13,699 results match your criteria Pulmonic Stenosis


Ministernotomy aortic valve surgery in patients with prior patent mammary artery grafts after coronary artery bypass grafting.

Eur J Cardiothorac Surg 2019 Jan 10. Epub 2019 Jan 10.

Department of Cardiothoracic Surgery, Lankenau Medical Center, Wynnewood, PA, USA.

Objectives: Patients with patent internal thoracic artery (ITA) grafts after prior coronary artery bypass grafting surgery who require aortic valve replacement (AVR) pose unique technical challenges for safe and optimal myocardial protection. The purpose of this study is to review our short- and long-term outcomes with redo minimally invasive AVR in patients with patent in situ ITA grafts.

Methods: From 2008 to 2016, 48 patients with at least 1 patent in situ mammary artery graft underwent minimally invasive AVR. Read More

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http://dx.doi.org/10.1093/ejcts/ezy442DOI Listing
January 2019

Impact of preoperative pulmonary arterial hypertension on early and late outcomes in patients undergoing valve surgery for rheumatic heart disease.

Indian J Anaesth 2018 Dec;62(12):963-971

Department of Cardiac Anesthesia, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.

Background And Aims: There is conflicting evidence on adverse effect of Pulmonary Arterial Hypertension (PAH) on outcomes after cardiac surgery for rheumatic heart disease (RHD). The authors studied Indian patients with RHD and preoperative PAH, who undergo cardiac surgery with a hypothesis that they have poor short and long-term outcomes.

Methods: This was a retrospective observational study of 407 patients. Read More

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http://dx.doi.org/10.4103/ija.IJA_374_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299764PMC
December 2018

Valvular heart disease in Antiphospholipid antibody syndrome: Isolated Tricuspid stenosis.

Echocardiography 2019 Jan 6. Epub 2019 Jan 6.

Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.

Antiphospholipid antibody syndrome (APLS) is a rare disorder characterized by a hypercoagulable state. Manifestations include arterial or venous thrombosis, recurrent fetal wastage, coronary artery disease, valvular heart disease, dilated cardiomyopathy, pulmonary artery hypertension, and intracardiac thrombus. Most commonly mitral valve is affected followed by aortic and then tricuspid valve. Read More

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http://dx.doi.org/10.1111/echo.14254DOI Listing
January 2019

Perioperative Risk Factors for Mitral Valve Surgery: Atrial Fibrillation and Pulmonary Hypertension.

Semin Cardiothorac Vasc Anesth 2019 Jan 4:1089253218821694. Epub 2019 Jan 4.

1 Vanderbilt University Medical Center, Nashville, TN, USA.

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http://dx.doi.org/10.1177/1089253218821694DOI Listing
January 2019
1 Read

Quadricuspid pulmonary valve stenosis treated by transcatheter pulmonary valvuloplasty with inoue balloon catheter.

J Cardiol Cases 2018 Dec 30;18(6):204-206. Epub 2018 Aug 30.

Department of Cardiology, Fukushima Medical University, Fukushima, Japan.

The quadricuspid pulmonary valve is a relatively common congenital anomaly which is rarely complicated clinically and also tends to be under-diagnosed. The following case report shows a 62-year-old man with exertional dyspnea due to quadricuspid pulmonary valve stenosis that was diagnosed by using electrocardiography-gated multiple detector computed tomography. He was then treated effectively by transcatheter balloon pulmonary valvuloplasty using an Inoue balloon catheter. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.08.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306513PMC
December 2018

Prevalence, risk determinants and consequences of atrial fibrillation in rheumatic heart disease: 6 years hospital based-Himachal Pradesh- Rheumatic Fever/Rheumatic Heart Disease (HP-RF/RHD) Registry.

Indian Heart J 2018 Dec 19;70 Suppl 3:S68-S73. Epub 2018 May 19.

IGMC, Shimla, HP, India.

Objective: To report the prevalence, risk factors and consequences of atrial fibrillation (AF) in patients of rheumatic heart disease (RHD).

Methods: The Himachal Pradesh- Rheumatic Fever/Rheumatic Heart Disease (HP-RF/RHD) Registry database of 1918 patients was analyzed. AF was diagnosed with 12-lead ECG recording at entry in to the registry. Read More

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http://dx.doi.org/10.1016/j.ihj.2018.05.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309149PMC
December 2018
1 Read

Patients at Intermediate Surgical Risk Undergoing Isolated Interventional or Surgical Aortic Valve Implantation for Severe Symptomatic Aortic Valve Stenosis.

Circulation 2018 Dec;138(23):2611-2623

Klinik für Herz- und Gefäßchirurgie, Deutsches Herzzentrum München, Germany (S.B., R.L.).

