14,610 results match your criteria Pulmonic Stenosis


An Analysis of the Predictors of Major Bleeding After Transcatheter Aortic Valve Transplantation Using the National Inpatient Sample (2015-2018).

Cureus 2021 Jun 29;13(6):e16022. Epub 2021 Jun 29.

Internal Medicine, University at Buffalo, Catholic Health System, Buffalo, USA.

Background Transcatheter aortic valve replacement (TAVR) is now a common procedure to treat and improve quality of life, clinical outcomes, and self-sufficiency in high-risk patients with aortic stenosis, and its use has been expanding rapidly in younger and low-risk populations. The aim of this study was to evaluate the outcomes, trends, and predictors of major bleeding in patients undergoing TAVR. Methodology We utilized the National Inpatient Sample (NIS) data from the year 2015 to 2018. Read More

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[Concomitant Cardiac and Pulmonary Operation on an Elderly Patient:Report of a Case].

Kyobu Geka 2021 Aug;74(8):631-634

Department of Cardiovascular Surgery, Mie Central Medical Center, Tsu, Japan.

An 83-year-old woman was admitted because of dyspnea. Transthoracic echocardiography revealed severe aortic valve stenosis with a systolic gradient of 105 mmHg. Coronary angiography showed 75% stenosis at segment 1. Read More

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Association between adiposity and cardiovascular outcomes: an umbrella review and meta-analysis of observational and Mendelian randomization studies.

Eur Heart J 2021 Aug 1. Epub 2021 Aug 1.

Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University, Samsung Medical Center, Irwon-ro 81, Gangnam-gu, Seoul 06351, Republic of Korea.

Aims: The aim of this study was to investigate the causal relationship and evidence of an association between increased adiposity and the risk of incident cardiovascular disease (CVD) events or mortality.

Methods And Results : Observational (informing association) and Mendelian randomization (MR) (informing causality) studies were assessed to gather mutually complementary insights and elucidate perplexing epidemiological relationships. Systematic reviews and meta-analyses of observational and MR studies that were published until January 2021 and evaluated the association between obesity-related indices and CVD risk were searched. Read More

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Association between pregnancy and long-term cardiac outcomes in women with congenital heart disease.

Am J Obstet Gynecol 2021 Jul 28. Epub 2021 Jul 28.

University of Utah Health, Salt Lake City, UT; Intermountain Healthcare, Salt Lake City, UT.

Background: As early life interventions for congenital heart disease (CHD) improve, more patients are living to adulthood and considering pregnancy. Scoring and classification systems predict maternal cardiovascular risk of pregnancy in the context of congenital heart disease but these scoring systems do not assess the potential subsequent risks following pregnancy. Data on long-term cardiac outcomes after pregnancy are unknown for most lesion types. Read More

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Case of rheumatic mitral stenosis with bilateral coronary artery fistula to pulmonary artery: A rare entity.

J Cardiovasc Thorac Res 2021 30;13(2):176-178. Epub 2021 Jan 30.

Department of Cardiovascular and Thoracic Surgery, Gujarat, India.

Coronary to pulmonary artery fistula is a rare form of congenital coronary artery anomaly. Majority of coronary arteriovenous fistula detected incidentally on coronary angiography. Although, most of these patients are asymptomatic, larger fistulae can produce symptoms of heart failure. Read More

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January 2021

Percutaneous Balloon Pulmonary Valvuloplasty of Critical Pulmonary Stenosis and severe pulmonary stenosis in Neonates and Early Infancy: A Challenge in the Cyanotic.

J Cardiovasc Thorac Res 2021 20;13(2):156-161. Epub 2021 May 20.

Rajaie Cardiovascular Medical and Research Center, Iran University of medical sciences, Tehran, Iran.

