13,982 results match your criteria Pulmonary Artery Catheterization


Non-invasive assessment of central venous pressure in heart failure: a systematic prospective comparison of echocardiography and Swan-Ganz catheter.

Int J Cardiovasc Imaging 2020 May 22. Epub 2020 May 22.

Clinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Georgstraße 11, 32545, Bad Oeynhausen, Germany.

Assessing hemodynamics, especially central venous pressure (CVP), is essential in heart failure (HF). Right heart catheterization (RHC) is the gold-standard, but non-invasive methods are also needed. However, the role of 2-dimensional echocardiography (2DE) remains uncertain, and 3-dimensional echocardiography (3DE) is not always available. Read More

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http://dx.doi.org/10.1007/s10554-020-01889-3DOI Listing

Current practice in atrial septal defect occlusion in children and adults.

Expert Rev Cardiovasc Ther 2020 May 22:1-15. Epub 2020 May 22.

Sidra Heart Center, Sidra Medicine , Doha, Qatar.

Introduction: Atrial septal defect (ASD) is one of the most common congenital heart diseases (CHD) in children and adults. This group of malformations includes several types of atrial communications allowing shunting of blood between the systemic and the pulmonary circulations. Early diagnosis and treatment carries favorable outcomes. Read More

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http://dx.doi.org/10.1080/14779072.2020.1767595DOI Listing

Phenotype and Outcomes of Pulmonary Hypertension Associated with Neurofibromatosis Type 1.

Am J Respir Crit Care Med 2020 May 21. Epub 2020 May 21.

CHU de Bicetre, Service de Pneumologie, Le Kremlin Bicetre, France.

Rationale: Pulmonary hypertension associated with neurofibromatosis type 1 (PH-NF1) is a rare and largely unknown complication of NF1.

Objectives: To describe characteristics and outcomes of PH-NF1.

Methods: We reported the clinical, functional, radiologic, histologic and hemodynamic characteristics, response to pulmonary arterial hypertension (PAH)-approved drugs and transplant-free survival of patients with PH-NF1 from the French PH registry. Read More

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http://dx.doi.org/10.1164/rccm.202001-0105OCDOI Listing

Impact of ductal stenting on pulmonary artery reconstruction in patients with duct-dependent congenital heart diseases-an institutional experience.

Interact Cardiovasc Thorac Surg 2020 May 21. Epub 2020 May 21.

Department of Pediatric Cardiac Surgery, National Heart Institute, Kuala Lumpur, Malaysia.

Objectives: This study aims to review our institutional experience of ductal stenting (DS) on the growth of pulmonary arteries (PAs) and surgical outcomes of PA reconstruction in this subset of patients.

Methods: This is a retrospective study done in neonates and infants up to 3 months of age with duct-dependent pulmonary circulation who underwent DS from January 2014 to December 2015. Post-stenting PA growth, surgical outcomes of PA reconstruction, post-surgical re-interventions, morbidity and mortality were analysed. Read More

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http://dx.doi.org/10.1093/icvts/ivaa069DOI Listing

Intravascular ultrasound-guided pulmonary artery embolectomy for saddle pulmonary embolism.

Catheter Cardiovasc Interv 2020 May 19. Epub 2020 May 19.

Division of Cardiology, Morehouse School of Medicine, Atlanta, Georgia, USA.

A percutaneous catheter-directed treatment approach is preferred among patients with acute submassive pulmonary embolism (PE) and chronic kidney disease (CKD), who are at significant risk of bleeding with thrombolytics. Limiting contrast volume in these patients could reduce morbidity and mortality associated with contrast-induced acute kidney injury (CI-AKI). We present the case of a 61-year-old African American woman (BMI 46. Read More

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http://dx.doi.org/10.1002/ccd.28985DOI Listing

Air in extracorporeal membrane oxygenation: can never be overemphasized.

Perfusion 2020 May 19:267659120918471. Epub 2020 May 19.

Department of Cardiopulmonary Bypass, State Key Laboratory of Cardiovascular Medicine, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Introduction: Air in extracorporeal membrane oxygenation circuit may lead to deleterious consequence.

Case Report: Three cases of air in extracorporeal membrane oxygenation were presented. Air was introduced from right jugular venous sheath during percutaneous septal repair, pulmonary artery catheter during intensive care unit, and sewing holes on atrial wall during surgery respectively. Read More

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http://dx.doi.org/10.1177/0267659120918471DOI Listing

Successful double-catheter coil embolization of an iatrogenic subclavian artery-internal jugular vein fistula after minimally invasive cardiac surgery.

Ann Vasc Surg 2020 May 15. Epub 2020 May 15.

Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.

