9,043 results match your criteria Pulmonic Regurgitation

Outcome of Peripartum Anesthesia in Women with Valvular Disease.

Rom J Anaesth Intensive Care 2020 Jul 10;27(1):11-14. Epub 2020 Aug 10.

Department of Anesthesiology, Perioperative Medicine and Pain Treatment, Shaare Zedek Medical Center, affiliated with Hebrew University, Jerusalem, Israel.

Objective: Maternal heart disease is one of the major causes for mortality among parturients. In our study, we surveyed 220 patients with different valvular disorders who gave birth in our medical center in the years 2012-2018. The aim of this study was to characterize various valvular pathologies and compare the results of different anesthetic approaches. Read More

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Dynamic thromboembolic left ventricular outflow tract obstruction after aggressive procoagulant treatment in hemorrhagic shock: a case report.

J Med Case Rep 2021 May 18;15(1):269. Epub 2021 May 18.

Department of Anesthesiology and Intensive Care Medicine (CVK, CCM) Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13357, Berlin, Germany.

Background: In cases of hypertrophic obstructive cardiomyopathy (HOCM), the systolic anterior motion of the mitral valve apparatus results in an obstruction of the left ventricular outflow tract (LVOT), which is known as the SAM [systolic anterior motion] phenomenon. Hypothetically, a pathological obstruction of the LVOT of a different etiology would result in a comparable hemodynamic instability, which would be refractory to inotrope therapy, and may be detectable through echocardiography.

Case Presentation: We observed a severely impaired left ventricular function due to a combination of a thrombotic LVOT obstruction and distinctive mitral regurgitation in a 56-year-old Caucasian, female patient after massive transfusion with aggressive procoagulant therapy. Read More

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Bilateral lung transplantation for pulmonary artery aneurysm with severe pulmonary hypertension: An evolution or a revolution?

J Card Surg 2021 May 16. Epub 2021 May 16.

Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida, USA.

The surgical treatment of pulmonary hypertension (PH), with or without pulmonary artery aneurysm, has evolved during the last 40 years from heart-lung transplants to bilateral lung transplants as the treatment of choice for PH patients with preserved right and left ventricular function and without complex cardiac abnomalies. Read More

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Initial Clinical Trial of a Novel Pulmonary Valved Conduit.

Semin Thorac Cardiovasc Surg 2021 May 11. Epub 2021 May 11.

Heart Center, University Hospital of Cologne, Cologne, Germany.

Valved allografts and xenografts for reconstruction of the right ventricular outflow tract (RVOT) lack durability and do not grow. We report the first clinical use of a completely bioabsorbable valved conduit (Xeltis pulmonary valve - XPV) in children. Twelve children (six male), median age five (two to twelve) years and median weight 17 (10 to 43) kg, underwent RVOT reconstruction with the XPV. Read More

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Association between functional mitral regurgitation and recurrence of paroxysmal atrial fibrillation following catheter ablation: a prospective cohort study.

J Int Med Res 2021 May;49(5):3000605211014375

Department of Cardiology, Shanghai General Hospital, Shanghai, China.

Objective: The present study aimed to investigate the effect of functional mitral regurgitation (FMR) on recurrence of paroxysmal atrial fibrillation (PAF) in patients undergoing radiofrequency catheter ablation.

Methods: This prospective cohort study comprised 107 patients with PAF. The patients were divided into the FMR and non-FMR groups. Read More

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[Mitral Valve Repair via Right Thoracotomy Thirty-seven Years after Right Pneumonectomy:Report of a Case].

Kyobu Geka 2021 May;74(5):353-357

Department of Cardiovascular Surgery, Tokyo Rinkai Hospital, Tokyo, Japan.

A 57-year-old man was referred to our hospital due to dyspnea on exertion with severe mitral regurgitation. Because he had underdone right pneumonectomy 37 years earlier due to congenital defect of the right pulmonary artery, his mediastinum was severely shifted to the right, and his pulmonary function was poor. Mitral valve repair was successfully performed with right thoracotomy approach, which made excellent exposure of the mitral valve. Read More

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[Hybrid Treatment for Left Internal Thoracic Artery-Pulmonary Artery Fistula with Aneurysm Complicated with Mitral Regurgitation:Report of a Case].

Kyobu Geka 2021 02;74(2):152-155

Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.

A 78-year-old man with mitral regurgitation incidentally diagnosed with aneurysm of the left internal thoracic artery(LITA) and several internal thoracic artery-pulmonary artery( ITA-PA) fistulas originating from the aneurysm. To prevent rupture of the aneurysm, ITA ligation was performed during surgery for the mitral valve. Because of the complex anatomy surrounding the aneurysm, the main duct of the ITA was ligated at the peripheral and center of the aneurysm, then arterial fistulae were resected as many as possible. Read More

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February 2021

Aortic valve surgery: management and outcomes in the paediatric population.