Pulmonary stenosis with an intact ventricular septum (PS-IVS) is one of the common causes of cyanotic heart disease in neonates with diverse morphologies as well as management and treatment protocols. The aim of this study was to evaluate short and midterm results of balloon pulmonary valvuloplasty (BPV) for this disorder. Between 2012 and 2016, Totally 45 neonates and infants under 6 months old were evaluated. Read More

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Mid-term (up to 12 years) clinical and echocardiographic outcomes of percutaneous transvenous mitral commissurotomy in patients with rheumatic mitral stenosis.

BMC Cardiovasc Disord 2021 Jul 28;21(1):355. Epub 2021 Jul 28.

Cardiology Department, Clinical Research Center, Namazi Hospital, Shiraz University of Medical Sciences, Zand St., Cardiology Office, Shiraz, Iran.

Background: Rheumatic heart disease (RHD) is still a concerning issue in developing countries. Among delayed RHD presentations, rheumatic mitral valve stenosis (MS) remains a prevalent finding. Percutaneous transvenous mitral commissurotomy (PTMC) is the intervention of choice for severe mitral stenosis (MS). Read More

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Transcatheter Aortic Valve Implantation in Severe Native Pure Aortic Regurgitation Following Endocarditis With Large Vegetation.

JACC Case Rep 2021 Jun 16;3(6):859-863. Epub 2021 Jun 16.

Cardiology Department, Bristol Heart Institute, Bristol, United Kingdom.

We present the case of a 76-year-old man with recently treated infective endocarditis and severe residual native pure aortic regurgitation that was causing recurrent pulmonary edema. In view of his prohibitive surgical risk, he underwent transcatheter aortic valve implant with an excellent clinical outcome. (). Read More

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Perventricular Transcatheter Pulmonary Valve Implantation in a Symptomatic 3-Year-Old Child With Repaired Tetralogy of Fallot.

JACC Case Rep 2021 May 14;3(5):712-714. Epub 2021 Apr 14.

Department of Pediatric Cardiology, University Hospitals Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.

In select patients, transcatheter pulmonary valve replacement through a percutaneous approach can be challenging because of complicated anatomy or small patient size. In these patients, especially those weighing <20 kg, hybrid perventricular valve delivery may provide a preferred alternative approach. (). Read More

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Transcatheter Pulmonary Valve Performance During Pregnancy and the Postpartum Period.

JACC Case Rep 2020 Jun 17;2(6):847-851. Epub 2020 Jun 17.

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

Increasing numbers of women with congenital heart disease are undergoing pregnancy after transcatheter pulmonary valve replacement (TPVR). We present the course of 9 pregnancies in 7 women with TPVR, noting pre-pregnancy, antepartum, and postpartum gradients, as well as maternal cardiac, obstetric, and neonatal outcomes. (). Read More

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Rotablation of Heavily Calcified Left Main Stenosis and Aortic Valve Valvuloplasty Under ECMO Cardiopulmonary Support.

JACC Case Rep 2020 Dec 25;2(15):2448-2454. Epub 2020 Nov 25.

Department of Cardiology and Intensive Care Medicine, Medical Clinic II, Coburg Clinic, Coburg, Germany.

High-risk coronary intervention involving the left main coronary artery represents an indication for mechanical circulatory support in hemodynamically unstable patients. Extracorporeal membrane oxygenation permits adequate hemodynamic stabilization and myocardial recovery from life-threatening pulmonary and cardiac failure. Our case report demonstrates the importance of choosing the correct method of hemodynamic support in different case scenarios. Read More

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December 2020

Rare Case of Coincident Quadricuspid Pulmonic Valve and Suprapulmonic Ridge: Multimodality Imaging.

JACC Case Rep 2020 Nov 18;2(14):2196-2198. Epub 2020 Nov 18.

MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, Washington, DC.

A 32-year-old woman with a history of mild congenital pulmonic stenosis presented with new dyspnea on exertion. Multimodal imaging revealed a quadricuspid pulmonic valve with supravalvular ridge. We illustrate the evaluation and diagnosis of this rare condition. Read More

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November 2020

A 27-Year-Old Woman With Postpartum Papillary Muscle Rupture.

JACC Case Rep 2020 Nov 23;2(14):2191-2195. Epub 2020 Oct 23.