It is essential to establish cardiopulmonary bypass by percutaneous insertion of a large-bore catheter via both the femoral vein and internal jugular vein (IJV) for minimally invasive cardiac surgery (MICS). Complications associated with IJV catheterization during MICS have been reported in the literature; however, vascular injury of the subclavian artery (SCA) is rare. We herein present a rare case in which an iatrogenic arteriovenous fistula (AVF) between the right SCA and IJV after MICS was successfully treated by endovascular coil embolization. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.04.051DOI Listing

High Right Ventricular Afterload Is Associated with Impaired Exercise Tolerance in Patients with Left Ventricular Assist Devices.

ASAIO J 2020 May 13. Epub 2020 May 13.

Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SC.

Patients with left ventricular assist device (LVAD) have poor exercise tolerance. We aimed to characterize relationship between right ventricular (RV) afterload and exercise capacity, RV reserve, and adaptation to load. Twelve well-compensated LVAD subjects underwent right heart catheterization at rest and during symptom-limited exercise. Read More

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http://dx.doi.org/10.1097/MAT.0000000000001169DOI Listing

Surgical correction of pulmonary artery aneurysm with extrinsic compression of the left main coronary artery: A case report.

J Clin Transl Res 2020 Jan 18;5(2):76-79. Epub 2020 Jan 18.

Department of Scientific Coordination, ENCORE Hospital, Aparecida de Goiânia, Goiânia, Brazil.

Pulmonary artery aneurysm (PAA) is a rare disease, with a poorly known natural history, complex diagnosis and may evolve with serious complications, such as compression of adjacent anatomical structures. In some cases, the presence of such complications is what determines the symptoms and is the initial manifestation of the disease. This paper aims to report the case of a patient with typical angina, submitted to cardiac catheterization, which showed, among other lesions, severe left main coronary lesion with characteristics that led to the suspicion of extrinsic compression, which was identified as caused by a PAA. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197047PMC
January 2020

Profile of Endothelin-1, Nitric Oxide, and Prostacyclin Levels in Pulmonary Arterial Hypertension Related to Uncorrected Atrial Septal Defect: Results from a Single Center Study in Indonesia.

Cardiol Res Pract 2020 7;2020:7526508. Epub 2020 Jan 7.

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada-Dr. Sardjito Hospital, Yogyakarta, Indonesia.

Methods: The study design was cross-sectional. The subjects were adult uncorrected secundum ASD with PAH. Pulmonary artery pressure was measured with right heart catheterization. Read More

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http://dx.doi.org/10.1155/2020/7526508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199565PMC
January 2020

Successful salvage of the left pulmonary artery in a neonate with isolated unilateral absence of the pulmonary artery.

J Cardiol Cases 2020 May 10;21(5):169-171. Epub 2020 Jan 10.

Department of Pediatrics and Pediatric Cardiology, Kitasato University, Sagamihara, Japan.

Isolated unilateral absence of the pulmonary artery (UAPA) is a congenital anomaly where involution of the extrapulmonary PA is insufficient and the intrapulmonary PA is only fed by the ductus arteriosus. Affected lung disorder causes complications years after ductus closure; thus, early diagnosis is of importance to avoid these complications. Here, we present the case of a male infant who was admitted to the neonatal intensive care unit because of transient tachypnea of the newborn and absence of the left PA (LPA) was indicated. Read More

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http://dx.doi.org/10.1016/j.jccase.2019.12.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195561PMC

Risk assessment in PAH using quantitative CMR tricuspid regurgitation: relation to heart catheterization.

ESC Heart Fail 2020 May 6. Epub 2020 May 6.

Department of Clinical Sciences Lund, Clinical Physiology, Lund University, Skåne University Hospital, Lund, Sweden.

Aims: Improved risk stratification is of value for decision making in pulmonary arterial hypertension (PAH). Right heart catheterization combined with quantitative tricuspid regurgitation (TR) by cardiovascular magnetic resonance (CMR) may provide this. The aims were to study: (i) to what extent quantitative TR is associated with event-free survival; (ii) how quantitative TR is related to known prognostic markers in PAH; and (iii) to what extent quantitative TR and right atrial pressure determine right atrial dilation. Read More

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http://dx.doi.org/10.1002/ehf2.12720DOI Listing

[Risk factors for death and the clinical features of different subtypes of patients with pulmonary arterial hypertension related to congenital heart disease].

Zhonghua Xin Xue Guan Bing Za Zhi 2020 Apr;48(4):315-322

Department of Pediatric Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Disease, Beijing 100029, China.

