69,245 results match your criteria Mitral Valve


Double orifice and atrioventricular septal defect: dealing with the zone of apposition†.

Eur J Cardiothorac Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Pediatric Cardiac Surgery, Necker Sick Children Hospital-M3C, University Paris Descartes, Paris, France.

Objectives: A double orifice of the left atrioventricular valve (LAVV) associated with atrioventricular septal defects (AVSD) can significantly complicate surgical repair. This study reports our experience of AVSD repair over 3 decades, with special attention to the zone of apposition (ZoA) of the main orifice, and presents a technique of hemivalve pericardial extension in specific situations.

Methods: We performed a retrospective study from 1987 to 2016 on 1067 patients with AVSD of whom 43 (4%) had a double orifice, plus 2 additional patients who required LAVV pericardial enlargement. Read More

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http://dx.doi.org/10.1093/ejcts/ezz085DOI Listing

Regional Left Ventricular Myocardial Dysfunction After Cardiac Surgery Characterized by 3-Dimensional Strain.

Anesth Analg 2019 Mar 20. Epub 2019 Mar 20.

From the Departments of Anesthesiology and Perioperative Medicine.

Background: Three-dimensional (3D) strain is an echocardiographic modality that can characterize left ventricular (LV) function with greater accuracy than ejection fraction. While decreases in global strain have been used to predict outcomes after cardiac surgery, changes in regional 3D longitudinal, circumferential, radial, and area strain have not been well described. The primary aim of this study was to define differential patterns in regional LV dysfunction after cardiac surgery using 3D speckle tracking strain imaging. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003785DOI Listing

Health Status After Transcatheter Mitral-Valve Repair in Heart Failure and Secondary Mitral Regurgitation: COAPT Trial.

J Am Coll Cardiol 2019 Mar 4. Epub 2019 Mar 4.

Saint Luke's Mid America Heart Institute and University of Missouri-Kansas City, Kansas City, Missouri. Electronic address:

Background: In the COAPT (Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation) trial, transcatheter mitral valve repair (TMVr) led to reduced heart failure (HF) hospitalizations and improved survival in patients with symptomatic HF and 3+ to 4+ secondary mitral regurgitation (MR) on maximally-tolerated medical therapy. Given the advanced age and comorbidities of these patients, improvement in health status is also an important treatment goal.

Objectives: The purpose of this study was to understand the health status outcomes of patients with HF and 3+ to 4+ secondary MR treated with TMVr versus standard care. Read More

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http://dx.doi.org/10.1016/j.jacc.2019.02.010DOI Listing

Proposed percutaneous aortic valve prosthesis made of cryogel.

Proc Inst Mech Eng H 2019 Mar 20:954411919837302. Epub 2019 Mar 20.

4 Department of Chemical and Biochemical Engineering, Western University, London, ON, Canada.

Transcatheter heart valves are promising for high-risk patients. Generally, their leaflets are made of pericardium stented in a Nitinol basket. Despite their relative success, they are associated with significant complications such as valve migration, implantation risks, stroke, coronary obstruction, myocardial infraction, acute kidney injury (which all are due to the release of detached solid calcific pieces in to the blood stream) and expected issues existing with tissue valves such as leaflet calcification. Read More

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http://dx.doi.org/10.1177/0954411919837302DOI Listing

Severe mitral regurgitation due to atrial tachyarrhythmia: cure by DC cardioversion.

Echo Res Pract 2019 Mar 1. Epub 2019 Mar 1.

B Shah, Cardiology, University Hospital Southampton, Southampton, SO16 6YD, United Kingdom of Great Britain and Northern Ireland.

A 62-year-old man admitted with palpitations had a 12-lead ECG that revealed atrial flutter with 2:1 AV block (rate 150bpm). Transthoracic echocardiography (TTE) revealed normal left ventricular size with impaired systolic function and severe MR. No MV prolapse was seen. Read More

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http://dx.doi.org/10.1530/ERP-19-0007DOI Listing
March 2019
1 Read

Can Elderly Patients with Severe Mitral Regurgitation Benefit from Trans-catheter Mitral Valve Repair?

Korean Circ J 2019 Feb 20. Epub 2019 Feb 20.

Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan, R.O.C.

Background And Objectives: Age is a traditional risk factor for open-heart surgery. The efficacy and safety of transcatheter edge-to-edge mitral valve repair, using MitraClip (Abbott Vascular), has been demonstrated in patients with severe mitral regurgitation (MR). Since octogenarians or older patients are usually deferred to receive open-heart surgery, the main interest of this study is to elucidate the procedural safety and long-term clinical impact of MitraClip in elderly patients. Read More

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http://dx.doi.org/10.4070/kcj.2018.0417DOI Listing
February 2019

A Novel Sizing Technique for Mitral Annuloplasty.

Ann Thorac Cardiovasc Surg 2019 Mar 19. Epub 2019 Mar 19.

Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.

Although sizing for mitral annuloplasty (MAP) is a critical part of mitral valve repair, no consistent method is used, and precise size adjustment is done somewhat by intuition. We developed a new original ring size tester and have been applying it to our mitral valve repair procedure. The concept is that the tester shapes the annulus into exactly the same size and form as the target annuloplasty while confirming a good leaflet coaptation with a saline test to simulate annuloplasty. Read More

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http://dx.doi.org/10.5761/atcs.nm.19-00003DOI Listing

Giant Left Atrial Myxoma Obstructing Mitral Valve Bloodflow.

Anesthesiology 2019 Mar 15. Epub 2019 Mar 15.

From the Departments of Anesthesia and Perioperative Medicine (S.E.G., W.V.) Cardiology and Noninvasive Procedures (A.M.), Clínica Universitaria Colombia, Bogota, Colombia.

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http://dx.doi.org/10.1097/ALN.0000000000002691DOI Listing

Paravalvular leak closure after valve in mitral annular calcification: Better to avoid leaks.

Catheter Cardiovasc Interv 2019 Mar 19. Epub 2019 Mar 19.

Department of Interventional Cardiology, Arkansas Heart Hospital, Little Rock, Arkansas.

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http://dx.doi.org/10.1002/ccd.28191DOI Listing

Mitral valve repair based on intraoperative objective measurement.

Sci Rep 2019 Mar 18;9(1):4677. Epub 2019 Mar 18.

Université Lyon, INSA-Lyon, LGEF, EA682, F-69621, Villeurbanne, France.

In this paper, we propose a very innovative designed system that enables optimal length adjustment during transapical neochordae implantation for mitral valve repair, increasing accuracy and reproducibility of neochordae length adjustment. Also, such a new device allowed real-time measurement and recording of chordae tension, producing original physiological data. To the best of our knowledge, the tension of chordae had never been measured previously as precisely, especially in in vivo human clinical trials. Read More

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http://dx.doi.org/10.1038/s41598-019-41173-6DOI Listing

Surgical Algorithm for Rheumatic Tricuspid Disease.

Ann Thorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiac Anesthesia.

Rheumatic involvement of the tricuspid valve frequently occurs with mitral and aortic valve disease. Inadequate attention to tricuspid valve function can lead to increased morbidity and necessitate re-operation. A surgical algorithm is developed and presented for treatment of rheumatic heart disease. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.02.009DOI Listing

Mitral valve repair versus replacement for infective endocarditis, again.

Authors:
Manuel J Antunes

J Thorac Cardiovasc Surg 2019 Mar 15. Epub 2019 Mar 15.

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

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http://dx.doi.org/10.1016/j.jtcvs.2019.02.044DOI Listing

Mitral valve endocarditis-Unrealized expectations for repair of mitral valve.

J Thorac Cardiovasc Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, United Kingdom; Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.

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http://dx.doi.org/10.1016/j.jtcvs.2019.02.001DOI Listing

Coronary-Pulmonary Artery Fistula Ligation and Mitral Valve Repair through a Mini-Thoracotomy Approach.

Innovations (Phila) 2019 Mar 18:1556984519836868. Epub 2019 Mar 18.

1 Department of Cardiac Surgery, Asahikawa Medical University, Japan.

A 39-year-old man with severe mitral regurgitation was referred to our institution for surgical evaluation. During preoperative workup, a coronary-pulmonary artery fistula was incidentally found by computed tomography. After multidisciplinary cardiac team discussion, the decision was made to proceed with coronary-pulmonary artery fistula ligation and mitral valve repair through a mini-thoracotomy approach. Read More

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http://dx.doi.org/10.1177/1556984519836868DOI Listing

Thyroid storm and myxoedema: two reversible causes of acute heart failure.