Anatomic Pathology Department, Cleveland Clinic, Cleveland, Ohio.

Postpartum papillary muscle rupture (PMR) is extremely uncommon and tolerated poorly with limited management options other than emergency surgical intervention. This case demonstrates the challenges of postpartum PMR in a young woman with unrecognized vascular Ehlers-Danlos syndrome and highlights the importance of preconception screening of cardiovascular disease. (). Read More

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November 2020

Complete Transposition of Great Arteries With Dominant Left Ventricle: Long-Term Survival in Natural History.

JACC Case Rep 2020 Nov 18;2(13):2107-2110. Epub 2020 Nov 18.

Cardiovascular Pathology Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padua, Italy.

We report the case of an adult patient, affected by complete transposition of great arteries with ventricular septal defect, who survived until 68 years of age without surgery, thanks to the presence of a common atrium and pulmonary stenosis. (). Read More

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November 2020

Comparison of Long-term Outcomes of Valve-Sparing and Transannular Patch Procedures for Correction of Tetralogy of Fallot.

JAMA Netw Open 2021 Jul 1;4(7):e2118141. Epub 2021 Jul 1.

Department of Pediatrics, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Québec, Canada.

Importance: The choice of the right surgical technique for correction of tetralogy of Fallot (TOF) is contentious for patients with a moderate to severe right outflow tract obstruction. The use of a transannular patch (TAP) exposes patients to chronic pulmonary regurgitation, while valve-sparing (VS) procedures may incompletely relieve pulmonary obstruction.

Objective: To compare 30-year outcomes of TOF repair after a VS procedure vs TAP. Read More

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Endovascular occlusion of an aortic coarctation after thoracic endovascular aortic repair of an anastomotic aneurysm.

Diagn Interv Radiol 2021 Jul;27(4):567-569

Department of Vascular Surgery, Civil Hospital of Baggiovara, University of Modena and Reggio Emilia, Modena, Italy.

A 58-year-old man with a history of aortic and mitral mechanical valve replacement was referred to our hospital for symptomatic chronic heart failure. In 1988, he had undergone open surgical correction of an isthmic aortic coarctation (CoA), with the creation of an extra-anatomic bypass from the left subclavian artery to the descending thoracic aorta. The following findings were found: severe mitral valve failure with perivalvular leakage, severe aortic valve stenosis, pulmonary hypertension, distal anastomotic aneurysm with the apparent occlusion of the CoA. Read More

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Transcatheter patent arterial duct closure in premature infants: A new technique to ease access to the patent arterial duct, with particular benefit for the tricuspid valve.

Arch Cardiovasc Dis 2021 Jul 23. Epub 2021 Jul 23.

Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker Enfants Malades, 75015 Paris, France.

Background: Transcatheter patent arterial duct (PAD) closure in premature infants has been shown to be feasible. Since our early transcatheter PAD closure procedures in premature infants at Hôpital Necker Enfants Malades, we have changed our technique several times to advance the guidewire through the right heart to avoid tricuspid valve damage.

Aim: To describe the technique we have been using since May 2019, to report our results with a particular focus on tricuspid leaks and to analyse the potential mechanisms of tricuspid lesion development with previous methods. Read More

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Long-term relief of obstruction in a dog with double-chambered right ventricle using combined cutting balloon and high-pressure balloon dilation.

J Vet Cardiol 2021 Jun 25;36:180-185. Epub 2021 Jun 25.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH, 43220, USA.

A 4-month-old intact female Golden Retriever dog was diagnosed with double-chambered right ventricle (DCRV) without infundibular stenosis, tricuspid valve dysplasia, and subsequent severe right atrial enlargement and was referred for combined cutting balloon and high-pressure balloon dilation. On presentation, these diagnoses were confirmed, and the peak systolic pressure gradient across the DCRV obstructive lesion assessed by continuous wave Doppler interrogation was 80 mm Hg. The obstructive lesion within the mid-right ventricle had a diameter of 6 mm through which blood flowed from the proximal right ventricular (RV) chamber to the distal RV chamber. Read More

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The Ross-Konno operation for neonates and infants with severe aortic incompetence following treatment for critical aortic stenosis.

