacement for Mitral Stenosis.
    Am J Cardiol 2017 Apr 12. Epub 2017 Apr 12.
    Baylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, Texas; Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas; Department of Pathology, Baylor University Medical Center, Dallas, Texas. Electronic address:
    We describe herein 2 patients who developed severe mitral stenosis (MS) approximately two decades after a mitral valve repair operation for pure mitral regurgitation (MR) secondary to mitral valve prolapse. This report's purpose is to point out that use of a circumferential mitral annular ring during the repair has the potential to produce a transmitral pressure gradient just like that occurring after mitral valve replacement utilizing a mechanical prosthesis or a bioprosthesis in the mitral position. Read More

    Surgical repair of partial atrioventricular septal defect.
    Pak J Med Sci 2017 Mar-Apr;33(2):285-289
    Muhammad Shuaib, FCPS, Registrar, Paediatric Cardiac Surgery, CPE Institute of Cardiology, Multan, Pakistan.
    Objective: To review the results of surgical correction of partial atrioventricular septal defect and associated cardiac comorbidities.

    Methods: Retrospective case analysis of electronic database of department of paediatrics cardiac surgery, CPEIC, Multan was done. Forty consecutive patients operated for partial atrioventricular septal defect repair from September 2011 to October 2016 were included. Read More

    Outcomes and Prognostic Factors for Adult Patients With Congenital Heart Disease Undergoing Primary or Reoperative Systemic Atrioventricular Valve Surgery.
    World J Pediatr Congenit Heart Surg 2017 May;8(3):346-353
    1 Division of Cardiac, Thoracic, and Vascular Surgery, Section of Pediatric and Congenital Cardiac Surgery, Morgan Stanley Children's Hospital, New York Presbyterian, Columbia University Medical Center, New York, NY, USA.
    Background: Adults with congenital heart disease (ACHD) undergoing systemic atrioventricular valve (SAVV) surgery are a complex, understudied population. We assessed midterm outcomes and prognostic factors in ACHD undergoing SAVV surgery.

    Methods: We performed retrospective evaluation of ACHD undergoing SAVV surgery from January 2005 to February 2016: 14 (33%) patients with congenital mitral valve stenosis/regurgitation, 15 (35%) with atrioventricular septal defect (AVSD), and 14 (33%) with congenitally corrected transposition of the great arteries (ccTGA) with systemic tricuspid valve regurgitation. Read More

    Three-dimensional proximal flow convergence automatic calculation for determining mitral valve area in rheumatic mitral stenosis.
    Echocardiography 2017 May 18. Epub 2017 May 18.
    Cardiology Department, Centro Hospitalar de Gaia/Espinho, Vila Nova de Gaia, Portugal.
    Purpose: Management of patients with mitral stenosis (MS) depends heavily on the accurate quantification of mitral valve area (MVA) using echocardiography. All currently used two-dimensional (2D) methods have limitations. Estimation of MVA using the proximal isovelocity surface area (PISA) method with real time three-dimensional (3D) echocardiography may circumvent those limitations. Read More

    Common origin of all three coronary arteries from the right sinus of Valsalva - first case study accompanied by mitral valve prolapse and vein anomaly, second case study followed by successful percutaneous coronary intervention of right coronary artery stenosis.
    Kardiochir Torakochirurgia Pol 2017 Mar 31;14(1):66-70. Epub 2017 Mar 31.
    Department of Doctoral Studies, University of Economics, Katowice, Poland.
    Congenital anomalies of the coronary arteries can be divided into two broad categories: those that alter myocardial perfusion and those that do not. In coronary anomalies not altering myocardial perfusion, the coronary arteries originate from the aorta, but their origins are in unusual positions. Although myocardial perfusion is normal, the angiographer may have trouble locating them. Read More