To explore the risk factors for death in patients with pulmonary arterial hypertension related to congenital heart disease (PAH-CHD) and the clinical characteristics of different subtypes in patients with PAH-CHD. It was a retrospective study. A total of 507 PAH-CHD patients, who were hospitalized in the Department of Pediatric Cardiology of Beijing Anzhen Hospital between September 2005 and May 2019, were included. Read More

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http://dx.doi.org/10.3760/cma.j.cn112148-20190628-00364DOI Listing

Diagnosis and Surgical Outcomes of Patients with Anomalous Left Coronary Artery from the Pulmonary Artery: A Single Taiwanese Medical Center Experience.

Heart Surg Forum 2020 03 5;23(2):E101-E106. Epub 2020 Mar 5.

School of Medicine, National Yang-Ming University, Taipei City, Taiwan, ROC.

Background: Anomalous left coronary artery from the pulmonary artery (ALCAPA), a very rare congenital cardiac anomaly, is associated with a high mortality rate among infants who are not diagnosed or treated in a timely manner. Surgical intervention with the reconstruction for a two-coronary-system circulation is the main treatment; however, there have been very few reported cases from Taiwan. In this study, we aim to describe the clinical manifestations, diagnostic methods, surgery types, and surgical outcomes in patients with ALCAPA from a single Taiwanese medical center. Read More

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http://dx.doi.org/10.1532/hsf.2703DOI Listing

Quantification of Cardiac Output with Phase Contrast Magnetic Resonance Imaging in Patients with Pulmonary Hypertension.

J Clin Imaging Sci 2020 2;10:26. Epub 2020 May 2.

Cardiovascular Institute, Allegheny General Hospital, 320 E North Ave., Pittsburgh, Pennsylvania, United States.

Objective: The purpose of the study is to compare phase contrast (PC) imaging with invasive measurements of cardiac output (CO) in patients with pulmonary hypertension (PH).

Materials And Methods: We analyzed 81 cases with PH who underwent cardiac magnetic resonance imaging and right heart catheterization (RHC). Measurement of CO and stroke volume (SV) by cardiac magnetic resonance (CMR) was performed by PC imaging of the proximal aorta (Ao) and pulmonary artery (Pa) and by RHC using the Fick and thermodilution (TD) methods. Read More

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http://dx.doi.org/10.25259/JCIS_36_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193209PMC

Pulmonary Artery Aneurysm Associated with Bicuspid Pulmonary Valve.

Intern Med 2020 Apr 30. Epub 2020 Apr 30.

Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan.

A 73-year-old Japanese man was admitted with an asymptomatic pulmonary artery aneurysm. However, chest X-ray and contrast-enhanced thoracic computed tomography revealed a protrusion at the second left branch that in fact was a pulmonary artery aneurysm with a diameter of 50 mm. Transesophageal echocardiography showed a bicuspid pulmonary valve, and cardiac catheterization revealed pulmonary stenosis with a pressure gradient of 45 mmHg, but no other heart diseases were noted. Read More

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http://dx.doi.org/10.2169/internalmedicine.4415-20DOI Listing

Ventilatory power, a cardiopulmonary exercise testing parameter for the prediction of pulmonary hypertension at right heart catheterization.

Int J Cardiol Heart Vasc 2020 Jun 21;28:100513. Epub 2020 Apr 21.

Department of Medical & Surgical Sciences, University of Foggia, Foggia, Italy.

Background: Several cardiopulmonary exercise test (CPET) parameters (peak VO, PetCO and VE/VCO) emerged as tools for the prediction of pulmonary arterial hypertension (PAH). Less is known on ventilatory power (VP) in patients with suspect PAH.

Aim: To ascertain possible correlations between VP derived at CPET and hemodynamic parameters at right heart catheterization (RHC) indicative of PH. Read More

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http://dx.doi.org/10.1016/j.ijcha.2020.100513DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178492PMC

Supra-coronary aortic banding improves right ventricular function in experimental pulmonary arterial hypertension in rats by increasing systolic right coronary artery perfusion.

Acta Physiol (Oxf) 2020 Apr 27:e13483. Epub 2020 Apr 27.

Department of Medicine, Queen's University, Kingston, ON, Canada.

Aim: Pulmonary arterial hypertension (PAH) results in right ventricular (RV) dysfunction owing, in part, to RV ischemia. The relative contribution of RV microvascular rarefaction vs reduced right coronary artery perfusion pressure (RCA-PP) to RV ischemia remains unknown. We hypothesize that increasing RCA-PP improves RV function in PAH by increasing RV systolic perfusion. Read More

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http://dx.doi.org/10.1111/apha.13483DOI Listing

Incidence and fate of device-related left pulmonary artery stenosis and aortic coarctation in small infants undergoing transcatheter patent ductus arteriosus closure.

Catheter Cardiovasc Interv 2020 Apr 27. Epub 2020 Apr 27.

Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Objectives: To evaluate short- and middle-term outcomes after transcatheter patent ductus arteriosus (TC-PDA) closure in small infants, specifically device-related left pulmonary artery (LPA) stenosis and aortic coarctation, risk factors, and changes over time.

Background: Recent studies have demonstrated successful transcatheter PDA (TC-PDA) closure in small infants. LPA stenosis and aortic coarctation have been seen after TC-PDA, but it is not clear whether device-related LPA/aortic obstruction persists. Read More

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http://dx.doi.org/10.1002/ccd.28942DOI Listing

Pulmonary Hypertension Due to Left Heart Disease: Diagnosis, Pathophysiology, and Therapy.

Hypertension 2020 Jun 27;75(6):1397-1408. Epub 2020 Apr 27.

From the Cardiovascular Department, John Hunter Hospital, Newcastle, Australia (M.S.A., S.S., A.J.B., A.L.S., N.J.C.).

Pulmonary hypertension (PH) due to left heart disease (LHD) is the most common type of PH and is defined as mean pulmonary artery systolic pressure of >20 mm Hg and pulmonary capillary wedge pressure >15 mm Hg during right heart catheterization. LHD may lead to elevated left atrial pressure alone, which in the absence of intrinsic pulmonary vascular disease will result in PH without changes in pulmonary vascular resistance. Persistent elevation in left atrial pressure may, however, also be associated with subsequent pulmonary vascular remodeling, vasoconstriction, and an increase in pulmonary vascular resistance. Read More

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http://dx.doi.org/10.1161/HYPERTENSIONAHA.119.14330DOI Listing
June 2020
6.480 Impact Factor

Image diagnosis: Eisenmenger's syndrome in patients with simple congenital heart disease.

BMC Cardiovasc Disord 2020 Apr 23;20(1):194. Epub 2020 Apr 23.

The Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, 139 Renmin Central Road, Changsha, Hunan, 410011, People's Republic of China.

Background: Early identification of congenital heart disease (CHD) allows detection of the pulmonary arteriopathy in an early stage, and timely shunt closure can permanently reverse pulmonary arterial hypertension (PAH). However, surgical correction is not recommended in patients with irreversible PAH. Herein we report our experience about Eisenmenger's syndrome in simple CHD. Read More

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http://dx.doi.org/10.1186/s12872-020-01489-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178603PMC

Diagnostic and prognostic value of right ventricular eccentricity index in pulmonary artery hypertension.

Pulm Circ 2020 Apr-Jun;10(2):2045894019899778. Epub 2020 Apr 9.

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, P. R. China.

The right ventricle experiences dynamic changes under pressure overload in pulmonary artery hypertension. This study aimed to evaluate the diagnostic and prognostic value of right ventricular eccentricity index (RVEI) in pulmonary artery hypertension. A total of 100 pulmonary artery hypertension patients (mean age, 36. Read More

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http://dx.doi.org/10.1177/2045894019899778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153196PMC

Non-invasive vocal biomarker is associated with pulmonary hypertension.

PLoS One 2020 16;15(4):e0231441. Epub 2020 Apr 16.

Department of Cardiovascular Diseases, Mayo College of Medicine, Rochester, MN, United States of America.

Emerging data suggest that noninvasive voice biomarker analysis is associated with coronary artery disease. We recently showed that a vocal biomarker was associated with hospitalization and heart failure in patients with heart failure. We evaluate the association between a vocal biomarker and invasively measured indices of pulmonary hypertension (PH). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0231441PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162478PMC

The Author's Contributions to Echocardiography Literature (Part II-1991-2020).

Children (Basel) 2020 Apr 13;7(4). Epub 2020 Apr 13.

University of Texas-Houston McGovern Medical School, Children's Memorial Hermann Hospital, 6410 Fannin Street, UTPB Suite # 425, Houston, TX 77030, USA.

The author's contribution up to 1990 was reviewed in part I and the echo contributions from 1991 to 2020 will be reviewed in part II. These include defining the relationship between the quantity of shunt across the atrial septal defect (ASD) and the diameter of ASD by echo and angio on the one side and the stretched diameter of the ASD on the other; echocardiographic assessment of balloon-stretched diameter of secundum ASDs; development of echocardiographic predictors of accomplishment of percutaneous closure of ASDs with the buttoned device, highlighting limitations of echocardiography in comprehensive assessment of mixed type of total anomalous pulmonary venous connection; description of follow-up echocardiographic results of transcatheter closure of ASD with buttoned device; review of ultrasound studies; depiction of collaborative echocardiographic and Doppler studies; echocardiographic appraisal of the outcome of balloon pulmonary valvuloplasty; editorials; ventricular septal aneurysm causing pulmonary outflow tract obstruction in the morphologic left ventricle in corrected transposition of the great arteries; dependability of echocardiographic assessment of angiographic minimal diameter of the ductus; occurrence of supravalvular pulmonary artery stenosis after a Nuss procedure; echocardiographic assessment of neonates who were suspected of having heart disease; role of echocardiographic studies in the appraisal of patent ductus arteriosus in the premature babies; and the role of pressure recovery in explaining differences between simultaneously measured Doppler and cardiac catheterization pressure gradients across outflow tract stenotic lesions. Read More

