8,730 results match your criteria Pulmonic Regurgitation


Early and Intermediate-Term Outcome of Balloon Aortic Valvuloplasty in Children With Aortic Stenosis and Left Ventricular Dysfunction at Tertiary Care Hospital.

Cureus 2020 May 27;12(5):e8321. Epub 2020 May 27.

Paediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi, PAK.

Background Left ventricular (LV) dysfunction in patients with aortic valve stenosis (AVS) is seen in two scenarios: in neonates and in elderly patients. Neonatal AVS may present as a congestive cardiac failure (CCF), while older children rarely present with CCF if they have not been diagnosed early. Only a few reports of LV dysfunction with AVS have been described in the literature. Read More

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http://dx.doi.org/10.7759/cureus.8321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325342PMC

An unusual presentation of developmental anomalies of the cardiovascular system including tetralogy of fallot, double outlet right ventricle, patent foramen ovale and persistent right aortic arch in a Friesian calf.

BMC Vet Res 2020 Jun 30;16(1):224. Epub 2020 Jun 30.

Section of Herd Health and Animal Husbandry, School of Veterinary Medicine, Veterinary Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.

Background: Congenital heart diseases are occasionally encountered in the bovine species. Ventricular septal defects (VSD) and atrial septal defects (ASD) are reported to be the most common; however, a vast collection have been reported [1, 2]. Congenital heart diseases is thought to represent less than 3% of all congenital abnormalities in calves [3]. Read More

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http://dx.doi.org/10.1186/s12917-020-02439-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325375PMC

Echocardiographic diagnosis and follow-up for ALCAPA syndrome treated with the Takeuchi procedure.

Echocardiography 2020 Jun 28. Epub 2020 Jun 28.

Echocardiography Laboratory, National Institute of Cardiology of Mexico, "Ignacio Chávez", México City, México.

We present the case of an 18-year-old man with aborted sudden cardiac death. His initial echocardiogram suggested an anomalous origin of the left coronary artery from the pulmonary artery. Diagnosis was confirmed with coronary angiography. Read More

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http://dx.doi.org/10.1111/echo.14778DOI Listing

[Diagnostic value of heart-type fatty acid-binding protein combined with echocardiography in sepsis with cardiac insufficiency].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Apr;32(4):478-482

Department of Critical Care Medicine, the First Affiliated Hospital of Medical College of Shihezi University, Shihezi 832000, Xinjiang Uygur Autonomous Region, China. Corresponding author: Cheng Qinghong, Email:

Objective: To observe the value of heart-type fatty acid-binding protein (H-FABP) and echocardiographic indexes in the diagnosis of cardiac insufficiency in sepsis.

Methods: A prospective observational study was conducted. Eighty patients with sepsis admitted to the department of critical care medicine of the First Affiliated Hospital of Medical College of Shihezi University from October 2016 to January 2018 were enrolled. Read More

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http://dx.doi.org/10.3760/cma.j.cn121430-20191111-00064DOI Listing

Prognostic implications of baseline 6-min walk test performance in intermediate risk patients undergoing transcatheter aortic valve replacement.

Catheter Cardiovasc Interv 2020 Jun 10. Epub 2020 Jun 10.

Centre for Heart Valve Innovation, St Paul's Hospital, University of British Columbia, Vancouver, Canada.

Background: While slow gait speed is known to be associated with poor outcomes in patients at high surgical risk who undergo transcatheter aortic valve replacement (TAVR), the prognostic significance of slow gait speed in intermediate risk TAVR patients is poorly understood.

Objectives: We assessed the association between baseline 6-min walk test (6MWT) performance and both 2-year mortality and health status in intermediate risk patients undergoing TAVR as a part of the PARTNER II/S3i studies.

Methods: The association of baseline 6MWT with mortality over 2-years after TAVR was examined using Cox regression; both unadjusted and adjusted for age, left ventricular ejection fraction, coronary artery disease, pulmonary disease, renal insufficiency, and STS score. Read More

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http://dx.doi.org/10.1002/ccd.28981DOI Listing

Impact of obesity on adverse in-hospital outcomes in patients undergoing percutaneous mitral valve edge-to-edge repair using MitraClip® procedure - Results from the German nationwide inpatient sample.

Nutr Metab Cardiovasc Dis 2020 Apr 18. Epub 2020 Apr 18.

Heart Center Mainz, Center of Cardiology, Cardiology I, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany.