    Ross-Konno Procedure With Cylinder Mitral Valve Replacement in 49 Days Old Infant.
    World J Pediatr Congenit Heart Surg 2017 Jan 1:2150135116688173. Epub 2017 Jan 1.
    1 Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kyiv, Ukraine.
    A neonate with antenatally diagnosed severe aortic valve stenosis, left ventricular outflow tract obstruction, left ventricular endocardial fibroelastosis, and severe mixed mitral valve disease was admitted to our center for balloon aortic valvuloplasty. On day 49, we performed a Ross-Konno procedure and mitral valve replacement on the baby, whose weight was 3.4 kg. Read More

    Italy: coronary and structural heart interventions from 2010 to 2015.
    EuroIntervention 2017 May;13(Z):Z37-Z41
    Fondazione Toscana G. Monasterio, Ospedale del Cuore G. Pasquinucci, Massa, Italy.
    The aim of this report is to analyse trends in Italian cathlab activity between 2010 and 2015. Data were obtained from the national database of the Italian Society of Interventional Cardiology (GISE), which includes 97% of Italian cardiac catheterisation laboratories. The number of percutaneous coronary interventions (PCI) has remained relatively stable in the past five years. Read More

    Mitral arcade: A rare case presenting with fatigue and cough.
    Echocardiography 2017 May 12. Epub 2017 May 12.
    Department of Pediatric Cardiology, SBU Suleymaniye Obstetrics and Children Training and Research Hospital, Istanbul, Turkey.
    An 11-year-old girl was admitted to pediatric emergency unit with complaints of fatigue and cough. The patient had no previous complaints. There was no history of rheumatic heart disease. Read More

    E/Ea For The Prediction of Left Atrial Appendage Thrombi in Patients with Atrial Fibrillation and Severe Mitral Stenosis.
    J Atr Fibrillation 2016 Oct-Nov;9(3):1447. Epub 2016 Oct 31.
    Mashad University of medical sciences, Mashad, Iran.
    Atrial fibrillation (AF), left atrial appendage thrombi (LAAT) and subsequent embolic stroke are the most frequent complications of mitral stenosis .E/Ea is used traditionally for the assessment of left atrium pressure, and besides AF and dilated LA size which promotes stasis of blood in LA, high LA pressure also play a role to clot formation in LA .The receiver operator characteristics (ROC) curve point-coordinates identified an E:e' value of ≥ 36. Read More

    Assessment of left ventricular function with tissue Doppler echocardiography and of B-type natriuretic peptide levels in patients undergoing transcatheter aortic valve implantation.
    Rev Port Cardiol 2017 May 9;36(5):377-383. Epub 2017 May 9.
    Mus State Hospital, Department of Emergency Medicine, Antalya, Turkey.
    Introduction: Transcatheter aortic valve implantation (TAVI) is an emerging minimally invasive treatment modality in high surgical risk or inoperable patients.

    Aim: The aim of this study was to ascertain the effect of TAVI on left ventricular (LV) systolic and diastolic function and serum B-type natriuretic peptide (BNP) levels in high surgical risk or inoperable patients with severe aortic stenosis.

    Methods: Fifty-five patients were included in our retrospective study. Read More

    Transcatheter aortic valve insertion after previous mitral valve operation.
    J Thorac Cardiovasc Surg 2017 Apr 4. Epub 2017 Apr 4.
    Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn.
    Objective: There are limited data on transcatheter aortic valve insertion after previous mitral valve operation. To better understand the associated procedural risks, we reviewed our single-center experience.