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http://dx.doi.org/10.3390/children7040034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230637PMC

Use of Intracardiac Echocardiography in the Evaluation and Management of Iatrogenic Aortopulmonary Communication After Percutaneous Intervention in Postoperative Patients With Congenital Heart Disease.

World J Pediatr Congenit Heart Surg 2020 May;11(3):338-342

Pediatric and Adult Congenital Cardiology, Baylor College of Medicine/Texas Children's Hospital, Houston, TX, USA.

Iatrogenic aortopulmonary communications (IAPCs) are an uncommon but important complication after percutaneous intervention in postoperative patients. Iatrogenic aortopulmonary communications typically occur after balloon angioplasty or other interventions of the pulmonary outflow tract in certain anatomic configurations in which there is a denuded tissue plane between the pulmonary artery and aorta. They can present with signs and symptoms ranging from subtle clues which are difficult to recognize to near immediate hemodynamic instability. Read More

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http://dx.doi.org/10.1177/2150135120902117DOI Listing

Identification of Cardiac MRI and Bio-Marker Thresholds for One-Year Survival in Pre-Capillary Pulmonary Hypertension: Prospective Study.

Medicina (Kaunas) 2020 Apr 9;56(4). Epub 2020 Apr 9.

Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, LT 44307 Kaunas, Lithuania.

: Non-invasive imaging of the heart has an important place in the diagnosis and management of pulmonary arterial hypertension (PAH). The aim of this study was to establish the thresholds of cardiac magnetic resonance imaging (CMRI)-derived biventricular deformation, function parameters, and levels of N-terminal pro brain natriuretic peptide (NT-proBNP) for the prediction of survival of pre-capillary pulmonary hypertension (PHprecap) patients. : In total, 64 incident PHprecap cases, who underwent CMRI, were consecutively enrolled in a prospective cohort study. Read More

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http://dx.doi.org/10.3390/medicina56040167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230686PMC

Management of Cardiogenic Shock in a Cardiac Intensive Care Unit.

Methodist Debakey Cardiovasc J 2020 Jan-Mar;16(1):36-42

HOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS.

Cardiogenic shock (CS) is a complex condition characterized by end-organ hypoperfusion and requiring pharmacologic and/or mechanical circulatory support. It is caused by a decline in cardiac output due to a primary cardiac disorder. CS is frequently complicated by multiorgan system dysfunction that requires a multidisciplinary approach in a critical care setting. Read More

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http://dx.doi.org/10.14797/mdcj-16-1-36DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137626PMC

Hemodynamic profile of patients with severe aortic valve stenosis and atrial fibrillation versus sinus rhythm.

Int J Cardiol 2020 Apr 1. Epub 2020 Apr 1.

Cardiology Division, Kantonsspital St. Gallen, Switzerland. Electronic address:

Background: In patients with severe aortic stenosis (AS), atrial fibrillation (AF) is associated with increased long-term mortality after aortic valve replacement (AVR), which may be due to unfavorable hemodynamics in AF. We aimed to analyze the hemodynamic profile of patients with severe AS and AF versus sinus rhythm (SR).

Methods: We performed cardiac catheterization in 486 patients (age 74 ± 10 years, 58% males) with severe AS [indexed aortic valve area 0. Read More

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http://dx.doi.org/10.1016/j.ijcard.2020.03.084DOI Listing

Impact of pulmonary thromboendarterectomy on tricuspid regurgitation in patients with chronic thromboembolic pulmonary hypertension: a single-center prospective cohort experience.

J Thorac Dis 2020 Mar;12(3):758-764

Department of Cardiovascular Surgery, China-Japan Friendship Hospital, Beijing 100029, China.

Background: For patients with chronic thromboembolic pulmonary hypertension (CTEPH) and tricuspid regurgitation (TR) undergoing pulmonary thromboendarterectomy (PTE), whether concomitant tricuspid annuloplasty should be carried out is still controversial.

Methods: The study population consisted of 45 consecutive patients with CTEPH who were scheduled to undergo PTE. All PTE surgeries were conducted with a median sternotomy and deep hypothermia circulatory arrest (DHCA). Read More

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http://dx.doi.org/10.21037/jtd.2019.12.99DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138973PMC

Surgically placed radiopaque markers: Proof-of-concept of a novel technique to facilitate percutaneous interventions in neonates and infants.