Acute Med 2018 ;17(4):229-231

Department of Intensive Medicine, Unidade de Saúde Local de Matosinhos, Matosinhos, Portugal.

Cardiovascular signs and symptoms can prevail in both hypothyroidism and hyperthyroidism. Case 1: 30-year-old female with acute right heart failure as first manifestation of Graves' disease. It illustrates some of its cardiovascular complications, particularly pulmonary hypertension, tricuspid regurgitation, atrial fibrillation, mitral valve prolapse and mitral regurgitation. Read More

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January 2018

Decreased Prevalence of Rheumatic Heart Disease Confirmed Among HIV-positive Youth.

Pediatr Infect Dis J 2019 Apr;38(4):406-409

From the Children's National Health System, Washington, District of Columbia.

Background: There is geographical overlap between areas endemic for rheumatic heart disease (RHD) and those endemic for HIV. A recent pilot study demonstrated that children living with HIV might be at less risk for RHD development; however, the sample size was too small to make definitive conclusions. Our objective was to determine the prevalence of RHD among HIV-positive children in Uganda. Read More

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http://dx.doi.org/10.1097/INF.0000000000002161DOI Listing

Mechanical injury of the anterior mitral leaflet late after transcatheter aortic valve implantation.

Cardiol J 2019 ;26(1):87-88

Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.

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http://dx.doi.org/10.5603/CJ.2019.0009DOI Listing
January 2019

Percutaneous transapical closure of paravalvular leak in bioprosthetic mitral valve without radio-opaque indicators.

Cardiovasc Diagn Ther 2019 Feb;9(1):60-63

Department of Cardiology, Gulhane Training and Research Hospital, Ankara, Turkey.

Placement of radio-opaque indicators in coronary sinus and aortic non-coronary cusp can help to describe the mitral valve contours fluoroscopically during percutaneous transcatheter closure of paravalvular leak (PVL) in invisible mitral valve bioprosthesis. Read More

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http://dx.doi.org/10.21037/cdt.2018.10.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6382646PMC
February 2019

Validation of aortic valve 4D flow analysis and myocardial deformation by cardiovascular magnetic resonance in patients after the arterial switch operation.

J Cardiovasc Magn Reson 2019 Mar 18;21(1):20. Epub 2019 Mar 18.

Department of Pediatric Cardiology, University Medical Center Utrecht / Wilhelmina Children's Hospital, Utrecht, The Netherlands.

Background: Aortic regurgitation (AR) and subclinical left ventricular (LV) dysfunction expressed by myocardial deformation imaging are common in patients with transposition of the great arteries after the arterial switch operation (ASO). Echocardiographic evaluation is often hampered by reduced acoustic window settings. Cardiovascular magnetic resonance (CMR) imaging provides a robust alternative as it allows for comprehensive assessment of degree of AR and LV function. Read More

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http://dx.doi.org/10.1186/s12968-019-0527-6DOI Listing

Endocarditis after percutaneous edge-to-edge in a heart transplant recipient: management through the HeartPort technique.

Interact Cardiovasc Thorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Division of Thoracic and Cardiovascular Surgery, Pontchaillou University Hospital, Rennes, France.

In the case illustrated in this study, a heart transplant recipient received percutaneous mitral edge-to-edge for secondary mitral regurgitation on the basis of increased reoperative risk. After development of mitral endocarditis, reoperation and mitral valve replacement were successfully performed through the HeartPort technique. We discuss the technical aspects, including the positioning of the Intraclude® device and the access to the mitral valve in this context. Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivz052DOI Listing
March 2019
1 Read

From mitral valve prolapse to catheter ablation.

Eur Heart J 2019 Mar 16. Epub 2019 Mar 16.

Department of Cardiology, University Hospital of Angers, MitoVasc Institute, Mitolab Team, University of Angers, UMR CNRS 6015 - INSERM U1083, 4 rue Larrey, Angers Cedex 9, France.