Background: Transcatheter aortic valve replacement (TAVR) is increasingly being used for treatment of severe aortic valve stenosis in patients at intermediate risk for surgical aortic valve replacement (SAVR). Currently, real-world data comparing indications and clinical outcomes of patients at intermediate surgical risk undergoing isolated TAVR with those undergoing SAVR are scarce.

Methods: We compared clinical characteristics and outcomes of patients with intermediate surgical risk (Society of Thoracic Surgeons score 4%-8%) who underwent isolated TAVR or conventional SAVR within the prospective, all-comers German Aortic Valve Registry. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.117.0
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http://dx.doi.org/10.1161/CIRCULATIONAHA.117.033048DOI Listing
December 2018
4 Reads
14.430 Impact Factor

Aortic Root Dilatation and Aortic-Related Complications in Children After Tetralogy of Fallot Repair.

Circ Cardiovasc Imaging 2018 Dec;11(12):e007611

The Labatt Family Heart Center, Department of Pediatrics, The Hospital for Sick Children and University of Toronto, ON, Canada (L.M., M.K.F.).

Background: The study objective was to assess the severity, progression rate, and risk factors for aortic root dilatation (ARD) in pediatric tetralogy of Fallot (TOF) and to study its relationship to complications including aortic regurgitation.

Methods And Results: Seven hundred sixty-eight TOF patients were studied with echocardiography (median age at repair 6.1 months; interquartile range, 4. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.118.0076
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http://dx.doi.org/10.1161/CIRCIMAGING.118.007611DOI Listing
December 2018
3 Reads

Undiagnosed hypertrophic obstructive cardiomyopathy during transcatheter aortic valve replacement: a case report.

J Med Case Rep 2018 Dec 18;12(1):372. Epub 2018 Dec 18.

Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.

Background: Transcatheter aortic valve replacement is indicated for severe symptomatic aortic stenosis in patients who have a very high or prohibitive surgical risk as assessed pre-procedurally by the Society of Thoracic Surgery Risk Score, EuroSCORE (II), frailty testing, and other predictors. When combined with another left ventricular outflow tract obstruction, careful consideration must be taken prior to proceeding with transcatheter aortic valve replacement because an additional masked left ventricular outflow tract pathology can lead to challenging hemodynamics in the peri-deployment phase, as reported in this case.

Case Presentation: A 56-year-old Caucasian man with multiple comorbidities and severe aortic stenosis underwent transcatheter aortic valve replacement under monitored anesthesia care. Read More

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http://dx.doi.org/10.1186/s13256-018-1904-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298014PMC
December 2018
1 Read

Prevalence of Noonan spectrum disorders in a pediatric population with valvar pulmonary stenosis.

Congenit Heart Dis 2018 Dec 16. Epub 2018 Dec 16.

The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Objective: To evaluate the prevalence of Noonan spectrum disorders (NSD) in a pediatric population with valvar pulmonary stenosis (vPS) and identify the clinical characteristics that differentiate those with NSD from those without NSD.

Design: A retrospective chart review of 204 patients diagnosed with vPS between 9/1/2012 and 12/1/2016 at a pediatric medical center was performed. The quantitative features of vPS, genetic diagnosis information, and phenotypic characteristics of Noonan syndrome were collected. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/chd.12721
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http://dx.doi.org/10.1111/chd.12721DOI Listing
December 2018
4 Reads

The association between natural gas well activity and specific congenital anomalies in Oklahoma, 1997-2009.

Environ Int 2019 Jan 12;122:381-388. Epub 2018 Dec 12.

Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Background: Natural gas drilling may pose multiple health risks, including congenital anomalies, through air pollutant emissions and contaminated water. Two recent studies have evaluated the relationship between natural gas activity and congenital anomalies, with both observing a positive relationship.

Objectives: We aimed to evaluate whether residence near natural gas wells is associated with critical congenital heart defects (CCHD), neural tube defects (NTD), and oral clefts in Oklahoma, the third highest natural gas producing state in the US. Read More

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http://dx.doi.org/10.1016/j.envint.2018.12.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328052PMC
January 2019

A rare cause of ischemic stroke: cardiac myxoma. Case report and review of literature.

Rom J Morphol Embryol 2018 ;59(3):903-909

Department of Internal Medicine, University of Medicine and Pharmacy of Craiova, Romania;

A 46-year-old female diagnosed several years ago with arterial hypertension and an ischemic stroke with significant recovery was admitted for dyspnea on usual physical activity and fatigue. Physical examination revealed signs of heart failure with crackles on both lung bases, distented jugular veins, accentuated pulmonic valve closure (P2) and tricuspid regurgitation murmur. Echocardiography identified a large tumor in the left atrium, suggestive of atrial myxoma, which caused a severe functional mitral stenosis and produced severe pulmonary hypertension. Read More

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January 2019
1 Read

The Influence of the Charlson Comorbidity Index on Procedural Characteristics, VARC-2 Endpoints and 30-Day Mortality Among Patients Who Undergo Transcatheter Aortic Valve Implantation.