Catheter Cardiovasc Interv 2020 Apr 8. Epub 2020 Apr 8.

Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Objectives: Aim of this study was to evaluate feasibility and benefit of self-designed, radiopaque markers as a novel technique in neonates and infants with shunt- or duct-dependent lesions.

Background: Surgically placed radiopaque markers have the potential to facilitate postoperative percutaneous interventions.

Methods: All consecutive children with surgically placed radiopaque markers involving systemic-to-pulmonary artery connections or arterial ducts in the context of hybrid palliation and subsequent cardiac catheterization between January 2013 and March 2019 were included in this analysis. Read More

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http://dx.doi.org/10.1002/ccd.28891DOI Listing

The COngenital HeARt Disease in adult and Pulmonary Hypertension (COHARD-PH) registry: a descriptive study from single-center hospital registry of adult congenital heart disease and pulmonary hypertension in Indonesia.

BMC Cardiovasc Disord 2020 Apr 7;20(1):163. Epub 2020 Apr 7.

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada - Dr. Sardjito Hospital, Yogyakarta, Indonesia.

Backgrounds: The COngenital HeARt Disease in adult and Pulmonary Hypertension (COHARD-PH) registry is the first registry for congenital heart disease (CHD) and CHD-related pulmonary hypertension (PH) in adults in Indonesia. The study aims to describe the demographics, clinical presentation, and hemodynamics data of adult CHD and CHD-related PH in Indonesia.

Methods: The COHARD-PH registry is a hospital-based, single-center, and prospective registry which includes adult patients with CHD and CHD-related PH. Read More

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http://dx.doi.org/10.1186/s12872-020-01434-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137468PMC

Metabolic and genetic assessments interpret unexplained aggressive pulmonary hypertension induced by methylmalonic acidemia: A case report.

World J Clin Cases 2020 Mar;8(6):1137-1141

Department of Pediatrics and Ministry of Education Key Laboratory of Women and Children's Diseases and Birth Defects, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Pulmonary hypertension (PH) causes significant morbidity and mortality in diverse childhood diseases. However, limited information has been reported to obtain a good understanding of pediatric PH. Gaps exist between genome sequencing and metabolic assessments and lead to misinterpretations of the complicated symptoms of PH. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i6.1137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103965PMC

Value of Hemodynamic Monitoring in Patients With Cardiogenic Shock Undergoing Mechanical Circulatory Support.

Circulation 2020 Apr 6;141(14):1184-1197. Epub 2020 Apr 6.

University of California Irvine and VA Long Beach Healthcare System (M.K.).

The recent widespread availability and use of mechanical circulatory support is transforming the management and outcomes of cardiogenic shock (CS). Clinical decision-making regarding the optimization of therapies for patients with CS can be guided effectively by hemodynamic monitoring with a pulmonary artery catheter (PAC). Because several studies regarding the benefit of PACs are ambiguous, the use of PACs is variable among clinicians treating patients with CS. Read More

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http://dx.doi.org/10.1161/CIRCULATIONAHA.119.043080DOI Listing

Influence of long-standing pulmonary arterial hypertension and its severity on pulmonary artery aneurysm development.

Heart Vessels 2020 Apr 4. Epub 2020 Apr 4.

CIBER de Enfermedades Cardiovasculars (CIBERCV), Madrid, Spain.

Pulmonary artery aneurysm (PAA) is a common finding in patients with long-term pulmonary arterial hypertension (PAH). The influence of PAH severity in the development of PAA remains unclear. We sought to determine whether PAA development is related to PAH severity and whether treatment optimization based on risk profile estimation is effective to stop pulmonary artery (PA) enlargement. Read More

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http://dx.doi.org/10.1007/s00380-020-01600-5DOI Listing

Determinants and Prognostic Implications of Left-Heart Filling Pressures in Tetralogy of Fallot.

Can J Cardiol 2019 Nov 11. Epub 2019 Nov 11.

Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota.

Background: Elevated pulmonary artery wedge pressure (PAWP) is the hallmark of left-heart failure and is responsible for heart failure symptoms and mortality. Although PAWP typically correlates with right atrial pressure (RAP), it is primarily dependent on left-heart myocardial properties and volume status. As right-heart disease can occur in the absence of left-heart disease in patients with tetralogy of Fallot (TOF), we hypothesized that RAP was the primary determinant of PAWP in this population. Read More

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http://dx.doi.org/10.1016/j.cjca.2019.10.040DOI Listing
November 2019
3.711 Impact Factor

Pulmonary artery catheter use in acute myocardial infarction-cardiogenic shock.