Background And Aim: The number of percutaneous edge-to-edge mitral regurgitation (MR) valve repairs with MitraClip® implantations increased exponentially in recent years. Studies have suggested an obesity survival paradox in patients with cardiovascular diseases. We investigated the influence of obesity on adverse in-hospital outcomes in patients with MitraClip® implantation. Read More

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http://dx.doi.org/10.1016/j.numecd.2020.04.009DOI Listing

Valve-in-valve transcatheter aortic valve replacement in a young patient with a suspected COVID-19 infection: a surgical dilemma in the era of the COVID-19 pandemic.

Eur J Cardiothorac Surg 2020 07;58(1):188-189

Department of Cardiovascular and Thoracic Surgery, MediClin Heart Institute Lahr/Baden, Lahr, Germany.

We report on a case of a 57-year-old male patient, who underwent full root replacement in 2005 and now presented with high grade aortic insufficiency. On admission, the patient underwent a computed tomography scan which demonstrated interstitial infiltration in the left lung, highly suspicious for a COVID-19 infection that could not be confirmed by reverse transcription polymerase chain reaction (RT-PCR) testing. As there usually is a delay between infection and positive RT-PCR test results, the initial decision was to perform additional testing. Read More

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http://dx.doi.org/10.1093/ejcts/ezaa193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314083PMC

Concordance and Discordance of Echocardiographic Parameters Recommended for Assessing the Severity of Mitral Regurgitation.

Circ Cardiovasc Imaging 2020 May 15;13(5):e010278. Epub 2020 May 15.

Department of Medicine, Division of Cardiology, Mount Sinai St. Luke's Hospital, Mount Sinai School of Medicine, New York, NY (E.A., G.L.).

Background: The American College of Cardiology/American Heart Association and American Society of Echocardiography guidelines recommend assessing several echocardiographic parameters when evaluating mitral regurgitation (MR) severity. These parameters can be discordant, making the assessment of MR challenging. The degree to which echocardiographic parameters of MR severity are concordant is not well studied. Read More

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http://dx.doi.org/10.1161/CIRCIMAGING.119.010278DOI Listing

Cardiac output estimation by pulse wave analysis using the pressure recording analytical method and intermittent pulmonary artery thermodilution: A method comparison study in patients after off-pump coronary artery bypass surgery.

Eur J Anaesthesiol 2020 May 7. Epub 2020 May 7.

From the Department of Anaesthesiology, Centre of Anaesthesiology and Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg (GG, KL, DR, LS-U, BS), Institute of Medical Informatics, Statistics and Epidemiology, School of Medicine, Technical University of Munich, Munich (AH), Department of Cardiovascular Surgery, University Heart Centre Hamburg (MK), Department of Intensive Care Medicine, Centre of Anaesthesiology and Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany (MK) and Outcomes Research Consortium, Cleveland, Ohio, USA (BS).

Background: Invasive pulse wave analysis is used in peri-operative settings to estimate cardiac output (CO). The 'pressure recording analytical method' (PRAM) implemented in the MostCareUp CO monitor is an invasive pulse wave analysis method using high-frequency sampling and analysis of the pulse wave to directly estimate the arterial impedance as a key variable of the proprietary CO estimation algorithm.

Objective: To compare CO estimated by PRAM (PRAM-CO; test method) with CO measured by pulmonary artery thermodilution (PATD-CO; reference method). Read More

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http://dx.doi.org/10.1097/EJA.0000000000001227DOI Listing

Three-dimensional echocardiography assessment of carcinoid valvular heart disease: Images of each and all.

Echocardiography 2020 May 9;37(5):791-793. Epub 2020 May 9.

Division of Cardiology, University of Texas Medical Branch, Galveston, TX, USA.

A 54-year-old male was found to have neuroendocrine carcinoma with hepatic metastasis. Two-dimensional (2D) transthoracic echocardiography (TTE) demonstrated dilated right ventricle and right atrium, and severe tricuspid and pulmonary regurgitation. Three-dimensional (3D) TTE en-face views showed thickened, retracted, and fixed tricuspid valve and pulmonic valve which remained widely open throughout the cardiac cycle. Read More

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http://dx.doi.org/10.1111/echo.14679DOI Listing

Incidental detection of a retained left atrial catheter via intraoperative transesophageal echocardiography in a patient undergoing tricuspid valve replacement: A case report.

Medicine (Baltimore) 2020 May;99(19):e20058

Department of Anesthesiology and Pain Medicine, Chonnam University Hospital.