Interact Cardiovasc Thorac Surg 2021 Jul 23. Epub 2021 Jul 23.

Department of Congenital Cardiac Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.

Objectives: Aortic valve stenosis in neonates and infants is associated with congestive cardiac failure, and balloon or surgical valvuloplasty provides relief of stenosis. Occasionally severe aortic insufficiency necessitates urgent aortic valve replacement. We reviewed our experience with the Ross-Konno procedure in patients <1 year. Read More

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Valvular heart disease in congenital heart disease: a narrative review.

Cardiovasc Diagn Ther 2021 Jun;11(3):818-839

Division of Cardiology, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Patients with congenital heart disease (CHD) are one of the fastest growing populations in cardiology, and valvular pathology is at the center of many congenital lesions. Derangements in valvular embryology lead to several anomalies prone to dysfunction, each with hemodynamic effects that require appropriate surveillance and management. Surgical innovation has provided new treatments that have improved survival in this population, though has also contributed to esotericism in patients who already have unique anatomic and physiologic considerations. Read More

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Dengue and the heart.

Cardiovasc J Afr 2021 Jul 20;32:1-6. Epub 2021 Jul 20.

Department of Anaesthesiology, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Email:

Background: Peri-operative morbidity and mortality are increased in patients with rheumatic heart disease. Pre-operative risk stratification is imperative for optimisation and a better outcome.

Methods: This was a descriptive, retrospective, contextual study. Read More

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Risk Factors for Reoperation After Arterial Switch Operation.

World J Pediatr Congenit Heart Surg 2021 Jul;12(4):463-470

Division of Thoracic and Cardiovascular Surgery, 12250Indiana University School of Medicine, Indianapolis, IN, USA.

Objective: The timing and nature of and risk factors for reoperation after the arterial switch operation in the setting of d-transposition of the great arteries requires further elucidation.

Methods: A total of 403 patients who underwent arterial switch operation from 1986 to 2017 were reviewed. Institutional preference was for pulmonary artery reconstruction using a pantaloon patch of fresh autologous pericardium. Read More

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Outcome of Pulmonary Autograft After the Ross Procedure.

World J Pediatr Congenit Heart Surg 2021 Jul;12(4):508-515

Department of Cardiovascular Surgery, The Heart Institute of Japan, 13131Tokyo Women's Medical University, Tokyo, Japan.

Background: The purpose of this study was to assess autograft function after the Ross procedure and to review surgical outcomes associated with autograft reoperations.

Methods: This is a retrospective study of patients undergoing the Ross procedure since 1993. Autograft function and autograft reoperation were studied. Read More

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Tricuspid Regurgitation in Left Ventricular Systolic Dysfunction: Marker or Target?

Front Cardiovasc Med 2021 28;8:702589. Epub 2021 Jun 28.

Echocardiography Laboratory, Istituto di Ricerca a Cura e Carattere Scientifico (IRCCS) San Raffaele Scientific Institute, Milan, Italy.

Far from being historically considered a primary healthcare problem, tricuspid regurgitation (TR) has recently gained much attention from the scientific community. In fact, in the last years, robust evidence has emerged regarding the epidemiological impact of TR, whose prevalence seems to be similar to that of other valvulopathies, such as aortic stenosis, with an estimated up to 4% of people >75 years affected by at least moderate TR in the United States, and up to 23% among patients suffering from heart failure with reduced ejection fraction. This recurrent coexistence of left ventricular systolic dysfunction (LVSD) and TR is not surprising, considered the multiple etiologies of tricuspid valve disease. Read More

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Neonatal right mini thoracotomy for repair of critical pulmonary stenosis.

Asian Cardiovasc Thorac Ann 2021 Jul 5:2184923211029391. Epub 2021 Jul 5.

Department of Pediatric Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.