    Methods: We retrospectively reviewed the records of 772 consecutive patients who received transcatheter aortic valve insertion from November 2008 through August 2016. Read More

    Von Willebrand Factor as a Novel Player in Valvular Heart Disease: From Bench to Valve Replacement.
    Angiology 2017 Jan 1:3319717708070. Epub 2017 Jan 1.
    1 Division of Cardiology, Department of Cardio-thoracic and Respiratory Sciences, A.O. dei Colli Monaldi Hospital, University of Campania "Luigi Vanvitelli", Naples, Italy.
    von Willebrand Factor (vWF) is a well-known mediator of hemostasis and vascular inflammation. Its dynamic modulation in the bloodstream, according to hemodynamic conditions, makes it an appealing biomarker in patients with valvular heart disease (VHD). Recent studies highlight the close connection between vWF and VHD, with possible implications in the pathogenesis of VHD, promoting valve aging and calcification or favoring the development of infective endocarditis. Read More

    Traditional Cardiovascular Risk Factors and Their Relation to Future Surgery for Valvular Heart Disease or Ascending Aortic Disease: A Case-Referent Study.
    J Am Heart Assoc 2017 May 5;6(5). Epub 2017 May 5.
    Department of Public Health and Clinical Medicine, Cardiology, Umeå University, Umeå, Sweden
    Background: Risk factors for developing heart valve and ascending aortic disease are based mainly on retrospective data. To elucidate these factors in a prospective manner, we have performed a nested case-referent study using data from large, population-based surveys.

    Methods And Results: A total of 777 patients operated for heart valve disease or disease of the ascending aorta had previously participated in population-based health surveys in Northern Sweden. Read More

    Management of Nonagenarian Patients With Severe Aortic Stenosis: The Role of Comorbidity.
    Heart Lung Circ 2017 Apr 12. Epub 2017 Apr 12.
    Hospital General Universitario Gregorio Marañón, Madrid, Spain; Universidad Complutense, Universidad Europea, Madrid, Spain.
    Background: The number of nonagenarian patients with aortic stenosis will likely increase due to the ageing population. We assessed the clinical characteristics, management, and outcomes of nonagenarian patients with severe aortic stenosis.

    Methods: A total of 177 (117 females and 60 males) consecutive nonagenarian patients from two large contemporary registries were included in this study. Read More

    Transcatheter Aortic Valve Implantation Within Degenerated Aortic Surgical Bioprostheses: PARTNER 2 Valve-in-Valve Registry.
    J Am Coll Cardiol 2017 May;69(18):2253-2262
    Structural Heart and Valve Center, Center for Interventional Vascular Therapy, Division of Cardiology, Columbia University Medical Center, New York, New York.
    Background: Early experience with transcatheter aortic valve replacement (TAVR) within failed bioprosthetic surgical aortic valves has shown that valve-in-valve (VIV) TAVR is a feasible therapeutic option with acceptable acute procedural results.

    Objectives: The authors examined 30-day and 1-year outcomes in a large cohort of high-risk patients undergoing VIV TAVR.

    Methods: Patients with symptomatic degeneration of surgical aortic bioprostheses at high risk (≥50% major morbidity or mortality) for reoperative surgery were prospectively enrolled in the multicenter PARTNER (Placement of Aortic Transcatheter Valves) 2 VIV trial and continued access registries. Read More

    Elevated Mitral Valve Pressure Gradient After MitraClip Implantation Deteriorates Long-Term Outcome in Patients With Severe Mitral Regurgitation and Severe Heart Failure.
    JACC Cardiovasc Interv 2017 May;10(9):931-939
    Heart Center Brandenburg in Bernau, Fontane University Brandenburg, Bernau, Germany.
    Objectives: This single-center study was performed to analyze the effect of an increased transvalvular gradient after the MitraClip (MC) (Abbott Laboratories, Abbott Park, Illinois) procedure on patient outcome during follow-up.

    Background: Percutaneous transcatheter repair of the mitral valve with the MC device has been established as a novel technique for patients with severe mitral regurgitation and high surgical risk. This study investigated the influence of an increased pressure gradient after MC implantation on the long-term outcome of patients. Read More

    The ordeal of left atrioventricular valve replacement in children under 1 year of age†.
    Interact Cardiovasc Thorac Surg 2017 May 2. Epub 2017 May 2.
    Department of Cardiac Surgery, The Royal Children's Hospital, Melbourne, VIC, Australia.
    Objectives: This study reviews the outcomes of children under 1 year of age who had left atrioventricular valve (LAVV) replacement (LAVVR) in one centre and explores the benefits of an innovative approach for LAVVR in very small patients.