Heart Lung Circ 2018 Nov 30. Epub 2018 Nov 30.

The Heart Centre, Royal Stoke Hospital, University Hospital of North Midlands Trust, Stoke-on-Trent, UK; Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK.

Background: Aortic stenosis (AS) is a common valvular abnormality and transcatheter aortic valve implantation (TAVI) is being increasingly used to treat patients considered too high risk for conventional surgery. We aimed to assess the prevalence of comorbid conditions in patients undergoing TAVI using the Charlson Comorbidity Index (CCI) and to assess their impact on clinical and procedural outcomes.

Methods: We analysed 158 patients who underwent a TAVI at our institution between June 2009 and September 2015 to define their co-morbid burden as measured with CCI, and study its impact on procedural characteristics and mortality at 30 days. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14439506183198
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http://dx.doi.org/10.1016/j.hlc.2018.11.006DOI Listing
November 2018
6 Reads

Improving outcome of valve replacement for carcinoid heart disease.

J Thorac Cardiovasc Surg 2018 Oct 3. Epub 2018 Oct 3.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minn.

Objective: Carcinoid heart disease is characterized by tricuspid valve regurgitation and varying degrees of pulmonary valve regurgitation or stenosis. Valve replacement procedures may be complicated by systemic effects of carcinoid syndrome, as well as hepatic dysfunction and right heart failure. This study was performed to identify factors that might be associated with improving early mortality rates and late outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225223183252
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http://dx.doi.org/10.1016/j.jtcvs.2018.09.025DOI Listing
October 2018
2 Reads

First Report of an Acute, Obstructive Thrombosis of a Melody Valve Used for Transcatheter Pulmonary Replacement.

Can J Cardiol 2018 Dec 20;34(12):1688.e13-1688.e15. Epub 2018 Aug 20.

Department of Cardiology and Internal Intensive Medicine, Kepler University Hospital, Medical Faculty, Johannes Kepler University, Linz, Austria.

Transcatheter pulmonary valve (TPV) replacement is an effective therapy of right ventricular outflow tract conduit dysfunction. Acute complications after TPV implantation include infective endocarditis, stent fracture, and device dislocation. We present a novel, life-threatening complication: an acute, noninfectious TPV thrombosis. Read More

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http://dx.doi.org/10.1016/j.cjca.2018.08.025DOI Listing
December 2018
1 Read

Specific features and survival of French bulldogs with congenital pulmonic stenosis: a prospective cohort study of 66 cases.

J Vet Cardiol 2018 Dec 18;20(6):405-414. Epub 2018 Oct 18.

Department of Biostatistics and Clinical Epidemiology, Université Paris-Est, Ecole Nationale Vétérinaire D'Alfort, 7 Avenue Du Général de Gaulle, 94704, Maisons-Alfort cedex, France.

Introduction: The objectives of this study were to characterize the epidemiological, clinical, and echocardiographic features of French bulldogs (FBs) with congenital pulmonic stenosis and document their survival times and risk factors for cardiac death (CD).

Animals: This study included 66 FBs with congenital pulmonic stenosis.

Methods: Prospective cohort study including a survival analysis to assess time to CD. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.09.001DOI Listing
December 2018
1 Read

Cardiovascular images: vascular hamartoma of the mitral valve in a horse.

J Vet Cardiol 2018 Dec 18;20(6):399-404. Epub 2018 Oct 18.

Department of Veterinary Biosciences, The Ohio State University, 1925 Coffey Road, Columbus, OH 43210, USA. Electronic address:

An 8-month-old Hanoverian gelding was presented with a history of cardiac murmurs that were not apparent as a foal nor reported at the time of castration. Major echocardiographic findings included mitral valvular thickening, functional stenosis, and mitral regurgitation of sufficient severity to cause diastolic and systolic cardiac murmurs, left-sided volume overload, and pulmonary hypertension. Due to the hemodynamic severity of the lesion and poor prognosis for future performance and longevity, euthanasia was elected. Read More

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http://dx.doi.org/10.1016/j.jvc.2018.09.002DOI Listing
December 2018
1 Read

Characterization of Left Ventricular Dysfunction by Myocardial Strain in Critical Pulmonary Stenosis and Pulmonary Atresia After Neonatal Pulmonary Valve Balloon Dilation.