Over the last few decades, due to evolving surgical techniques and medical management, there has been a significant decrease in the rate of mortality and complications for neonates born with critical pulmonary valve stenosis. Median sternotomy is the standard approach; however, this longitudinal midline incision is invasive and leaves a significant scar. A right mini thoracotomy approach to this surgical repair decreases recovery time and the chance of possible future psychological distress from a visible median sternotomy scar. Read More

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Impact of the new pulmonary hypertension definition on long-term mortality in patients with severe aortic stenosis undergoing valve replacement.

Clin Cardiol 2021 Jul 4. Epub 2021 Jul 4.

Cardiology Division, Kantonsspital St. Gallen, St. Gallen, Switzerland.

Background: The new 2018 pulmonary hypertension (PH) definition includes a lower mean pulmonary artery pressure (mPAP) cut-off (>20 mmHg rather than ≥25 mmHg) and the compulsory requirement of a pulmonary vascular resistance (PVR) ≥3 Wood units (WU) to define precapillary PH. We assessed the clinical impact of the 2018 compared to the 2015 PH definition in aortic stenosis (AS) patients undergoing aortic valve replacement (AVR).

Methods: Severe AS patients (n = 487) undergoing pre-AVR right heart catheterization were classified according to the 2015 and 2018 definitions. Read More

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The Longest Documented Postoperative Survivor of a Brock Procedure 63 Years Later.

Ann Thorac Surg 2021 Jul 1. Epub 2021 Jul 1.

Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Medical Branch at Galveston, 301 University Blvd., Galveston, TX, USA 77555. Electronic address:

An infant with critical pulmonary valve stenosis underwent a Brock procedure in 1957 with subsequent repair of pulmonary stenosis and an atrial septal defect (ASD) at age 6. At age 17, she developed paradoxical embolization secondary to a residual ASD, which was repaired. Fifty-four years later, she presented with recurrent pulmonary stenosis and a symptomatic 6. Read More

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A giant left atrial myxoma causing mitral valve pseudostenosis - a mimicker.

J Community Hosp Intern Med Perspect 2021 Jun 21;11(4):523-527. Epub 2021 Jun 21.

Cardiology Department, McLaren Health Care, Flint/Michigan State University, Flint, MI, USA.

The clinical features of cardiac myxoma vary significantly from asymptomatic to severe cardiovascular complications like atrioventricular valve obstruction and thromboembolism depending on the location, size, and mobility of the tumor. Echocardiography is the diagnostic study of choice, and surgical resection is the method of choice to prevent complications. We report a case of a 47-year-old female who presented with exertional dyspnea, malaise, and weight loss. Read More

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Arterial switch operation in patients with Taussig-Bing anomaly and aortic arch obstruction.

Ann Thorac Surg 2021 Jun 28. Epub 2021 Jun 28.

Department of Cardiac Surgery, The Royal Children's Hospital, Melbourne, Australia; University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia; Melbourne Centre for Cardiovascular Genomics and Regenerative Medicine, Melbourne, Australia. Electronic address:

Background: Arterial switch operation (ASO) in children with Taussig-Bing anomaly and associated aortic arch obstruction (AAO) is technically demanding. This study sought to determine outcomes of patients with Taussig-Bing anomaly and AAO who underwent ASO at a single institution.

Methods: From 1983 to 2015, 844 patients underwent an ASO for biventricular repair at The Royal Children's Hospital. Read More

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[Pulmonary Artery Replacement in a Patient with Pulmonary Artery Dissection Associated with Pulmonary Hypertension and Single Ventricle:Report of a Case].

Kyobu Geka 2021 Jul;74(7):539-542

Division of Cardiovascular Surgery, National Center for Child Health and Development, Tokyo, Japan.

A right-sided classical Blalock-Taussig shunt was created in a 3-year-old male infant with hypoplastic left ventricle, common atrioventricular valve, transposition of the great arteries, and pulmonary stenosis. He was diagnosed with near Eisenmenger pulmonary hypertension at the age of 6 years. Surgery to achieve right heart bypass circulation was not conducted. Read More

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