    Methods: Thirteen consecutive patients operated for LAVV replacement between 1997 and 2016 were reviewed retrospectively. Indication for surgery was regurgitation in 7, stenosis in 5 and both stenosis and regurgitation in 1. Read More

    Oncostatin M was associated with thrombosis in patients with atrial fibrillation.
    Medicine (Baltimore) 2017 May;96(18):e6806
    Department of Cardiology, Drum Tower Hospital, Nanjing University Medical School, Nanjing, China.
    The mechanism underlying thrombosis in atrial fibrillation (AF) is not yet clearly understood. Oncostatin M (OSM), as a member of IL-6 family, is involved in atherosclerosis-mediated thrombosis. The present study hypothesizes that OSM and its downstream factors play a role in thrombogenesis in AF. Read More

    Case series: Difficult PTMC using novel technique of veno-arterial looping.
    Indian Heart J 2017 Mar - Apr;69(2):207-210. Epub 2016 Dec 1.
    Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India. Electronic address:
    Percutaneous transvenous mitral commissurotomy (PTMC) using Inoue/Accura balloon is an effective procedure for management of patients with rheumatic mitral stenosis.(1) Inability to cross the mitral valve is one of the pertinent reasons for procedural failure. We describe a series of three patients who were tackled with successful PTMC using a novel technique of veno-arterial looping and in the fourth patient we used double loop entry into left ventricle with veno-arterial rail and peripheral balloon dilatation for completing the PTMC. Read More

    Alterations in echocardiographic left ventricular function after percutaneous coronary stenting in diabetic patients with isolated severe proximal left anterior descending artery stenosis.
    Indian Heart J 2017 Mar - Apr;69(2):146-150. Epub 2016 Sep 5.
    Department of Cardiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
    Background: There are conflicting theories regarding the use of percutaneous coronary intervention (PCI) of isolated severe proximal left anterior descending (LAD) artery stenosis in place of left internal mammary artery grafting in diabetic patients. The aim of this study was to investigate the effect of PCI on left ventricular function and determine difference between diabetics and non-diabetics.

    Methods: A prospective study was conducted on 50 patients with isolated severe proximal LAD stenosis: 23 diabetic and 27 non-diabetic patients. Read More

    Utility of physical examination and comparison to echocardiography for cardiac diagnosis.
    Indian Heart J 2017 Mar - Apr;69(2):141-145. Epub 2016 Aug 8.
    Department of Medicine, M.G.M. Medical College, Indore, M.P., India. Electronic address:
    Objective: To find out the accuracy of cardiac auscultation using non-digital stethoscope in physical diagnosis of cardiac diseases.

    Methods: We enrolled 104 consecutive patients with abnormal cardiac auscultatory findings attending cardiology clinic and not previously evaluated by echocardiography. One time detailed cardiac physical examination followed by echocardiography within 1 month was undertaken. Read More

    Rare cause of massive lower gastrointestinal bleeding due to primary isolated ilio-rectal fistula.
    J Surg Case Rep 2017 Apr 20;2017(4):rjx074. Epub 2017 Apr 20.
    Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.
    Massive lower gastrointestinal from primary isolated ilio-rectal fistula is a rare condition and difficult to diagnosis and emergency surgery for this situation has a high mortality rate. This report describes a successful operation in an 88-year-old man at present with massive lower gastrointestinal hemorrhage from ilio-rectal fistula and hypovolemic shock. Underlying diseases are prostate cancer, hypertension, dyslipidemia, aortic stenosis, mitral valve stenosis and chronic renal disease. Read More

    Triple valve surgery through a less invasive approach: early and mid-term results.
    Interact Cardiovasc Thorac Surg 2017 May;24(5):677-682
    Department of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University Hospital, Frankfurt am Main, Germany.
    Objectives: A partial upper sternotomy has become established as a less invasive approach mainly for single and double valve surgery. This report evaluates the clinical outcomes of triple valve surgery performed through a partial upper sternotomy.