Rationale: A cardiac foreign body can cause thrombosis or infection, but sometimes it may not cause any symptoms in a patient. The diagnosis is mainly performed using a radiological examination. Especially, ultrasound is useful not only for detecting the foreign body but also for hemodynamic findings. Read More

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http://dx.doi.org/10.1097/MD.0000000000020058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220788PMC

Mitral Valve Replacement Under Venoarterial Extracorporeal Membrane Oxygenation Support for Severe Streptococcus Mitis Endocarditis.

Cureus 2020 Apr 6;12(4):e7556. Epub 2020 Apr 6.

Critical Care Medicine, University of Maryland, Baltimore, USA.

Streptococcus mitis is an alpha-hemolytic species of Streptococcus and is the most prevalent organism of the oral flora. In patients with dental procedures or trauma and underlying damaged heart valves, it can cause infection of the valves (endocarditis). It has a propensity to affect the left-sided heart valves (mitral and aortic valves) in non-intravenous drug users (IVDU), whereas right-sided heart valves (tricuspid and pulmonic valves) in IVDU. Read More

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http://dx.doi.org/10.7759/cureus.7556DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202580PMC

Transcatheter Tricuspid and Pulmonary Valve Repair and Replacement.

Surg Technol Int 2020 May;36:217-223

Department of Cardiovascular Surgery, Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York.

Severe tricuspid regurgitation (TR) is associated with significant mortality and morbidities. Currently, surgical tricuspid repair with annuloplasty is the gold standard treatment. However, the prohibitive risks of open surgery and increasing evidence that severe TR should be intervened on early has led to an outburst in the development and evolution of transcatheter tricuspid valve interventions (TTVI). Read More

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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

In vivo evaluation of Vivere bovine pericardium valvular bioprosthesis with a new anti-calcifying treatment.

Artif Organs 2020 May 4. Epub 2020 May 4.

Braile Biomédica Ind. Com. e Repres. Ltda., São Paulo, Brazil.

The objective of this study was to evaluate the effect of chemical treatment with glutamic acid to avoid calcification of biological cardiac valves. The bovine pericardium (BP) tissues were fixed with 0.5% glutaraldehyde (BP/GA), followed by treatment with glutamic acid (BP/GA + Glu) for neutralization of the free aldehyde groups. Read More

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http://dx.doi.org/10.1111/aor.13718DOI Listing

Left Anterior Mini-Incision for Pulmonary Valve Replacement in a 12-Year-Old.

Innovations (Phila) 2020 Mar/Apr;15(2):111-113

Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA.

A 12-year-old, 32 kg male with history of Tetralogy of Fallot status post repair at 8 days of life presented with progressive pulmonary insufficiency and left pulmonary artery stenosis. Surgical options were discussed, and the patient and his family elected to pursue minimally invasive pulmonary valve replacement with left pulmonary artery augmentation through a 5-cm left anterior mini-incision. The procedure was performed without complication, and he was discharged on postoperative day 3. Read More

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http://dx.doi.org/10.1177/1556984520911026DOI Listing

Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair.

Innovations (Phila) 2020 Mar/Apr;15(2):106-110

22957 Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA.

Pulmonary insufficiency is a known complication following Tetralogy of Fallot repair. With over 90% of patients now surviving to adulthood, surgeons are once again faced with the question of when, and more importantly, how to reintervene. We developed a novel approach to pulmonary valve replacement in this population through a 5-cm left anterior mini-incision. Read More

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http://dx.doi.org/10.1177/1556984520911025DOI Listing

Prognostic factors associated with postoperative adverse outcomes in patients with aortic valve prolapse.

Medicine (Baltimore) 2020 Apr;99(17):e19827

Department of Echocardiography.

Background And Aim: Aortic valve (AV) cusp prolapse and subsequent aortic insufficiency (AI) are 2 of factors leading to left ventricular (LV) enlargement and decreased LV function. Aortic valve replacement (AVR) has been the standard surgical procedure for AI. However, few data is available on the prognosis of these patients undergoing AVR procedure, especially in Chinese population. Read More

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http://dx.doi.org/10.1097/MD.0000000000019827DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220789PMC

Outcomes in Young Adults with Tetralogy of Fallot and Pulmonary Annular Preserving or Transannular Patch Repairs.

Can J Cardiol 2020 Apr 20. Epub 2020 Apr 20.

University of Manitoba, Section of Cardiology, Winnipeg, Manitoba, Canada.