Eur J Pediatr 2021 May 10. Epub 2021 May 10.

Department of Paediatric Cardiac Surgery, Alder Hey Children's Hospital, Liverpool, UK.

Congenital anomalies of the aortic valve frequently necessitate intervention in childhood. The most common aortic valve pathologies present in childhood are aortic stenosis and insufficiency. Presentation of aortic valve disease depends on severity and presence of concomitant syndromes and valvular disorders. Read More

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[Position paper of the Italian Society of Cardiology (SIC) on COVID-19 vaccine priority in patients with cardiovascular diseases].

G Ital Cardiol (Rome) 2021 May;22(5):363-375

Società Italiana di Cardiologia, Roma - Mediterranea Cardiocentro, Napoli - Dipartimento di Scienze Biomediche Avanzate, Università degli Studi di Napoli "Federico II", Napoli.

In over a year, the COVID-19 pandemic caused 2.69 million deaths and 122 million infections. Social isolation and distancing measures have been the only prevention available for months. Read More

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Contemporary early results of late repair of tetralogy of Fallot in children: a single-centre case series.

Swiss Med Wkly 2021 Mar 29;151:w20491. Epub 2021 Mar 29.

Woman-Mother-Child Department, Lausanne University Hospital and University of Lausanne, Switzerland.

Aims: To describe the early results of complete repair of tetralogy of Fallot (TOF) in children older than one year of age.

Methods: We identified all patients older than one year of age who underwent TOF repair between 2007 and 2017. Data collected included type of surgical repair, survival at 30 days after surgery, reintervention within 30 days of surgery, length of stay in the intensive care unit (ICU), length of stay in hospital, and degree of residual right ventricular outflow tract (RVOT) stenosis and pulmonary insufficiency 30 days after surgery. Read More

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Early myocardial damage (EMD) and valvular dysfunction after femur fracture in pigs.

Sci Rep 2021 Apr 19;11(1):8503. Epub 2021 Apr 19.

Department of Traumatology, Hand, Plastic and Reconstructive Surgery, Center of Surgery, University of Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.

Musculoskeletal injuries are the most common reason for surgery in severely injured patients. In addition to direct cardiac damage after physical trauma, there is rising evidence that trauma induces secondary cardiac structural and functional damage. Previous research associates hip fractures with the appearance of coronary heart disease: As 25% of elderly patients developed a major adverse cardiac event after hip fracture. Read More

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COVID-19-Positive Patient and Hypoxemia: Are Lungs Always to Be Blamed?

JACC Cardiovasc Interv 2021 05 14;14(9):e101-e102. Epub 2021 Apr 14.

Section of Cardiology, Cardiac Sciences Program, St Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:

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Edge-to-edge mitral repair for iatrogenic chordal rupture related to Impella 5.0.

J Card Surg 2021 Jul 14;36(7):2541-2542. Epub 2021 Apr 14.

Department of Cardiac Surgery, MedStar Heart and Vascular Institute, Georgetown University School of Medicine, Washington, DC, USA.

Iatrogenic chordal rupture with severe mitral regurgitation is a rare but serious complication associated with the use of Impella device. We present a case of a 47-year-old man with ischemic cardiomyopathy who required insertion of an Impella 5.0 device. Read More

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Chest Radiography in the Evaluation of Mitral Valvular Disease and it's Correlation with Echocardiography.

Mymensingh Med J 2021 Apr;30(2):292-300

Dr Habiba Sultana, MD (Radiology & Imaging) Final Part Student, Department of Radiology & Imaging, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

This study is aimed to find out various clinical, radio-graphical and echocardiographic variables to predict mitral valvular disease and their correlation with Echocardiography. This cross-sectional observational study was conducted in the Department of Radiology and Imaging, in collaboration with Department of Cardiology, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh from January 2017 to December 2018. Total 50 consecutive cases enrolled in this study who was the patients of mitral valvular disease. Read More

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Challenges in heart failure: quality of life, chronic kidney disease, and secondary mitral regurgitation.

Filippo Crea

Eur Heart J 2021 03;42(13):1185-1189

Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

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Detection and localization of S and S heart sounds by 3rd order normalized average Shannon energy envelope algorithm.

Proc Inst Mech Eng H 2021 Jun 30;235(6):615-624. Epub 2021 Mar 30.

Department of Instrumentation & Control Engineering, Dr. B. R. Ambedkar National Institute of Technology, Jalandhar, Punjab, India.

Adults born after 1970s are more prone to cardiovascular diseases. Death rate percentage is quite high due to heart related diseases. Therefore, there is necessity to enquire the problem or detection of heart diseases earlier for their proper treatment. Read More

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[Ruptured chordae tendineae of tricuspid valve in neonate with intractable persistent pulmonary hypertension: a case report and literature review].