    Methods: We reviewed the medical records of 37 consecutive patients (28 men, 76%) who underwent triple valve surgery through a partial upper sternotomy between 2005 and 2015. Read More

    [Myxoma involving posterolateral leaflet: about a case].
    Pan Afr Med J 2017 2;26:61. Epub 2017 Feb 2.
    Mohamed V University, Cardiac Surgery Department, Mohamed V Military Hospital, Rabat, Morocco.
    Cardiac myxomas are the most common type of primary cardiac tumors. They mainly affect the interatrial septum and exceptionally the heart valves. Surgical excision remains the only therapeutic alternative. Read More

    Late mitral restenosis after percutaneous commissurotomy: Predictive value of inflammation and extracellular matrix remodeling biomarkers.
    Heart Lung 2017 Apr 24. Epub 2017 Apr 24.
    Epidemiology Department, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
    Background: The role of chronic inflammation in mitral restenosis after percutaneous mitral commissurotomy (PMC) is still controversial.

    Aims: We sought to assess the predictive value of inflammation and extracellular matrix (ECM) remodeling biomarkers in late mitral restenosis after PMC.

    Methods: We prospectively enrolled 155 patients (mean age 46. Read More

    Epidemiology of valvular heart disease in a Swedish nationwide hospital-based register study.
    Heart 2017 Apr 21. Epub 2017 Apr 21.
    Department of Cardiology, Clinical Sciences, Lund University and Skåne University Hospital, Lund, Sweden.
    Objective: Transitions in the spectrum of valvular heart diseases (VHDs) in developed countries over the 20th century have been reported from clinical case series, but large, contemporary population-based studies are lacking.

    Methods: We used nationwide registers to identify all patients with a first diagnosis of VHD at Swedish hospitals between 2003 and 2010. Age-stratified and sex-stratified incidence of each VHD and adjusted comorbidity profiles were assessed. Read More

    Intentional Percutaneous Laceration of the Anterior Mitral Leaflet to Prevent Outflow Obstruction During Transcatheter Mitral Valve Replacement: First-in-Human Experience.
    JACC Cardiovasc Interv 2017 Apr;10(8):798-809
    Cardiovascular and Pulmonary Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland. Electronic address:
    Objectives: This study sought to use a new catheter technique to split the anterior mitral valve leaflet (AML) and prevent iatrogenic left ventricular outflow tract (LVOT) obstruction immediately before transcatheter mitral valve replacement (TMVR).

    Background: LVOT obstruction is a life-threatening complication of TMVR, caused by septal displacement of the AML.

    Methods: The procedure was used in patients with severe mitral valve disease and prohibitive surgical risk. Read More

    Left atrial electromechanical conduction time predicts atrial fibrillation in patients with mitral stenosis: a 5-year follow-up speckle-tracking echocardiography study.
    Int J Cardiovasc Imaging 2017 Apr 19. Epub 2017 Apr 19.
    Kartal Kosuyolu Heart & Research Hospital, Cardiology Clinic, Kartal, 34846, İstanbul, Turkey.
    Prolonged left atrial electromechanical conduction time is related with atrial electrical remodeling, and is predictive of the development of atrial fibrillation. The aim of our study was to examine whether left atrial electromechanical conduction time (EMT) and left atrial strain as measured by speckle tracking echocardiography (STE) are predictors for the development of atrial fibrillation (AF) in patients with mitral stenosis (MS) at 5-year follow-up. A total of 81 patients (61% females; mean age 38. Read More

    Preoperative assessment of mitral valve abnormalities in left atrial myxoma patients using cardiac CT.
    Oncotarget 2017 Mar 11. Epub 2017 Mar 11.
    Department of Radiology, West China Second University Hospital, Sichuan University, China.
    Background: To retrospectively evaluate mitral valve abnormality in left atrial myxoma patients by using cardiac computed tomography (CT).