Background: Early surgical tetralogy of Fallot (ToF) repair involved patching across the pulmonic annulus (TAP), which resulted in severe pulmonic regurgitation. Long-term outcome improvements were anticipated with modifications that preserved the pulmonic annulus (AP). The objective of the present study was to evaluate need for late reintervention in adults with AP repair and those with TAP repair. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.04.014DOI Listing

ADAMTS19-associated heart valve defects: Novel genetic variants consolidating a recognizable cardiac phenotype.

Clin Genet 2020 Jul 19;98(1):56-63. Epub 2020 May 19.

CENTOGENE AG, Rostock, Germany.

Recently, ADAMTS19 was identified as a novel causative gene for autosomal recessive heart valve disease (HVD), affecting mainly the aortic and pulmonary valves. Exome sequencing and data repository (CentoMD) analyses were performed to identify patients with ADAMTS19 variants (two families). A third family was recognized based on cardiac phenotypic similarities and SNP array homozygosity. Read More

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http://dx.doi.org/10.1111/cge.13760DOI Listing
July 2020
3.931 Impact Factor

Treatment of severe pulmonary insufficiency with bilateral branch pulmonary artery Melody valve implantation.

Cardiol Young 2020 May 17;30(5):746-748. Epub 2020 Apr 17.

Department of Pediatric Cardiology, Stead Family Children's Hospital, University of Iowa, Iowa City, IA, USA.

Branch pulmonary artery valve implantation has been reported in larger patients with dysfunctional right ventricular outflow tracts via routine femoral access. Here, we report treatment of severe pulmonary insufficiency with bilateral branch pulmonary artery Melody valve implantation (Medtronic, Minneapolis, Minnesota). To the best of our knowledge, this is the first report of bilateral valve implantation utilising the hybrid approach in a small-size patient. Read More

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http://dx.doi.org/10.1017/S1047951120000827DOI Listing

A self-resolving, post-traumatic aortopulmonary shunt.

Echocardiography 2020 May 10;37(5):781-783. Epub 2020 Apr 10.

Non-invasive Cardiology, Cardiovascular Imaging, Montefiore Hospital, Albert Einstein College of Medicine, Bronx, NY, USA.

A 34-year-old Hispanic man sustained a stab wound to his chest complicated with hemopericardium and pericardial tamponade. He underwent emergent clamshell thoracotomy as well as repair to the pulmonary artery. A transthoracic echocardiogram showed no evidence of intracardiac shunt. Read More

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http://dx.doi.org/10.1111/echo.14654DOI Listing

[Circular Sympathetic Pulmonary Artery Denervation in Cardiac Surgery Patients With Mitral Valve Defect, Atrial Fibrillation and High Pulmonary Hypertension].

Kardiologiia 2020 Feb 4;60(1):35-42. Epub 2020 Feb 4.

Chuvash Republican Cardiology Dispensary.

Objective Investigate the influence of the sympathetic denervation of the pulmonary trunk and the orifices of the pulmonary arteries on the degree of pulmonary hypertension (PH) and outcomes of the surgical treatment of atrial fibrillation (AF) in patients with mitral valve defects, complicated AF, and high PH.Material and methods We analyzed the surgical treatment of 140 patients with mitral valve defect, concomitant AF, and high PH - pulmonary artery systolic pressure (PASP) gradient more than 40 mm Hg. The group of interest included 51 patients (46 patients with severe mitral stenosis and five patients with grade 4 mitral valve regurgitation). Read More

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http://dx.doi.org/10.18087/cardio.2020.1.n771DOI Listing
February 2020

Comparison of Echocardiographic Assessment of Tricuspid Regurgitation Against Cardiovascular Magnetic Resonance.

JACC Cardiovasc Imaging 2020 Mar 18. Epub 2020 Mar 18.

Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas. Electronic address:

Objectives: The aim of this study was to compare echocardiographic methods of determining tricuspid regurgitation (TR) severity against TR regurgitant volume (TR) by cardiovascular magnetic resonance (CMR).

Background: TR is usually assessed using echocardiography, but it is not known how this compares with quantitative measurements of TR severity by CMR.

Methods: Echocardiographic and CMR methods were compared in 337 patients. Read More

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http://dx.doi.org/10.1016/j.jcmg.2020.01.008DOI Listing

Images in cardiovascular medicine voluminous left main stem to pulmonary artery fistula: A conservative approach.

J Card Surg 2020 May 16;35(5):1098-1099. Epub 2020 Mar 16.