Am J Cardiol 2019 Feb 6;123(3):454-459. Epub 2018 Nov 6.

Department of Cardiology, Children's Hospital and Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Transient left ventricular (LV) dysfunction occurs in some infants born with critical pulmonary stenosis (PS) or membranous pulmonary atresia with intact ventricular septum (PAIVS) after pulmonary valve (PV) balloon dilation (BD). The cause for this is not well understood. We sought to characterize this LV dysfunction by investigating regional differences in this cohort using myocardial strain imaging. Read More

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http://dx.doi.org/10.1016/j.amjcard.2018.10.025DOI Listing
February 2019
1 Read

Transcatheter aortic valve replacement in patients with degenerative calcified rheumatic aortic stenosis: A 10-patient case series.

Int J Cardiol 2018 Nov 16. Epub 2018 Nov 16.

Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.

Background: Transcatheter aortic valve replacement (TAVR) for patients with rheumatic heart disease (RHD) has not been well-known. This study aimed to assess characteristics and computed tomography (CT) findings of the aortic valve in old patients with RHD and to investigate the safety and efficacy in the patients who underwent TAVR.

Methods And Results: Of 352 consecutive patients with severe aortic stenosis (AS) who underwent TAVR at the Sakakibara Heart Institute between 2013 and 2016, 10 patients (2. Read More

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http://dx.doi.org/10.1016/j.ijcard.2018.11.090DOI Listing
November 2018
7 Reads

Transcatheter pulmonary valve replacement: evolving indications and application.

Future Cardiol 2018 Nov 30. Epub 2018 Nov 30.

Departments of Pediatrics & Cardiothoracic Surgery, Lucile Packard Children's Hospital Heart Center, Stanford University School of Medicine, Palo Alto, Stanford-94304-5731, CA, USA.

The introduction of transcatheter therapy for valvular heart disease has changed the spectrum of care of patients with a variety of cardiovascular conditions. Transcatheter valve placement has become established as a method of treating pathologic regurgitation or stenosis of the pulmonary valve, right ventricular outflow tract or a right ventricle to pulmonary artery conduit. In this review, we examine the pathophysiology of and indications for transcatheter pulmonary valve replacement along with procedural complications. Read More

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http://dx.doi.org/10.2217/fca-2018-0065DOI Listing
November 2018
2 Reads

[Short and midterm results of surgical treatment of interrupted aortic arch].

Zhonghua Wai Ke Za Zhi 2018 Dec;56(12):916-921

Department of Cardiac Surgery, Guangdong General Hospital, Guangdong Cardiocvascular Diseases Institute, Guangdong Academy of Medical Sciences, Guangzhou 510080, China.

To analyze the early and midterm results of surgical treatment of interrupted aortic arch (IAA) with double-ventricular procedure. The data of the 68 cases with the main diagnosis of IAA with biventricular structure from June 2009 to June 2017 at Department of Cardiac Surgery, Guangdong General Hospital was collected, including 46 cases of type A, 22 cases of type B. There was no type C case. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2018.12.008DOI Listing
December 2018
2 Reads

Aortic stiffness in aortic stenosis assessed by cardiovascular MRI: a comparison between bicuspid and tricuspid valves.

Eur Radiol 2018 Nov 28. Epub 2018 Nov 28.

Department of Cardiovascular Sciences, University of Leicester and Cardiovascular Theme, NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Groby road, Leicester, LE3 9QP, UK.

Objectives: To compare aortic size and stiffness parameters on MRI between bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV) patients with aortic stenosis (AS).

Methods: MRI was performed in 174 patients with asymptomatic moderate-severe AS (mean AVAI 0.57 ± 0. Read More

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http://dx.doi.org/10.1007/s00330-018-5775-6DOI Listing
November 2018
1 Read

Echocardiographic Assessment of Left Atrial Systolic Function after Percutaneous Mitral Balloon Valvuloplasty Using Tissue Doppler Imaging.

Mymensingh Med J 2018 Oct;27(4):851-858

Dr Md Nazmul Hasan, Associate Professor, Department of Medicine, Asia Metropolitan University, Johor, Malaysia.

Mitral stenosis (MS) affects left atrial (LA) function as a result of hemodynamic and myocardial factors that causes significant symptoms and complications. Conventional echocardiographic methods have been practicing to see the improvement of left atrial function after successful percutaneous mitral balloon valvuloplasty (PMBV). Introduction of tissue doppler imaging allows direct and non-invasive measurement of myocardial velocities. Read More

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October 2018
1 Read

Prenatal exposure to PM and Congenital Heart Diseases in Taiwan.

Sci Total Environ 2019 Mar 20;655:880-886. Epub 2018 Nov 20.