ESC Heart Fail 2020 Apr 2. Epub 2020 Apr 2.

Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Aims: The aim of this study is to evaluate the contemporary use of a pulmonary artery catheter (PAC) in acute myocardial infarction-cardiogenic shock (AMI-CS).

Methods And Results: A retrospective cohort of AMI-CS admissions using the National Inpatient Sample (2000-2014) was identified. Admissions with concomitant cardiac surgery or non-AMI aetiology for cardiogenic shock were excluded. Read More

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http://dx.doi.org/10.1002/ehf2.12652DOI Listing

A20 attenuates hypoxia-induced pulmonary arterial hypertension by inhibiting NF-κB activation and pulmonary artery smooth muscle cell proliferation.

Exp Cell Res 2020 May 28;390(2):111982. Epub 2020 Mar 28.

Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210001, China. Electronic address:

PAH is a progressive disease characterized by uncontrolled proliferation of PASMCs. Zinc finger protein A20 is a negative feedback regulatory protein of NF-κB activity. The aim of this study was to evaluate zinc finger protein A20 can alleviate PAH in hypoxia exposed mice. Read More

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http://dx.doi.org/10.1016/j.yexcr.2020.111982DOI Listing

Right ventricular mechanical pattern in patients undergoing mitral valve surgery: a predictor of post-operative dysfunction?

ESC Heart Fail 2020 Mar 26. Epub 2020 Mar 26.

Heart and Vascular Center, Semmelweis University, Budapest, Hungary.

Aims: The PREPARE-MVR study (PRediction of Early PostoperAtive Right vEntricular failure in Mitral Valve Replacement/Repair patients) sought to investigate the alterations of right ventricular (RV) contraction pattern in patients undergoing mitral valve replacement/repair (MVR) and to explore the associations between pre-operative RV mechanics and early post-operative RV dysfunction (RVD).

Methods And Results: We prospectively enrolled 42 patients (63 ± 11 years, 69% men) undergoing open-heart MVR. Transthoracic three-dimensional (3D) echocardiography was performed pre-operatively, at intensive care unit discharge, and 6 months after surgery. Read More

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http://dx.doi.org/10.1002/ehf2.12682DOI Listing

Primary solitary fibrous tumour in the pulmonary artery: a case report.

J Int Med Res 2020 03;48(3):300060520911273

Department of Cardiovascular Medicine, the First Hospital of Jilin University, Changchun, China.

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http://dx.doi.org/10.1177/0300060520911273DOI Listing

Takotsubo syndrome: between evidence, myths, and misunderstandings.

Herz 2020 May;45(3):252-266

Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Takotsubo syndrome (TS) is an acute cardiac condition characterized by transient wall motion abnormalities mostly of the left ventricle. First described in 1990, TS has gained substantial attention during the past 15 years. However, the disease is still underdiagnosed. Read More

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http://dx.doi.org/10.1007/s00059-020-04906-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198647PMC
May 2020
0.912 Impact Factor

Diffusing Capacity Is an Independent Predictor of Outcomes in Pulmonary Hypertension Associated With COPD.

Chest 2020 Mar 14. Epub 2020 Mar 14.

Johns Hopkins University Division of Pulmonary and Critical Care, Baltimore, MD. Electronic address:

Background: Patients with COPD who experience pulmonary hypertension (PH) have worse mortality than those with COPD alone. Predictors of poor outcomes in COPD-PH are not well-described. Diffusing capacity of the lung (Dlco) assesses the integrity of the alveolar-capillary interface and thus may be a useful prognostic tool among those with COPD-PH. Read More

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http://dx.doi.org/10.1016/j.chest.2020.02.047DOI Listing

Bridging the Gap Between Clinical Practice and the AACN Practice Alert on Pulmonary Artery/Central Venous Pressure Monitoring in Adults.

AACN Adv Crit Care 2020 Mar;31(1):34-40

Kathryn T. Von Rueden is a Critical Care Consultant, 913 Ravenshead Hill, Sherwood Forest, MD 21405

Measuring and documenting accurate data from pulmonary artery and central venous pressure catheters is an important responsibility of critical care nurses. The American Association of Critical-Care Nurses Practice Alert titled Pulmonary Artery/Central Venous Pressure Monitoring in Adults provides evidence-based standards against which nurses can compare their practice related to obtaining valid hemodynamic data. Identifying and acting on improvement opportunities is also a nursing responsibility and helps to ensure that patients with pulmonary artery or central venous pressure catheters receive high-quality care. Read More

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http://dx.doi.org/10.4037/aacnacc2020888DOI Listing

Significance and prognostic impact of v wave on pulmonary artery pressure in patients with heart failure: beyond the wedge pressure.