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http://dx.doi.org/10.1093/eurheartj/ehz139DOI Listing

Surgical resection of carotid-jugular arteriovenous fistula after multiple failed embolisation.

BMJ Case Rep 2019 Mar 16;12(3). Epub 2019 Mar 16.

Department of Neurosurgery, National Neuroscience Institute, Singapore, Singapore.

Carotid-jugular fistula is a rare presentation of arteriovenous fistula. A case of a 60-year-old Chinese man who presented with iatrogenic carotid-jugular fistula with multiple fistulous points was reported. His presenting complaint was a gradually enlarging right pulsatile neck mass complicated by worsening symptoms of congestive cardiac failure. Read More

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http://dx.doi.org/10.1136/bcr-2018-228232DOI Listing

Sutureless repair for postinfarction left ventricular free wall rupture.

J Thorac Cardiovasc Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Objective: Left ventricular free wall rupture is a catastrophic complication of acute myocardial infarction. Sutureless repair has been reported to be an effective surgical procedure for left ventricular free wall rupture. However, the outcomes of sutureless repair remain unclear. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.01.124DOI Listing
February 2019

Risk factors for residual mitral regurgitation after aortic valve replacement in patients with severe aortic valve stenosis and moderate mitral regurgitation.

Gen Thorac Cardiovasc Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15, Nishi-7, Kita-Ku, Sapporo, 060-8638, Japan.

Objectives: While it was reported that patients with residual moderate mitral regurgitation (MR) after surgical aortic valve replacement (SAVR) had a poorer prognosis than those without it, the risk factors for residual MR have not been fully elucidated. The aim of the study was to evaluate risk factors for residual MR after SAVR.

Methods: Of the 222 patients who underwent isolated SAVR from 2001 to 2018, 33 (11 men; age: 74 ± 7 years) had functional moderate MR before surgery. Read More

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http://dx.doi.org/10.1007/s11748-019-01110-wDOI Listing
March 2019
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Serratus Anterior Plane Block for Transapical Off-Pump Mitral Valve Repair With NeoChord Implantation.

J Cardiothorac Vasc Anesth 2019 Jan 24. Epub 2019 Jan 24.

Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, NY.

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http://dx.doi.org/10.1053/j.jvca.2019.01.051DOI Listing
January 2019

Improvement of the outcome in patients with infantile dilated cardiomyopathy over three decades - The usefulness of long-term gradually medical supportive care.

J Cardiol 2019 Mar 12. Epub 2019 Mar 12.

Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan.

Background: The treatment of heart failure has changed with the use of angiotensin-converting enzyme inhibitors (ACEIs) and beta-blockers since the middle of the 1990s. However, the outcome in infantile dilated cardiomyopathy (DCM) when treated with them remains poorly understood.

Methods: We reviewed the medical records of infants with DCM within 24 months old in our hospital between 1979 and 2012, and compared the outcome in the later group (1997-2012) with that in the early group (1979-1996). Read More

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http://dx.doi.org/10.1016/j.jjcc.2019.02.005DOI Listing
March 2019
1 Read

Oculo-Facio-Cardio-Dental Syndrome: A Case Report about a Rare Pathological Condition.

Int J Environ Res Public Health 2019 Mar 14;16(6). Epub 2019 Mar 14.

Institute of Endodontics, Institute of Integrated Clinical Practice, Institute of Experimental Pathology,Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology(CIMAGO), CNC.IBILI, Faculty of Medicine, University of Coimbra, Avenida Bissaya Barreto,3000-075 Coimbra, Portugal.

(1) Background: Oculo-facio-cardio-dental (OFCD) syndrome is a rare pathological condition with an X-linked dominant trait that only occurs in females; no males are born with OFCD syndrome. This syndrome is characterized by congenital cataracts with secondary glaucoma ocular defects, ventricular and atrial septal defects, or mitral valve prolapses. Facial traits are a long narrow face and a high nasal bridge with a bifid nasal tip. Read More

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http://dx.doi.org/10.3390/ijerph16060928DOI Listing

[Characteristics of postoperative cerebral dysfunction depending on the type and position of the implanted prosthetic heart valve].