Department of Environmental and Occupational Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan; National Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan; Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health, Taipei, Taiwan. Electronic address:

Gestational exposure to ambient air pollution has been associated with Congenital Heart Diseases (CHDs). However, only a few studies, with inconsistent results, have investigated the effects of PM exposure during early pregnancy. This study aims to evaluate the association between prenatal exposure to PM and CHDs occurrence. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00489697183464
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http://dx.doi.org/10.1016/j.scitotenv.2018.11.284DOI Listing
March 2019
7 Reads

Electrocardiography-gated cardiac CT angiography can differentiate brachycephalic dogs with and without pulmonary valve stenosis and findings differ from transthoracic echocardiography.

Vet Radiol Ultrasound 2018 Nov 26. Epub 2018 Nov 26.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio.

Pulmonary valve stenosis (PS) is one of the most commonly diagnosed congenital heart defects in dogs. Currently, transthoracic echocardiography (TTE) is the standard modality used to evaluate PS. Image acquisition by TTE can be challenging in some brachycephalic breeds of dogs. Read More

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http://dx.doi.org/10.1111/vru.12701DOI Listing
November 2018
3 Reads

Association Between Pulmonary Hypertension and Transcatheter Aortic Valve Replacement: Analysis of A Nationwide Inpatient Sample Database.

Rev Recent Clin Trials 2018 11 19. Epub 2018 Nov 19.

Department of Cardiology, St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac, MI 48341. United States.

Introduction: This study was done to review the association of pulmonary hypertension (PH) with Transcatheter Aortic Valve Replacement (TAVR) procedures done in the US for years 2010 to 2012.

Methods: We used Nationwide Inpatient Sample (NIS) data to extract data for patients who were hospitalized with a primary/secondary diagnosis of TAVR as specified by International Classification of Disease (ICD-9) codes 35.05 and 35. Read More

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http://dx.doi.org/10.2174/1574887113666181120113034DOI Listing
November 2018
6 Reads

Incidence and impact of prosthesis-patient mismatch following transcatheter aortic valve implantation.

Clin Res Cardiol 2018 Nov 19. Epub 2018 Nov 19.

Department of Internal Medicine III, Cardiology and Angiology, University Hospital Schleswig-Holstein, Kiel, Germany.

Introduction: The implications of prosthesis-patient mismatch (PPM) in the context of transcatheter aortic valve implantation (TAVI) are still controversial. The objective of our study was thus to investigate the incidence and prognostic impact of PPM after TAVI.

Methods: Our analysis included 613 TAVI patients in whom the indexed effective orifice area (iEOA) after TAVI was obtained in vivo using echocardiography. Read More

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http://link.springer.com/10.1007/s00392-018-1394-0
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http://dx.doi.org/10.1007/s00392-018-1394-0DOI Listing
November 2018
14 Reads

[Clinical Experience of Aortic Valve Replacement Using the New Stentless Bioprosthesis].

Kyobu Geka 2018 Nov;71(12):983-988

Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Background: The SOLO SMART valve is a bovine pericardial stentless bioprosthesis which shows superior hemodynamic performance compared to the stented valves. It is designed for supraannular and subcoronary implantation. We report our surgical experience and results in patients undergoing aortic valve replacement(AVR) with this new bioprosthesis. Read More

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November 2018
13 Reads

Transcatheter Aortic Heart Valves: Histological Analysis Providing Insight to Leaflet Thickening and Structural Valve Degeneration.

JACC Cardiovasc Imaging 2019 Jan 15;12(1):135-145. Epub 2018 Nov 15.

Department of Radiology, St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada; Centre for Heart Lung Innovation, St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada; Centre for Heart Valve Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada. Electronic address:

Objectives: This study investigated processes causing leaflet thickening and structural valve degeneration (SVD).

Background: Although transcatheter aortic valve replacement (TAVR) has changed the treatment of aortic stenosis, concerns remain regarding SVD, potentially related to valve thrombosis and thickening, based on studies using computed tomography (CT). Detailed histological analyses are provided to help attain insights into these processes. Read More

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http://dx.doi.org/10.1016/j.jcmg.2018.06.028DOI Listing
January 2019
7 Reads

Cardiogenic Shock after Nifedipine Administration in a Pregnant Patient: A Case Report and Review of the Literature.

J Transl Int Med 2018 09 9;6(3):152-156. Epub 2018 Oct 9.