Zhonghua Er Ke Za Zhi 2021 Apr;59(4):294-298

Department of Neonatology, Children's Hospital of Hebei Province, Shijiazhuang 050031, China.

To analyze the clinical characteristics and treatment of tricuspid valve prolapse caused by chordal rupture complicated with persistent pulmonary hypertension in neonates. The clinical data of a male neonate with tricuspid valve prolapse complicated with persistent pulmonary hypertension admitted to the Neonatal Intensive Care Unit of Children's Hospital of Hebei Province in November 2018 was analyzed retrospectively. Related literature up to September 2020 was searched with the strategy of "(neonate OR newborn) AND (tricuspid valve prolapse) AND (rupture OR necrosis) AND (papillary muscle OR chordae tendineae) AND (pulmonary hypertension)" in Wanfang, CNKI and PubMed database in Chinese and English. Read More

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Exercise Participation for Patients with Valvular Heart Disease: a Review of the Current Guidelines.

Curr Cardiol Rep 2021 03 19;23(5):49. Epub 2021 Mar 19.

Division of Cardiology, Hartford Hospital, 80 Seymour Street, Hartford, CT, 06102, USA.

Purpose Of Review: Valvular heart disease affects many individuals who aspire to partake in competitive or recreational sports. This manuscript reviews the most recent European and American guidelines related to exercise and sport participation in individuals with valvular heart disease (VHD) and identifies areas not addressed by these guidelines.

Recent Findings: Exercise recommendations for individuals with VHD have been presented since at least 1984. Read More

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Long-Term Outcomes of Patients Undergoing the Ross Procedure.

J Am Coll Cardiol 2021 Mar;77(11):1412-1422

Department of Cardiac and Thoracic Vascular Surgery, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck Campus, Lübeck, Germany; German Center for Cardiovascular Research (DZHK), Partner Site Lübeck, Lübeck, Germany.

Background: Treatment of aortic-valve disease in young patients still poses challenges. The Ross procedure offers several potential advantages that may translate to improved long-term outcomes.

Objectives: This study reports long-term outcomes after the Ross procedure. Read More

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Acute pulmonary hypertension and short-term outcomes in severe Covid-19 patients needing intensive care.

Acta Anaesthesiol Scand 2021 Jul 27;65(6):761-769. Epub 2021 Mar 27.

Department of Physiology and Pharmacology, Section of Anaesthesiology and Intensive Care, Karolinska Institutet, Stockholm, Sweden.

Introduction: Critically ill Covid-19 pneumonia patients are likely to develop the sequence of acute pulmonary hypertension, right ventricular (RV) strain, and eventually RV failure due to known pathophysiology (endothelial inflammation plus thrombo-embolism) that promotes increased pulmonary vascular resistance and pulmonary artery pressure. This study aimed to investigate the occurrence of acute pulmonary hypertension (aPH) as per established trans-thoracic echocardiography (TTE) criteria in Covid-19 patients receiving intensive care and to explore whether short-term outcomes are affected by the presence of aPH.

Methods: Medical records were reviewed for patients treated in the intensive care units at a tertiary university hospital over a month. Read More

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Preoperative Noninvasive Mapping Allowed Targeted Concomitant Surgical Ablation and Revealed COVID-19 Infection.

Case Rep Cardiol 2021 5;2021:6651361. Epub 2021 Mar 5.

Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland.

In March 2020, a 64-year-old female with mitral valve insufficiency and persistent atrial fibrillation underwent preoperative noninvasive mapping for developing an ablation strategy. In the computed tomography (CT) scan, typical signs of COVID-19 were described. Since the consecutive polymerase chain reaction (PCR) test was negative, the severely symptomatic patient was planned for urgent surgery. Read More

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Long-term outcomes of truncus arteriosus repair: A modulated renewal competing risks analysis.

J Thorac Cardiovasc Surg 2021 Feb 12. Epub 2021 Feb 12.

Department of Cardiac Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Mass. Electronic address:

Objective: In this study, we sought to identify independent risk factors for mortality and reintervention after early surgical correction of truncus arteriosus using a novel statistical method.

Methods: Patients undergoing neonatal/infant truncus arteriosus repair between January 1984 and December 2018 were reviewed retrospectively. An innovative statistical strategy was applied integrating competing risks analysis with modulated renewal for time-to-event modeling. Read More

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February 2021

Acute and short-term haemodynamic impact of transcatheter pulmonary valve implantation on left ventricular systolic and diastolic function.

Cardiol Young 2021 Mar 16:1-7. Epub 2021 Mar 16.

Division of Cardiology, Department of Pediatrics, C.S. Mott Children's Hospital and University of Michigan Congenital Heart Center, Ann Arbor, MI, USA.

Objectives: Assess the acute and short-term haemodynamic impact of transcatheter pulmonary valve implantation on left ventricular systolic and diastolic function stratified by pre-transcatheter pulmonary valve implantation physiology.