Zh Nevrol Psikhiatr Im S S Korsakova 2019 ;119(2):18-22

Kirov Military Medical Academy, St.-Petersburg, Russia.

Aim: To study the prevalence and structure of postoperative cerebral dysfunction depending on the type and position of the implanted prosthetic heart valve in patients who underwent surgery for the acquired heart valve disease.

Material And Methods: The study included 115 patients (70 men and 45 women; 64 [56; 72] years old), who underwent elective replacement or repair surgery for the acquired heart valve disease.

Results And Conclusion: The postoperative cerebral dysfunction was diagnosed in 40. Read More

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http://dx.doi.org/10.17116/jnevro201911902118DOI Listing
January 2019

Giant vegetation in mitral prosthetic heart valve endocarditis.

Turk Kardiyol Dern Ars 2019 Mar;47(2):155

Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, İstanbul, Turkey.

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http://dx.doi.org/10.5543/tkda.2018.14194DOI Listing
March 2019
1 Read

Aortic Valve Repair: Where Are We Now?

Heart Lung Circ 2019 Mar 4. Epub 2019 Mar 4.

Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK. Electronic address:

The advent of aortic valve repair alongside the well-established technique of valve replacement changed the landscape of cardiac surgery, as well as the lives of patients suffering from valvular disease. Repair represents a novel option in those unfit for replacement and avoids the burden of lifelong anticoagulation in younger patients. Despite this, the associated risk of persistence of aortic insufficiency, and therefore reoperation, with valvular repair renders clinical decision making between the two techniques difficult. Read More

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http://dx.doi.org/10.1016/j.hlc.2019.02.007DOI Listing
March 2019
1 Read

Predictive impact of previous coronary artery bypass grafting on mortality after MitraClip implantation for ischemic functional mitral regurgitation.

Int J Cardiol 2019 Mar 1. Epub 2019 Mar 1.

Department of Cardiology, Asklepios Klinik St.Georg, Hamburg, Germany. Electronic address:

Background: Many candidates with ischaemic functional mitral regurgitation (FMR) have previously undergone coronary artery bypass grafting (CABG), in which transcatheter mitral valve repair can be reasonable for ameliorating the deteriorated hemodynamic and heart failure symptoms. We sought to elucidate the outcomes of MitraClip (MC) implantation in patients with symptomatic ischaemic FMR after CABG.

Methods: We investigated clinical characteristics, outcomes and predictive impact of previous CABG on mortality in ischaemic FMR patients who underwent MC implantation from two high-volume centres in Germany. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.02.045DOI Listing
March 2019
1 Read

A Case of Coronary Artery Fistula Ligation in Minimally Invasive Mitral Valve Plasty via Right Anterolateral Minithoracotomy.

Innovations (Phila) 2019 Mar 14:1556984519836809. Epub 2019 Mar 14.

1 Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Japan.

We report a case of coronary artery fistula treated by ligation with concomitant minimally invasive mitral valve plasty via right anterolateral minithoracotomy. The coronary artery fistula was isolated well under heart beating, and clip-ligation was easily and safely performed. The present method is an effective and safe option for use with minimally invasive cardiac surgery. Read More

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http://dx.doi.org/10.1177/1556984519836809DOI Listing

Anomalous coronary sinus: A predictor of challenging redo mitral surgery.

J Card Surg 2019 Mar 14. Epub 2019 Mar 14.

Cardiac Surgery Unit, Department of Cardiovascular Science, San Carlo Hospital, Potenza, Italy.

In the spectrum of congenital heart diseases, anomalies involving the venous coronary sinus have received relatively little attention, although they are often associated with major congenital defects, such as atrioventricular septal defects. In cases of mitral surgery in patients with these conditions, it is mandatory to keep the problem in mind and to respect the coronary sinus when approaching the left atrium and the mitral valve. Read More

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http://dx.doi.org/10.1111/jocs.14017DOI Listing

Nineteen Years of Single Institute Experiences with Sorin Bicarbon Prosthesis.

Authors:
Hung Dung Van

Ann Thorac Cardiovasc Surg 2019 Mar 12. Epub 2019 Mar 12.

Ho Chi Minh Heart Institute, Ho Chi Minh, Vietnam.