Department of Intensive Care Medicine, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

We present a case of a 21-year-old Caucasian woman at 27 weeks of pregnancy who was admitted to the obstetric department for pre-term labor. She received 10 mg of nifedipine 4 times in 1 h, according to the internal protocol. Shortly after, she brutally deteriorated with pulmonary edema and hypoxemia requiring transfer to the intensive care unit (ICU) for mechanical ventilation. Read More

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http://content.sciendo.com/view/journals/jtim/6/3/article-p1
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http://dx.doi.org/10.2478/jtim-2018-0029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231299PMC
September 2018
11 Reads

Impact of Dialysis on the Prognosis of Patients Undergoing Transcatheter Aortic Valve Implantation.

Am J Cardiol 2019 Jan 18;123(2):315-322. Epub 2018 Oct 18.

Department of Cardiology, Medical Clinic IV, Municipal Hospital Karlsruhe, Academic Teaching Hospital of the University of Freiburg, Germany.

End-stage renal disease (ESRD) affects approximately 2% to 4% of patients with severe aortic stenosis. It is because these patients have been excluded from clinical trials, the impact of transcatheter aortic valve implantation (TAVI) in this patient group has not been thoroughly investigated. Between April 2008 and March 2015, 2,000 patients (dialysis group, n = 56 [2. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029149183196
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http://dx.doi.org/10.1016/j.amjcard.2018.10.008DOI Listing
January 2019
6 Reads

Critical exacerbation of idiopathic pulmonary fibrosis after transcatheter aortic valve implantation: Need for multidisciplinary care beyond "heart team".

J Cardiol Cases 2018 Nov 17;18(5):171-174. Epub 2018 Aug 17.

Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.

An 82-year-old man with severe aortic stenosis and idiopathic pulmonary fibrosis (IPF) underwent transcatheter aortic valve implantation (TAVI) under general anesthesia. However, following a successful TAVI procedure, he developed progressive respiratory failure because of the exacerbation of IPF. Despite the use of immunosuppressants, the patient could not be saved and he died of respiratory failure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409183007
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http://dx.doi.org/10.1016/j.jccase.2018.07.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218371PMC
November 2018
7 Reads

Pathology of valved venous homografts used as right ventricle-to-pulmonary artery conduits in congenital heart disease surgery.

J Thorac Cardiovasc Surg 2019 Jan 28;157(1):342-350.e3. Epub 2018 Sep 28.

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

Objectives: Although valved venous homografts (VVHs) are used for establishing right ventricle-to-pulmonary artery continuity in some complex heart defects, the tissue changes that occur in situ have not been described. We review the gross and microscopic changes observed in explanted VVH conduits and their effects on functionality.

Methods: In total, 20 explanted VVH conduits were evaluated for valve integrity, presence of thrombus, and stenosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225223183249
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http://dx.doi.org/10.1016/j.jtcvs.2018.08.102DOI Listing
January 2019
5 Reads

Cor triatriatum dexter with right ventricular hypoplasia: Role of multimodality imaging in decision making.

Echocardiography 2018 12 9;35(12):2113-2116. Epub 2018 Nov 9.

Cleveland Clinic Children's Hospital, Cleveland, Ohio.

Cor Triatriatum Dexter (CTD) is a rare congenital anomaly involving the systemic venous valves. Failure of regression of the right-sided sinus venosus valve leads to abnormal septation of the right atrium and a variety of right atrial and tricuspid valve obstructive lesions. The presentation can be varied ranging from asymptomatic to persistent neonatal cyanosis. Read More

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http://doi.wiley.com/10.1111/echo.14175
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http://dx.doi.org/10.1111/echo.14175DOI Listing
December 2018
10 Reads

Acute severe mitral regurgitation with cardiogenic shock following balloon mitral valvuloplasty: echocardiographic findings and outcomes following surgery.

Cardiovasc Interv Ther 2018 Nov 9. Epub 2018 Nov 9.

Department of Cardiology, JIPMER, Puducherry, 605006, India.

Acute severe mitral regurgitation (MR) is the commonest indication for emergency surgery following a balloon mitral valvuloplasty (BMV). It results in hemodynamic compromise with cardiogenic shock and or acute pulmonary edema. These patients deteriorate fast and often require respiratory and critical care support, followed by urgent mitral valve replacement (MVR). Read More

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http://link.springer.com/10.1007/s12928-018-0555-4
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http://dx.doi.org/10.1007/s12928-018-0555-4DOI Listing
November 2018
9 Reads

Modified delivery of SAPIEN 3 valve in the pulmonary position: Evolution of technique or dire need?

Catheter Cardiovasc Interv 2018 Nov 8. Epub 2018 Nov 8.

Division of Pediatric Cardiology, Department of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St Louis, Missouri.