Cardiac Surgery Unit, Cardio-Thoraco-Vascular Department, S. Orsola Hospital, University of Bologna, Bologna, Italy.

The presence of a coronary arteriovenous fistula is almost rare in the adult population, even rare when associated with aortic valve insufficiency. Management and treatment options can vary and depend on a single patient. In our case, a large fistula with a rounded origin started from the roof of the left main stem, just attached to the wall of the aortic root, and finished with a very narrowed end in the pulmonary trunk. Read More

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http://dx.doi.org/10.1111/jocs.14483DOI Listing

Diagnostic analysis of abnormal increase of PASP in fetus in middle- and late-stage pregnancy by color Doppler echocardiography.

Br J Radiol 2020 Jun 25;93(1110):20191011. Epub 2020 Mar 25.

Department of Ultrasound, Taian City Central Hospital, Taian, Shandong, China.

Objective: Our study was conducted with an attempt to investigate the diagnostic analysis of abnormal increase of fetal pulmonary artery systolic pressure (PASP) in middle and late pregnancy by color Doppler echocardiography.

Methods: From August 2017 to January 2019, 52 fetuses with moderate or greater tricuspid high-speed regurgitation were retrospectively analyzed and selected as Group A. 88 fetuses with full-color blood flow of the two ventricles and symmetrical sizes of the cardiac cavities on both sides harboring tricuspid valve and mild regurgitation or a small amount of regurgitation were selected as Group B. Read More

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http://dx.doi.org/10.1259/bjr.20191011DOI Listing

Inferior Vena Cava Filter Broken and Migrated to Left Ventricle with Destruction of Mitral Valve.

Ann Thorac Surg 2020 Mar 3. Epub 2020 Mar 3.

Inferior vena caval(IVC) filters are used for patients with pulmonary embolism or those with risk of embolization. Here we present a case of a 38-year-old man who underwent placement of an IVC filter because of deep vein thrombosis. The operating arm fractured and embolized to the posteromedial papillary muscle of mitral valve and the posterior inferior wall of the left ventricle through right atrium and atrioventricular septum, leading to large symptomatic mitral and tricuspid insufficiency and pericardial tamponade. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.01.053DOI Listing
March 2020
3.849 Impact Factor

Tricuspid Intervention Following Pulmonary Valve Replacement in Adults With Congenital Heart Disease.

J Am Coll Cardiol 2020 Mar;75(9):1033-1043

Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada; Centre hospitalier universitaire Sainte-Justine, Université de Montréal, Montreal, Quebec, Canada.

Background: Tricuspid regurgitation (TR) is common among adults with corrected tetralogy of Fallot (TOF) or pulmonary stenosis (PS) referred for pulmonary valve replacement (PVR). Yet, combined valve surgery remains controversial.

Objectives: This study sought to evaluate the impact of concomitant tricuspid valve intervention (TVI) on post-operative TR, length of hospital stay, and on a composite endpoint consisting of 7 early adverse events (death, reintervention, cardiac electronic device implantation, infection, thromboembolic event, hemodialysis, and readmission). Read More

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http://dx.doi.org/10.1016/j.jacc.2019.12.053DOI Listing

Ischemic mitral regurgitation: problem extent in cardiovascular surgery clinic.

Wiad Lek 2020 ;73(1):36-40

Amosov National Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine.

Objective: The aim of the study was to evaluate the prevalence, etiology, mechanisms and severety of all cases of MR, including IMR, in the patients population with suspected or proved CAD before coronary arteries evaluation and surgery or intervention.

Patients And Methods: Materials and methods: The study prospectively included 370 patients with verified or suspected (angina pectoris suspicion or manifested CHF) CAD of all clinical forms (stable, unstable, post-AMI, prior revascularization, etc.). Read More

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Trileaflet reconstruction of pulmonary valve for acute pulmonary valve insufficiency.

Authors:
Doğan Kahraman

Turk Gogus Kalp Damar Cerrahisi Derg 2019 Apr 24;27(2):219-223. Epub 2019 Apr 24.

Department of Cardiovascular Surgery, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.

Iatrogenic pulmonary valve insufficiency is a life-threatening complication and its treatment options pose another challenge. Easily accessible mechanical valves have high complication rates. Xenografts and homografts are expensive materials and are not readily accessible in case of emergency. Read More

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http://dx.doi.org/10.5606/tgkdc.dergisi.2019.17541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021391PMC

Right ventricular outflow tract prestenting with AndraStent XXL before percutaneous pulmonary valve implantation.