Purpose: We want to share our experience of Sorin Bicarbon prosthesis (SBP) after 19 years follow-up.

Methods: Retrospective study of 1377 patients who had replaced with SBP from May 1998 to December 2008 at Ho Chi Minh Heart Institute, Viet Nam.

Results: Male patients was 42%, mean age was 40. Read More

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http://dx.doi.org/10.5761/atcs.oa.18-00223DOI Listing
March 2019
1 Read

Sacubitril/valsartan can improve exercise performance in systolic chronic heart failure patients: a case report.

Curr Med Res Opin 2019 Mar;35(sup1):3-5

a Centro Cardiologico Monzino, IRCCS , Milan , Italy.

Objective: The cardiopulmonary exercise test (CPET) provides functional prognostic parameters for patients with chronic heart failure (CHF), such as peak volume of oxygen (VO) and minute ventilation/carbon dioxide production (VE/VCO) slope. Sacubitril/valsartan (LCZ696) has been recently approved for CHF patients as it reduces cardiovascular (CV) deaths and hospitalization for heart failure (HF). However, the potential beneficial effects of this therapy on exercise performance have been poorly investigated to date. Read More

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http://dx.doi.org/10.1080/03007995.2019.1576480DOI Listing
March 2019
1 Read

Reply to Tourmousoglou.

Eur J Cardiothorac Surg 2019 Mar 12. Epub 2019 Mar 12.

Cardiac Surgery Department, Universitair Clinique St. Luc, Brussel, Belgium.

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http://dx.doi.org/10.1093/ejcts/ezz067DOI Listing
March 2019
1 Read

Impact of volume reduction in giant left atrium during surgical ablation of atrial fibrillation.

J Thorac Dis 2019 Jan;11(1):84-92

Department of Cardiology, Sejong Heart Institute, Sejong General Hospital, Bucheon, Republic of Korea.

Background: An enlarged left atrium (LA) is a well-known risk factor for ablation failure of atrial fibrillation (AF). We analyzed the result of concomitant AF ablation in patients with a giant LA and evaluated the effect of LA volume reduction.

Methods: Between 2000 and 2011, 116 patients with a giant LA (antero-posterior dimension ≥70 mm) who underwent surgical AF ablation during MV surgery were retrospectively reviewed. Read More

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http://dx.doi.org/10.21037/jtd.2018.12.118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384332PMC
January 2019

Percutaneous endovascular treatment of an iatrogenic superior cava vein syndrome during the immediate post-operative period after mitral-aortic valve replacement.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Servicio de Anestesiología y Reanimación, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.

Superior vena cava syndrome (SVCS) results from superior vena cava obstruction, causing a decrease in venous return from the head, neck, and upper extremities. Although the most frequent cause is still malignant tumour processes, in recent years an increase has been observed in non-tumour causes, such as thrombosis of intravascular devices or iatrogenic causes during cardiac surgery. A case is presented of SVCS after cardiac surgery treated satisfactorily by an endovascular technique and systemic anticoagulation. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.009DOI Listing
March 2019
1 Read

Multimodality imaging in ischaemic heart failure.

Lancet 2019 Mar;393(10175):1056-1070

Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands.

In heart failure, extensive evaluation with modern non-invasive imaging modalities is needed to assess causes, pathophysiology, and haemodynamics, to determine prognosis and consider therapeutic options. This systematic evaluation includes a stepwise assessment of left ventricular size and function, the presence and severity of coronary artery disease, mitral regurgitation, pulmonary hypertension, right ventricular dilation and dysfunction, and tricuspid regurgitation. Based on this imaging-derived information, the need for specific therapies besides optimised medical therapy can be determined. Read More

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http://dx.doi.org/10.1016/S0140-6736(18)33207-0DOI Listing
March 2019
2 Reads

Successful percutaneous treatment of an anomalous left circumflex coronary artery occlusion after tricuspid valve repair.

Interact Cardiovasc Thorac Surg 2019 Mar 11. Epub 2019 Mar 11.

Department of Cardiac Surgery, Expert Valve Center, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.