Transcatheter pulmonary valve replacement (TPVR) is now common practice in patients with significant pulmonary regurgitation (PR), stenosis (PS), or mixed pulmonary valve disease. While the Melody valve (Medtronic, Inc.) and its delivery system were specifically designed for use in the right ventricular outflow tract (RVOT), Sapien valves (XT and S3, Edwards Lifesciences, Inc. Read More

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http://doi.wiley.com/10.1002/ccd.27946
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http://dx.doi.org/10.1002/ccd.27946DOI Listing
November 2018
16 Reads

Tetralogy of Fallot in the Current Era.

Semin Thorac Cardiovasc Surg 2018 Nov 2. Epub 2018 Nov 2.

Department of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.

Only few studies have reported long-term outcome of the transatrial-transpulmonary approach in the current era of management of tetralogy of Fallot (ToF). We investigated 15-year outcome of correction via a transatrial-transpulmonary approach in a large cohort of successive patients operated in the 21st century. All infant ToF patients undergoing transatrial-transpulmonary ToF correction between 2000 and 2015 were included (N = 177, 106 male, median follow-up 7. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10430679183031
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http://dx.doi.org/10.1053/j.semtcvs.2018.10.015DOI Listing
November 2018
8 Reads

Immediate impact of successful percutaneous balloon mitral valvuloplasty on right and left ventricular functions: An echocardiographic study using load independent tissue velocity imaging indices.

Indian Heart J 2018 Sep - Oct;70(5):672-679. Epub 2017 Nov 7.

Osmania General Hospital, Hyderabad, Telangana 500012, India.

Background: The impact of successful percutaneous balloon mitral valvuloplasty (PBMV) on left ventricular (LV) function has been a controversial subject. This study aimed to determine the immediate impact of PBMV on biventricular function using recent Tissue Velocity Imaging (TVI) derived load-independent indices.

Methods And Results: A total of 30 patients with severe mitral stenosis (MS) who underwent PBMV at a tertiary center of India from August 2012 to December 2013 were included in the study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00194832173031
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http://dx.doi.org/10.1016/j.ihj.2017.11.006DOI Listing
January 2019
5 Reads

Melody valve in mitral position: Complete fracture causing acute mitral stenosis in a child.

Catheter Cardiovasc Interv 2018 Oct 31. Epub 2018 Oct 31.

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

We present a case of a 7-year-old boy with a history of multiple mitral valve interventions and subsequent Melody valve placement in the mitral position, who presented with acute mitral stenosis due to complete fracture of the Melody stent. He was born early with severe mitral and tricuspid insufficiency due to valvular dysplasia, and ended up with 4 sternotomies before the age of 2 due to mitral valve dysfunction and recurrent prosthetic valve thrombosis. He then developed mixed stenosis and regurgitation at age 6, and to avoid another sternotomy, valve-in-valve therapy with off-label use of a 20-mm Melody valve was done with hybrid procedure via trans-apical approach. Read More

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http://doi.wiley.com/10.1002/ccd.27683
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http://dx.doi.org/10.1002/ccd.27683DOI Listing
October 2018
2 Reads

Case 5/2018 - Severe Pulmonary Valve Stenosis (PVS), Relieved by a Double-balloon Catheter, in a 68-year-old Woman.

Arq Bras Cardiol 2018 Sep;111(3):427-429

Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina, USP/, São Paulo, SP - Brazil.

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http://dx.doi.org/10.5935/abc.20180151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173339PMC
September 2018
1 Read

Acquired right ventricular outflow tract obstruction in twin-to-twin transfusion syndrome; a prospective longitudinal study.

Prenat Diagn 2018 Dec 28;38(13):1013-1019. Epub 2018 Nov 28.

Department of Obstetrics, Division of Fetal Medicine, Leiden University Medical Center, Leiden, Netherlands.

Objective: The pathophysiology of right ventricular outflow tract obstruction (RVOTO) in twin-to-twin transfusion syndrome (TTTS) recipients is incompletely understood. We aimed to investigate the development and spectrum of RVOTO in TTTS recipients.

Methods: A prospective longitudinal cohort study was conducted between 2015 and 2017. Read More

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http://doi.wiley.com/10.1002/pd.5378
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http://dx.doi.org/10.1002/pd.5378DOI Listing
December 2018
9 Reads

Cardiac Valve Involvement in Takayasu Arteritis Is Common: A Retrospective Study of 1,069 Patients Over 25 Years.

Am J Med Sci 2018 Oct 30;356(4):357-364. Epub 2018 Jun 30.

Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Takayasu arteritis (TA) can involve the aortic root or cardiac valves, resulting in hemodynamic disorders. In this study, we focused on the prevalence and clinical characteristics of TA patients with valve regurgitation.