Arch Cardiovasc Dis 2020 Feb 18;113(2):113-120. Epub 2020 Feb 18.

Pôle des cardiopathies congénitales de l'enfant et de l'adulte, centre de référence malformations cardiaques congénitales complexes (M3C), hôpital Marie-Lannelongue, université Paris-Sud, université Paris-Saclay, 133, avenue de la Résistance, 92350 Le Plessis-Robinson, France.

Background: The indications for percutaneous pulmonary valve implantation (PPVI) have been extended to include large dysfunctional right ventricular outflow tracts (RVOTs). Prestenting of the RVOT is commonly performed before PPVI in order to ensure a stable landing zone. The AndraStent XXL (AndraMed GmbH, Reutlingen, Germany), a cobalt-chromium stent with semi-open cell design, has unique mechanical properties in this indication but is no longer available in France. Read More

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http://dx.doi.org/10.1016/j.acvd.2019.12.004DOI Listing
February 2020

Medical decision making for 5D cardiac model: Template matching technique and simulation of the fifth dimension.

Comput Methods Programs Biomed 2020 Jul 7;191:105382. Epub 2020 Feb 7.

COSMOS Laboratory -National Institute of Computer Sciences (ENSI), University of Mannouba, Tunisia. Electronic address:

The purpose of this paper is to develop a 5D cardiac model which is inspired from the 5D model for the lungs. This model depends on five variables: the anatomical structure of the 3D heart, temporal dimension and the function of blood flow as the fifth dimension. To test this hypothesis, we took the same mathematical modeling as a reference for the fifth dimension of pulmonary flow where r→(t)=r→(t)+r→(t) wherer→(t) is the displacement vectors with approximate magnitudes by linear functions of the tidal volume and r→(t) is the blood flow. Read More

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http://dx.doi.org/10.1016/j.cmpb.2020.105382DOI Listing

Early and late outcomes of surgical repair of double-chambered right ventricle: a single-centre experience.

Cardiol Young 2020 Mar 17;30(3):409-412. Epub 2020 Feb 17.

Department of Cardiovascular Surgery, Faculty of Medicine, Başkent University, Ankara, Turkey.

Objective: Double-chambered right ventricle is characterised by division of the outlet portion of the right ventricle by hypertrophy of the septoparietal trabeculations into two parts. We aim to report our experiences regarding the presenting symptoms of double-chambered right ventricle, long-term prognosis, including the recurrence rate and incidence of arrhythmias after surgery.

Methods: We retrospectively investigated 89 consecutive patients who were diagnosed to have double-chambered right ventricle and underwent a surgical intervention from 1995 to 2016. Read More

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http://dx.doi.org/10.1017/S1047951120000244DOI Listing

Use of argatroban in combination with nafamostat mesilate in open-heart surgery for a pediatric patient with heparin-induced thrombocytopenia type II: a case report.

JA Clin Rep 2020 Jan 13;6(1). Epub 2020 Jan 13.

Department of Anesthesia, Kyoto University Hospital, 54, Shogoinkawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.

Background: Heparin-induced thrombocytopenia type II (HIT II) is a rare, immune-mediated complication of heparin therapy and can cause life-threatening thromboembolism. However, perioperative anticoagulation therapy for patients with a complication of HIT II has not been established.

Case Presentation: A 6-year-old boy with tetralogy of Fallot underwent radical intracardiac repair with administration of argatroban at 1 year old due to positive HIT antibody. Read More

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http://dx.doi.org/10.1186/s40981-020-0310-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966733PMC
January 2020

Underweight is associated with inferior short and long-term outcomes after MitraClip implantation: Results from the German TRAnscatheter mitral valve interventions (TRAMI) registry.

Am Heart J 2020 04 10;222:73-82. Epub 2020 Jan 10.

Universitäres Herzzentrum Eppendorf, Hamburg, Germany. Electronic address:

Background: Underweight and obesity represent classical risk factors for adverse outcome in patients treated for cardiovascular disease.

Aims: The current analysis examines the impact of underweight, overweight and obesity on intra-hospital, short and long-term outcomes in patients treated by MitraClip therapy.

Methods And Results: From August 2010 until July 2013, 799 patients (age 75. Read More

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http://dx.doi.org/10.1016/j.ahj.2019.12.022DOI Listing

Long-term durability of bioprosthetic valves in pulmonary position: Pericardial versus porcine valves.