Heart Vessels 2020 Mar 11. Epub 2020 Mar 11.

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

Background: A v wave on pulmonary artery wedge (PAW) pressure sometimes augments and appears on pulmonary artery (PA) pressure wave in patients with heart failure (HF). However, the significance of PA v wave in HF remains to be elucidated.

Methods: We retrospectively analyzed pressure waveforms in 61 HF patients (left ventricular ejection fraction 35 ± 15%). Read More

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http://dx.doi.org/10.1007/s00380-020-01580-6DOI Listing

Expression of pulmonary arterial elastin in rats with hypoxic pulmonary hypertension using H2S.

J Recept Signal Transduct Res 2020 Mar 11:1-5. Epub 2020 Mar 11.

Department of Cardiovascular Surgery, Shandong Provincial Hospital affiliated to Shandong First Medical University and Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong Province, People's Republic of China.

This study analyses the changes of pulmonary arterial elastin expression inhibited by hydrogen sulfide (H2S) in rats with hypoxic pulmonary hypertension. The research used 30 healthy rats and randomly divided them into control group, hypoxia group, and hypoxia + sodium hydrosulfide group. Each group contains 10 samples. Read More

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http://dx.doi.org/10.1080/10799893.2020.1738482DOI Listing

3D Simulation Analysis of Central Shunt in Patient-Specific Hemodynamics: Effects of Varying Degree of Pulmonary Artery Stenosis and Shunt Diameters.

Comput Math Methods Med 2020 14;2020:4720908. Epub 2020 Feb 14.

Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangzhou, China.

The objective of this study was to compare the effects of different shunt diameters and pulmonary artery (PA) stenosis grades on the hemodynamics of central shunts to determine an optimal surgical plan and improve the long-term outcomes of the operation. A 3D anatomical model was reconstructed based on the patient's clinical CT data. 3D computational fluid dynamics models were built with varying degrees of stenosis (the stenosis ratio was represented by the ratio of blood flow through the main pulmonary artery to cardiac output, ranging from 0 to 30%; the smaller the value of , the more severe the pulmonary artery stenosis) and varying shunt diameters (3, 3. Read More

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http://dx.doi.org/10.1155/2020/4720908DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042498PMC
February 2020

Pulmonary Hypertension by the Method of Paul Wood.

Authors:
John H Newman

Chest 2020 Mar 6. Epub 2020 Mar 6.

Pulmonary Circulation Center, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN. Electronic address:

A physiological approach to the analysis of hemodynamic data in pulmonary hypertension (PH) has the advantage of reducing the large number (well over 100) of potential causal illnesses into four simple mechanisms. A fifth condition is composed of mixtures of the four basic mechanisms. This approach was beautifully described by Paul Wood, the great cardiologist whose name is given to the units of pulmonary vascular resistance (PVR), Wood units. Read More

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http://dx.doi.org/10.1016/j.chest.2020.02.035DOI Listing

Echocardiographic predictors of severe right ventricular diastolic dysfunction in tetralogy of Fallot: Relations to patient outcomes.

Int J Cardiol 2020 May 27;306:49-55. Epub 2020 Feb 27.

Department of Cardiovascular Medicine, Mayo Clinic Rochester, MN 55905, United States of America.

Background: Previous studies have described echocardiographic indices of right ventricular (RV) diastolic function in patients with tetralogy of Fallot (TOF) but these indices have not been validated against invasive hemodynamic data. The purpose of this study was to determine echocardiographic predictors of severe RV diastolic dysfunction, and the impact of severe RV diastolic dysfunction on transplant-free survival.

Methods: Cohort study of TOF patients that underwent non-simultaneous cardiac catheterization and echocardiogram at Mayo Clinic. Read More

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http://dx.doi.org/10.1016/j.ijcard.2020.02.067DOI Listing
May 2020
4.036 Impact Factor

Cardiovascular magnetic resonance 4D flow analysis has a higher diagnostic yield than Doppler echocardiography for detecting increased pulmonary artery pressure.

BMC Med Imaging 2020 03 6;20(1):28. Epub 2020 Mar 6.

Department of Clinical Physiology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.

Background: Pulmonary hypertension is definitively diagnosed by the measurement of mean pulmonary artery (PA) pressure (mPAP) using right heart catheterization. Cardiovascular magnetic resonance (CMR) four-dimensional (4D) flow analysis can estimate mPAP from blood flow vortex duration in the PA, with excellent results. Moreover, the peak systolic tricuspid regurgitation (TR) pressure gradient (TRPG) measured by Doppler echocardiography is commonly used in clinical routine to estimate systolic PA pressure. Read More

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http://dx.doi.org/10.1186/s12880-020-00428-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060590PMC