Materials And Methods: We retrospectively assessed the clinical data in the electronic medical records of 1,069 consecutive patients with TA admitted to Fuwai Hospital from January 1992 to August 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029629183023
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http://dx.doi.org/10.1016/j.amjms.2018.06.021DOI Listing
October 2018
6 Reads

Differences in Right Ventricular Physiologic Response to Chronic Volume Load in Patients with Repaired Pulmonary Atresia Intact Ventricular Septum/Critical Pulmonary Stenosis Versus Tetralogy of Fallot.

Pediatr Cardiol 2018 Oct 23. Epub 2018 Oct 23.

Division of Pediatric Cardiology, Children's Hospital Los Angeles, 4650 Sunset Blvd., Mailstop #34, Los Angeles, CA, 90027, USA.

Background: Patients with pulmonary atresia with intact ventricular septum and critical pulmonary stenosis (PAIVS/CPS) have wide variation in right ventricle (RV) size, systolic function, and diastolic function at birth. Establishment of antegrade pulmonary blood flow creates the potential for RV dilation from chronic pulmonary insufficiency. Future surgical decisions are based on RV size and function, largely supported by longitudinal studies of patients with Tetralogy of Fallot (TOF). Read More

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http://link.springer.com/10.1007/s00246-018-2009-2
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http://dx.doi.org/10.1007/s00246-018-2009-2DOI Listing
October 2018
8 Reads

Incidentally detected right aortic arch with mirror image branching in a patient with rheumatic calcific mitral valve disease.

Natl Med J India 2018 Jan-Feb;31(1):22-23

Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala, India.

An isolated right-sided aortic arch with no congenital heart disease is extremely rare. We report an adult woman with longstanding rheumatic heart disease causing severe calcific mitral stenosis, moderate mitral regurgitation and moderate pulmonary hypertension, for which she underwent mitral valve replacement and tricuspid annuloplasty. On preoperative work-up, she was detected to have a right-sided aortic arch with mirror image branching along with a ductal dimple. Read More

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http://dx.doi.org/10.4103/0970-258X.243408DOI Listing
October 2018
1 Read

Outcomes after transaortic transcatheter aortic valve implantation: long-term findings from the European ROUTE.

Eur J Cardiothorac Surg 2018 Oct 20. Epub 2018 Oct 20.

Department of Internal Medicine III (Cardiology and Angiology) UKSH, Campus Kiel, Kiel, Germany.

Objectives: There is lack of data regarding the longer-term outcomes of patients undergoing transaortic (TAo) transcatheter aortic valve implantation (TAVI). We aimed to provide a contemporary snapshot of the types and frequencies of events in the year following TAo-TAVI.

Methods: The Registry of the Utilization of the TAo-TAVI approach using the Edwards SAPIEN Valve (ROUTE) is a multicentre, European, prospective, observational registry of aortic stenosis patients undergoing TAo-TAVI. Read More

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http://dx.doi.org/10.1093/ejcts/ezy333DOI Listing
October 2018
5 Reads
3.304 Impact Factor

Impact of Left Ventricular Diastolic Dysfunction and Biomarkers on Pulmonary Hypertension in Patients with Severe Aortic Stenosis.

Medicina (Kaunas) 2018 Sep 4;54(4). Epub 2018 Sep 4.

Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, LT-50161 Kaunas, Lithuania.

: Severe aortic stenosis (AS) complicated by pulmonary hypertension (PH) is associated with poor outcomes after surgical aortic valve replacement (AVR). There is still scarce information about predictors of secondary PH in this group of patients. : The aim of this study was to investigate the prognostic impact of biomarkers together with conventional Doppler echocardiographic parameters of left ventricular diastolic function on elevated pulmonary systolic pressure (PSP) in severe AS patients before surgical AVR. Read More

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http://www.mdpi.com/1010-660X/54/4/63
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http://dx.doi.org/10.3390/medicina54040063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174337PMC
September 2018
11 Reads

Severe mitral stenosis secondary to eosinophilic granulomatosis resolving after pharmacological treatment.

Echocardiography 2018 12 18;35(12):2099-2103. Epub 2018 Oct 18.

First Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

We present a case of 44-year-old woman who underwent effective pharmacological treatment of severe mitral stenosis. The patient was hospitalized due to rapidly progressive dyspnea. Her medical history included asthma, perennial rhinitis, and nasal polyps. Read More

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http://dx.doi.org/10.1111/echo.14171DOI Listing
December 2018
1 Read

Pulmonary valve stenosis in the adult patient: pathophysiology, diagnosis and management.

Heart 2018 Oct 18. Epub 2018 Oct 18.

Philadelphia Adult Congenital Heart Center, Penn Medicine and the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

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http://heart.bmj.com/lookup/doi/10.1136/heartjnl-2017-312743
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http://dx.doi.org/10.1136/heartjnl-2017-312743DOI Listing
October 2018
4 Reads