J Thorac Cardiovasc Surg 2020 Jan 3. Epub 2020 Jan 3.

Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul, Republic of Korea.

Objectives: The long-term durability of the 2 most commonly used types of bioprosthetic valves in the pulmonic position, the porcine and pericardial valves, is unclear. We compared the long-term durability of the pericardial (Carpentier-Edwards PERIMOUNT [CE]) and porcine (Hancock II) valves in the pulmonic position in patients with congenital cardiac anomalies.

Methods: We retrospectively reviewed the medical records of 258 cases (248 patients) of pulmonary valve implantation or replacement using CE (129 cases, group CE) or porcine (129 cases, group H) valves from 2 institutions between 2001 and 2009. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.11.134DOI Listing
January 2020

Adverse Events, Radiation Exposure, and Reinterventions Following Transcatheter Pulmonary Valve Replacement.

J Am Coll Cardiol 2020 Feb;75(4):363-376

Division of Pediatric Cardiology, Children's Healthcare of Atlanta Sibley Heart Center, Emory University School of Medicine, Atlanta, Georgia.

Background: Transcatheter pulmonary valve replacement (TPVR) is associated with a risk of procedural serious adverse events (SAE) and exposure to ionizing radiation.

Objectives: The purpose of this study was to define the risk of, and associations with, SAE and high-dose radiation exposure using large-scale registry data.

Methods: The analysis of the multicenter C3PO-QI registry was limited to patients who underwent TPVR from January 1, 2014, to December 31, 2016. Read More

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http://dx.doi.org/10.1016/j.jacc.2019.11.042DOI Listing
February 2020

Spontaneous rupture of a mechanical valve in a mitral position (On-X) with migration-embolization to aortic bifurcation from the perspective of the vascular surgeon.

J Cardiovasc Surg (Torino) 2020 Apr 23;61(2):256-263. Epub 2020 Jan 23.

Department of Angiology and Vascular Surgery, Salamanca University Hospital (CAUSA), Salamanca, Spain -

We report on the case of spontaneous rupture of an On-X-pure pyrolytic carbon mechanical valve prosthesis implanted seven years earlier, in a mitral position, at our hospital. The patient was admitted with valvular dysfunction and acute pulmonary edema requiring emergency surgery (prosthesis replacement); the absence of a leaflet was confirmed intraoperatively. The patient presented severe respiratory failure, which prolonged the postoperative period. Read More

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http://dx.doi.org/10.23736/S0021-9509.20.11026-7DOI Listing
April 2020
1.365 Impact Factor

Pulmonary Edema in the Acute Stage of Rheumatic Fever Treated with Double-Valve Replacement in a Pediatric Patient.

J Pediatr Intensive Care 2020 Mar 19;9(1):77-80. Epub 2019 Nov 19.

Department of Cardiovascular Surgery, Bezmialem Vakif University, Istanbul, Turkey.

Cardiogenic pulmonary edema (CPE) is a rare clinical condition of acute rheumatic fever (ARF) in the early stage. Generally, CPE can be convalesced by steroid and anticongestive treatment. Herein, we describe a case of a 14-year-old boy with ARF presenting with bilateral pulmonary edema secondary to acute mitral and aortic insufficiency. Read More

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http://dx.doi.org/10.1055/s-0039-3399580DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978163PMC

Identifying Risk Factors for Massive Right Ventricular Dilation in Patients With Repaired Tetralogy of Fallot.

Am J Cardiol 2020 03 28;125(6):970-976. Epub 2019 Dec 28.

Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, Michigan.

In repaired tetralogy of Fallot (rTOF), pulmonary insufficiency results in varying degrees of right ventricle (RV) dilation. A subset of patients is diagnosed at initial cardiac magnetic resonance imaging (CMR) with a massively dilated RV, far beyond pulmonary valve replacement (PVR) criteria, which is unlikely to return to normal size after PVR. This study aimed to identify risk factors for massive RV dilation at initial CMR. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.12.016DOI Listing

The economic impact of clinically significant tricuspid regurgitation in a large, administrative claims database.

J Med Econ 2020 May 2;23(5):521-528. Epub 2020 Mar 2.

Edwards Lifesciences, Irvine, CA, USA.

This study aimed to quantify the healthcare burden of clinically significant tricuspid regurgitation (TR) in patients with and without heart failure (HF). Data were from the IBM MarketScan Research Databases from October 2011 to September 2016. Eligible patients met the following inclusion criteria: age ≥18 with a TR diagnosis, 12 months pre (baseline), and 6 months post (landmark) medical enrollment. Read More

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http://dx.doi.org/10.1080/13696998.2020.1718681DOI Listing

Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema.