    Material And Methods: Cardiac CT was performed in 56 patients with left atrial myxoma and 50 controls. Tumor and mitral valve characteristics were analyzed. Read More

    Chronic Atrial Fibrillation Ablation with Harmonic Scalpel during Mitral Valve Surgery.
    Braz J Cardiovasc Surg 2017 Jan-Feb;32(1):22-28
    Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil and Universidade de Campinas (UNICAMP), Campinas, SP, Brazil.
    Objective: To evaluate surgical treatment of chronic atrial fibrillation with ultrasound in patients with mitral valve disease, considering preoperative clinical characteristics of patients undergoing surgical procedure and follow-up in the immediate postoperative period, in hospital and up to 60 months after discharge.

    Methods:: We studied 100 patients with chronic atrial fibrillation and mitral valve disease who underwent surgical treatment using ultrasound ablation. Patient data were reviewed by consulting the control reports, including signs and symptoms, underlying disease, functional class, hospital stay, surgical procedure time, ablation time, immediate complications, and complications at discharged and up to 60 months later. Read More

    Utility of Cardiovascular Magnetic Resonance-Derived Wave Intensity Analysis As a Marker of Ventricular Function in Children with Heart Failure and Normal Ejection Fraction.
    Front Pediatr 2017 3;5:65. Epub 2017 Apr 3.
    Cardiorespiratory Division, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.
    Objective: This study sought to explore the diagnostic insight of cardiovascular magnetic resonance (CMR)-derived wave intensity analysis to better study systolic dysfunction in young patients with chronic diastolic dysfunction and preserved ejection fraction (EF), comparing it against other echocardiographic and CMR parameters.

    Background: Evaluating systolic and diastolic dysfunctions in children is challenging, and a gold standard method is currently lacking.

    Methods: Patients with presumed diastolic dysfunction [n = 18; nine aortic stenosis (AS), five hypertrophic, and four restrictive cardiomyopathies] were compared with age-matched control subjects (n = 18). Read More

    Aortic Root Abscess Clearly Shown on 111In-Leukocyte Scan But Less Obvious on Transesophageal Echocardiogram.
    Clin Nucl Med 2017 Apr 17. Epub 2017 Apr 17.
    From the Beaumont Health, Royal Oak, MI.
    A 79-year-old man with history of aortic stenosis, status post bioprosthetic aortic valve replacement, episodes of bacteremia, and endocarditis presented to hospital with fever. Clinical assessment led to suspicion of possible endocarditis. Initial interpretation of transesophageal echocardiogram was inconclusive without vegetation in mitral/aortic valve. Read More

    P1088Match and mismatch between opening area and resistance in mild and moderate rheumatic mitral stenosis.
    Eur Heart J Cardiovasc Imaging 2016 Dec;17(suppl_2):ii227-ii234
    Zagazig University, Zagazig, Egypt.
    Background: Mitral valve resistance (MVR) is a hemodynamic consequence of mitral stenosis but it has no clear threshold and it has a shortage of data to be reliable.

    Purpose: is to investigate match and mismatch between opening area and resistance especially in patients with moderate and mild mitral stenosis.

    Materials: This cross section case control study comprised 88 patients with moderate and mild rheumatic mitral stenosis. Read More

    P697New indices for a best quantification of left ventricular function in heart valve diseases.
    Eur Heart J Cardiovasc Imaging 2016 Dec;17(suppl_2):ii143-ii147
    University Hospital of Rennes, Rennes, France.
    Aims.