Background: Transcatheter pulmonary valve implantation is a widely available option to treat residual or recurrent pulmonary stenosis and pulmonary insufficiency. Transcatheter pulmonary valve implantation acutely increases pulmonary artery size and diastolic pressure in patients with pulmonary insufficiency and acute pulmonary edema has been reported after transcatheter pulmonary valve implantation, possibly related to acute left ventricular volume loading. Read More

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Right Ventricular Flow Dynamics in Dilated Right Ventricles: Energy Loss Estimation Based on Blood Speckle Tracking Echocardiography-A Pilot Study in Children.

Ultrasound Med Biol 2021 Jun 6;47(6):1514-1527. Epub 2021 Mar 6.

Department of Circulation and Medical Imaging, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Children's Clinic, St. Olav's University Hospital, Trondheim, Norway.

Using blood speckle tracking (BST) based on high-frame-rate echocardiography (HFRE), we compared right ventricle (RV) flow dynamics in children with atrial septal defects (ASDs) and repaired tetralogy of Fallot (rTOF). Fifty-seven children with rTOF with severe pulmonary insufficiency (PI) (n = 21), large ASDs (n = 11) and healthy controls (CTL, n = 25) were included. Using a flow phantom, we studied the effects of imaging plane and smoothing parameters on 2-D energy loss (EL). Read More

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Multimodal cardiovascular model for hemodynamic analysis: Simulation study on mitral valve disorders.

PLoS One 2021 4;16(3):e0247921. Epub 2021 Mar 4.

TCS Research, Tata Consultancy Services Limited, Kolkata, India.

Valvular heart diseases are a prevalent cause of cardiovascular morbidity and mortality worldwide, affecting a wide spectrum of the population. In-silico modeling of the cardiovascular system has recently gained recognition as a useful tool in cardiovascular research and clinical applications. Here, we present an in-silico cardiac computational model to analyze the effect and severity of valvular disease on general hemodynamic parameters. Read More

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Determinants of QRS duration in patients with tetralogy of Fallot after pulmonary valve replacement.

J Card Surg 2021 Jun 2;36(6):1958-1968. Epub 2021 Mar 2.

Bristol Heart Institute, University of Bristol, Bristol, UK.

Background: Following the repair of TOF patients may be left with pulmonary regurgitation and a dilated right ventricle (RV), which in turn can lead to ventricular arrhythmias and sudden death. A prolonged QRS is a predictor of ventricular arrhythmias. However, whether subsequent pulmonary valve replacement (PVR) can reverse QRS-prolongation is controversial. Read More

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Infective bicuspid aortic valve endocarditis causing acute severe regurgitation and heart failure: A case report.

World J Clin Cases 2021 Feb;9(5):1221-1227

Department of Cardiology, Peking University People's Hospital, Beijing 100044, China.

Background: Infective endocarditis (IE) is an uncommon but potentially life-threatening infection, which occasionally develops into acute severe valve insufficiency leading to the onset of heart failure, and necessitates timely intervention. However, the variable and atypical clinical manifestations always make the early detection of IE difficult and challenging.

Case Summary: A 45-year-old female who was previously healthy presented with exertional shortness of breath and paroxysmal nocturnal dyspnea. Read More

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February 2021

The impact of pulmonary artery catheter use in cardiac surgery.

J Thorac Cardiovasc Surg 2021 Feb 2. Epub 2021 Feb 2.

Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa. Electronic address:

Objective: Pulmonary artery catheterization provides continuous monitoring of hemodynamic parameters that may aid in the perioperative management of patients undergoing cardiac surgery. However, prior data suggest that pulmonary artery catheterization has limited benefit in intensive care and surgical settings. Thus, this study sought to determine the impact of pulmonary artery catheter insertion on short-term postoperative outcomes in a large, contemporaneous cohort of patients undergoing open cardiac surgery compared with standard central venous pressure monitoring. Read More

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February 2021

Current Strategies for the Management of Anomalous Origin of Coronary Arteries from the Pulmonary Artery.

Heart Surg Forum 2021 01 20;24(1):E065-E071. Epub 2021 Jan 20.

Department of Cardiovascular Surgery, Istanbul Medipol University Faculty of Medicine.

Introduction: The coronary arteries, which have to originate from the aorta, may sometimes rise from the pulmonary artery. This study evaluated clinical and diagnostic findings, treatment methods, and follow up of cases with anomalous coronary arteries arising from the pulmonary artery.

Patients And Methods: Eight patients with the diagnosis of anomalous left coronary artery from the pulmonary artery (ALCAPA) (N = 6) and anomalous right coronary artery from the pulmonary artery (ARCAPA) (N = 2), between January 2014 and January 2020 from a single center university hospital, were included in the study. Read More

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January 2021