PLoS One 2020 14;15(1):e0227807. Epub 2020 Jan 14.

Department of Animal Medicine, Production and Health, University of Padua, Padua, Italy.

The effect of seasonal variation on hospital admissions and outcomes in humans with cardiovascular disease and congestive heart failure (CHF) has been described. This study evaluates the effect of temperature variation on admissions and outcomes in dogs with myxomatous mitral valve disease (MMVD) and first onset CHF. Ninety-three client-owned dogs with MMVD and a first occurrence of pulmonary edema were included in this retrospective clinical cohort study. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227807PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959981PMC

Commentary: Pulmonary valve replacement-Is this the best we can do?

J Thorac Cardiovasc Surg 2020 03 24;159(3):1074. Epub 2019 Sep 24.

Department of Pediatric Cardiac Surgery, University of Kentucky Children's Hospital, University of Kentucky, Lexington, Ky; Division of Cardiothoracic Surgery, The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Electronic address:

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http://dx.doi.org/10.1016/j.jtcvs.2019.06.137DOI Listing

Late management of the aortic root after repair of tetralogy of Fallot: A European multicentre study.

J Card Surg 2020 Jan 5;35(1):40-47. Epub 2019 Nov 5.

Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.

Objectives: We sought to determine the indications, type, and outcomes of reoperations on the aortic root after repair of tetralogy of Fallot (TOF).

Methods: Eleven centers belonging to the European Congenital Heart Surgeons Association contributed to the data collection process. We included 36 patients who underwent surgical procedures on the aortic root, including surgery on the aortic valve and ascending aorta, between January 1975 and December 2017. Read More

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http://dx.doi.org/10.1111/jocs.14316DOI Listing
January 2020

Ebstein's anomaly with 'reversible' functional pulmonary atresia.

BMJ Case Rep 2019 Dec 29;12(12). Epub 2019 Dec 29.

Pediatric Cardiology, Hospital Santa Cruz, Carnaxide, Portugal.

We present the case of an infant with prenatal diagnosis, at 32 weeks gestation, of Ebstein's anomaly without anterograde flow from right ventricular to pulmonary atresia (PA)-functional PA with flow reversal in the ductus arteriosus. Prostaglandin E1 was started after birth. Chest X-ray showed severe cardiomegaly and echocardiogram confirmed Ebstein's anomaly with a thickened non-opening pulmonary valve without anterograde flow but with mild regurgitation. Read More

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http://dx.doi.org/10.1136/bcr-2019-229809DOI Listing
December 2019

Changes in left and right ventricular longitudinal function after pulmonary valve replacement in patients with Tetralogy of Fallot.

Am J Physiol Heart Circ Physiol 2020 02 30;318(2):H345-H353. Epub 2019 Dec 30.

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

Timing and indication for pulmonary valve replacement (PVR) in patients with repaired Tetralogy of Fallot (rToF) and pulmonary regurgitation (PR) are uncertain. To improve understanding of pumping mechanics, we investigated atrioventricular coupling before and after surgical PVR. Cardiovascular magnetic resonance was performed in patients ( = 12) with rToF and PR > 35% before and after PVR and in healthy controls ( = 15). Read More

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http://dx.doi.org/10.1152/ajpheart.00417.2019DOI Listing
February 2020

Management of Acute Hypercapnic Respiratory Failure Using Intrabronchial Valve Placement for Giant Emphysematous Bullae.

J Bronchology Interv Pulmonol 2020 Jan;27(1):e5-e8

Interventional Pulmonology Section Department of Medicine, Division of Pulmonary and Critical Care, Westchester Medical Center, Valhalla, NY.

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http://dx.doi.org/10.1097/LBR.0000000000000636DOI Listing
January 2020

Atrial fibrillation in cardiac surgery.

Arch Cardiol Mex 2019 ;89(4):348-359

Departamento de Terapia Intensiva Posquirúrgica. Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.

Atrial fibrillation is the most frequent arrhythmia in the postoperative period of cardiac surgery. It is associated with heart failure, renal insufficiency, systemic embolism and increase in days of in-hospital and mortality. Atrial fibrillation in the postoperative period of cardiac surgery (FAPCC) usually appears in the first 48 h after surgery. Read More

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http://dx.doi.org/10.24875/ACM.19000134DOI Listing
January 2019