    The Assessment of left ventricular (LV) function remains a clinical challenge especially in patients with preserved LV ejection fraction (EF) and valvular heart diseases (VHD). Mechanical dispersion is supposed to be a strong predictor of events and, to be related to the extent of fibrosis. Read More

    Combined mitral and aortic stenosis in parturient: Anesthesia management for labor and delivery.
    J Anaesthesiol Clin Pharmacol 2017 Jan-Mar;33(1):114-116
    Department of Anesthesia, Seth G.S. Medical College and KEMH, Mumbai, Maharashtra, India.
    Maternal heart disease complicates 0.2-3% of pregnancies. The optimal management of the pregnant patient with cardiac disease depends on the co-operative efforts of the obstetrician, the cardiologist and the anesthesiologist involved in peripartum care. Read More

    Minimally invasive or conventional edge-to-edge repair for severe mitral regurgitation due to bileaflet prolapse in Barlow's disease: does the surgical approach have an impact on the long-term results?†.
    Eur J Cardiothorac Surg 2017 Apr 11. Epub 2017 Apr 11.
    Department of Cardiac Surgery, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy.
    Objectives: To evaluate whether the adoption of a right minithoracotomy operative approach had an impact on the long-term results of edge-to-edge (EE) repair compared to conventional sternotomy in patients with Barlow's disease and bileaflet prolapse.

    Methods: We assessed the long-term results of 104 patients with Barlow's disease treated with a minimally invasive EE technique. An equal number of patients had a conventional median sternotomy EE repair for the same disease and were used as a control group. Read More

    Long-term outcome in a case of translocated mitral valve replacement for massive mitral annular calcification.
    Clin Case Rep 2017 Apr 2;5(4):454-457. Epub 2017 Mar 2.
    Department of Cardiovascular Surgery Tokyo Women's Medical University, Medical Center East Tokyo Japan.
    Few reports have described long-term outcomes after translocated mitral valve replacement. We describe tips, potential pitfalls, and long-term outcome associated with the construction of a new mitral annulus and reinforcement of prosthesis attachment using a mitral prosthetic valve with an equine pericardial collar in a woman with extensive mitral valve calcification. Read More

    Diagnostic dilemma: Low oxygen saturation during cardiac surgery.
    Ann Card Anaesth 2017 Apr-Jun;20(2):262-264
    Department of Cardiothoracic and Vascular Surgery, CNC, AIIMS, New Delhi, India.
    We report a case of rheumatic heart disease with severe mitral stenosis having cyanosis and low oxygen saturation on pulse oximetry. The findings of clinical examination and low values on pulse oximetry were inconsistent with the findings of normal partial pressure of oxygen and oxygen saturation on arterial blood gas analysis, leading to diagnostic dilemma. In such clinical scenario, the anesthesiologist should be aware and vigilant about the differential diagnosis of low oxygen saturation on pulse oximetry. Read More

    Conscious sedation for balloon mitral valvotomy: A comparison of fentanyl versus sufentanil.
    Ann Card Anaesth 2017 Apr-Jun;20(2):163-168
    Department of Anaesthesiology, Seth G. S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
    Context: Analgesia and sedation are required for the comfort of patient and the cardiologist during balloon mitral valvotomy.

    Aims: In this study, efficacy of analgesia, sedation, and patient satisfaction with sufentanil was compared with fentanyl.

    Settings And Design: Single-centered, prospective single-blind study of sixty patients. Read More

    Antithrombotic Therapy for Transcatheter Valvular Interventions: A Revisit.
    Curr Vasc Pharmacol 2017 Apr 6. Epub 2017 Apr 6.
    Affilation: Pharmacy Services Department, Prince Sultan Cardiac Center. Saudi Arabia.
    The optimal antithrombotic therapies for transcatheter aortic valve implantation (TAVI) and MitraClip implantation have not been well established. We conducted a narrative review from currently available studies between January 2002 and May 2016 to highlight the advantages and disadvantages of antithrombotic therapy use in cardiac catheter-based therapeutic techniques. Recently, these techniques have dramatically altered the approach towards valvular heart diseases management. Read More

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