The risk of coronary artery injury during valve surgery is higher in case of anomalous coronary artery origin and trajectory. Unlike previous reports on coronary obstruction related to aortic or mitral surgery, we report the first case, to the best of our knowledge, of an anomalous left circumflex artery occlusion after tricuspid valve repair, and its successful percutaneous treatment. Read More

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http://dx.doi.org/10.1093/icvts/ivz050DOI Listing
March 2019
1 Read

Subclinical rheumatic heart disease: A single center experience.

North Clin Istanb 2018 13;5(4):329-333. Epub 2018 Aug 13.

Department of Pediatrics, Kecioren Training and Research Hospital, Ankara, Turkey.

Objective: Rheumatic heart disease (RHD) is still a major cause of morbidity and mortality in developing countries. The aim of the present study was to investigate asymptomatic RHD cases diagnosed by echocardiography without any acute rheumatic fever (ARF) history and to present the follow-up results.

Methods: Children who had been admitted to the pediatric cardiology department between 2011 and 2017 for various reasons (e. Read More

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http://dx.doi.org/10.14744/nci.2017.73384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371994PMC
August 2018
1 Read

Why Did COAPT Win While MITRA-FR Failed? Defining the Appropriate Patient Population for MitraClip.

Interv Cardiol 2019 Feb;14(1):45-47

Swedish Heart and Vascular Institute Seattle, WA, US.

In 2018, the world of functional mitral regurgitation changed with the presentation of two trials - Multicentre Study of Percutaneous Mitral Valve Repair MitraClip Device in Patients With Severe Secondary Mitral Regurgitation (MITRA-FR) and Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients with Functional Mitral Regurgitation (COAPT). The trials, which seemed to point in two different directions, raised significant questions for the field. This article looks at the differences in effective regurgitant area, guideline-directed medical therapy, patient selection, technical clues and other reasons why the trials had similar aims but very different findings. Read More

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http://dx.doi.org/10.15420/icr.2018.40.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406127PMC
February 2019
1 Read

Lightning striking twice: Redo mitral valve replacement due to recurrent cardiac sarcoma using partial autotransplantation technique.

J Thorac Cardiovasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, Tex.

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http://dx.doi.org/10.1016/j.jtcvs.2019.01.096DOI Listing
February 2019

Sacubitril/Valsartan to Reduce Secondary Mitral Regurgitation.

Circulation 2019 Mar;139(11):1366-1370

Department of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium (W.M., P.M.).

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http://dx.doi.org/10.1161/CIRCULATIONAHA.118.038135DOI Listing

CT support of cardiac structural interventions.

Br J Radiol 2019 Mar 11:20180707. Epub 2019 Mar 11.

Department of Cardiology, Faculty of Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) , Erlangen , Germany.

Due to its high temporal and isotropic spatial resolution, CT has become firmly established for pre-procedural imaging in the context of structural heart disease interventions. CT allows to very exactly measure dimensions of the target structure, CT can provide information regarding the access route and, as a very valuable addition, volumetric CT data sets can be used to identify fluoroscopic projection angulations to optimally visualize the target structure and place devices. This review provides an overview of current methods and applications of pre-interventional CT to support adult cardiac interventions including transcatheter aortic valve implantation, percutaneous mitral valve intervention, left atrial appendage occlusion and paravalvular leak closure. Read More

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https://www.birpublications.org/doi/10.1259/bjr.20180707
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http://dx.doi.org/10.1259/bjr.20180707DOI Listing
March 2019
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[Combined percutaneous procedure of mitral valve repair with the edge-to-edge technique and left atrial appendage occlusion].

G Ital Cardiol (Rome) 2019 Mar;20(3):35-39

Dipartimento di Scienze Cardiache, Toraciche e Vascolari, Policlinico Universitario di Padova.

Percutaneous mitral valve repair (MVR) using MitraClip system has been shown to be effective in patients with severe symptomatic mitral regurgitation deemed at high surgical risk. Atrial fibrillation is frequently observed in this setting, and the presence of a contraindication to oral anticoagulation is also very common in these patients. In this context, percutaneous left atrial appendage occlusion (LAAO) may be a valid alternative in reducing the thromboembolic risk. Read More

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http://www.giornaledicardiologia.it/articoli.php?archivio=ye
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http://dx.doi.org/10.1714/3121.31040DOI Listing
March 2019
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