14,219 results match your criteria Pulmonic Stenosis


Congenitally corrected transposition and mitral atresia complicated by restrictive atrial septum.

J Clin Ultrasound 2020 Aug 4. Epub 2020 Aug 4.

The Congenital Heart Collaborative, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Congenitally corrected transposition (ccTGA), also known as L-transposition of the great arteries (L-TGA), is a rare cardiac malformation accounting for approximately 0.05% of congenital heart disease, characterized by ventricular inversion, discordant ventriculo-arterial connections with a normal visceroatrial relationship. It was first described by Baron Rokitansky in 1875, and prenatal sonographic diagnosis can be difficult. Read More

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http://dx.doi.org/10.1002/jcu.22897DOI Listing

Severe Cardiopulmonary Disease in a Parturient With Noonan Syndrome.

Semin Cardiothorac Vasc Anesth 2020 Aug 4:1089253220945918. Epub 2020 Aug 4.

Vanderbilt University Medical Center, Nashville, TN, USA.

Noonan syndrome is a relatively common genetic disorder and the second most common cause of congenital heart disease after trisomy 21. The spectrum of cardiac anomalies in Noonan syndrome typically involves pulmonary valve stenosis occasionally in conjunction with hypertrophic cardiomyopathy. Mitral valve involvement is a rare finding in Noonan syndrome and is most commonly associated with either mitral valve prolapse or abnormal valvular insertion causing left ventricular outflow tract obstruction. Read More

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http://dx.doi.org/10.1177/1089253220945918DOI Listing

Pulmonary valve regurgitation Doppler analysis as a valid method to determine pulmonary artery pressure in case of pulmonary valve stenosis.

J Cardiovasc Med (Hagerstown) 2020 Jul 27. Epub 2020 Jul 27.

IRCCS Ospedale Policlinico San Martino - IRCCS Italian Cardiovascular Network.

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http://dx.doi.org/10.2459/JCM.0000000000001065DOI Listing

Anomalous Origin of the Right Coronary Artery From the Mid-Portion of the Left Anterior Descending Artery.

Cureus 2020 Jun 24;12(6):e8794. Epub 2020 Jun 24.

Department of Cardiology, MedStar Union Memorial Hospital, Baltimore, USA.

Coronary artery anomalies (CAAs) are rare findings and usually diagnosed incidentally on coronary angiograms for other cardiac conditions in most cases. However, coronary anomalies are being increasingly reported with the invention of more advanced cardiac imaging techniques. The CT of the heart structure is the best modality to diagnose and track the exact course of the anomalous artery and to guide in proper management. Read More

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http://dx.doi.org/10.7759/cureus.8794DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7381875PMC

Transcatheter and Surgical Aortic Valve Replacement Outcomes for Patients with Chronic Heart Failure.

J Cardiothorac Vasc Anesth 2020 Jul 3. Epub 2020 Jul 3.

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston (UT Health), Houston, TX. Electronic address:

Objectives: To determine in-hospital outcomes and assess high-risk groups among chronic heart failure (CHF) patients with aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR).

Design: A retrospective analysis of the Nationwide Inpatient Sample database from January 2012 to September 2015 was performed.

Setting: Hospitals across the United States that offer TAVRs or SAVRs. Read More

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http://dx.doi.org/10.1053/j.jvca.2020.06.082DOI Listing
July 2020
1.482 Impact Factor

Epidemiological study of congenital heart diseases in dogs: Prevalence, popularity, and volatility throughout twenty years of clinical practice.

PLoS One 2020 27;15(7):e0230160. Epub 2020 Jul 27.

Department of Cardiology, Clinica Veterinaria Gran Sasso, Milan, Italy.

The epidemiology of Congenital Heart Diseases (CHDs) has changed over the past twenty years. This study aimed to evaluate the prevalence of CHDs in the population of dogs recruited in a single referral center (RC); compare the epidemiological features of CHDs in screened breeds (Boxers) versus non-screened (French and English Bulldogs, German Shepherds); investigate the association of breeds with the prevalence of CHDs; determine the popularity and volatility of breeds over a 20-year period; analysed the trends of the most popular breeds in the overall population of new-born dogs registered in the Italian Kennel Club (IKC) from 1st January 1997 to 31st December 2017. The RC's cardiological database was analysed, and 1,779 clinical records were included in a retrospective observation study. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230160PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384636PMC

Impact of Combined Pre and Postcapillary Pulmonary Hypertension on Survival after Transcatheter Aortic Valve Implantation.

Am J Cardiol 2020 Jun 30. Epub 2020 Jun 30.

Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota. Electronic address:

We aimed to evaluate the association between pulmonary hypertension (PH) hemodynamic classification and all-cause mortality in patients with symptomatic severe aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI). PH is common and associated with post-TAVI outcomes in patients with severe AS. Although PH in these patients is primarily driven by elevated left-sided pressures (postcapillary PH), some patients develop increased pulmonary vascular resistance (PVR) configuring the combined pre- and postcapillary PH (CpcPH). Read More

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http://dx.doi.org/10.1016/j.amjcard.2020.06.037DOI Listing

Impact of selected comorbidities on the presentation and management of aortic stenosis.

Open Heart 2020 Jul;7(2)

Queen Elizabeth Hospital & Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK.

Background: Contemporary data regarding the impact of comorbidities on the clinical presentation and management of patients with severe aortic stenosis (AS) are scarce.

Methods: Prospective registry of severe patients with AS across 23 centres in nine European countries.

Results: Of the 2171 patients, chronic kidney disease (CKD 27. Read More

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http://dx.doi.org/10.1136/openhrt-2020-001271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380845PMC

Hemodynamics in Adults With the Shone Complex.

Am J Cardiol 2020 Sep 16;130:137-142. Epub 2020 Jun 16.

Department of Cardiovascular Medicine, Mayo Clinic, Minnesota. Electronic address:

Patients with Shone complex (SC) have multiple left-sided obstructive lesions and thus are at risk for left ventricular (LV) remodeling, LV diastolic dysfunction and pulmonary hypertension. Yet, to date, there has been no description of hemodynamics in adults with SC. Retrospective chart review of 25 patients with SC who underwent cardiac catheterization at Mayo Clinic, MN between 2002 and 2019 was performed. Read More

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http://dx.doi.org/10.1016/j.amjcard.2020.06.024DOI Listing
September 2020

Canine infantile left ventricular noncompaction.

BMC Vet Res 2020 Jul 23;16(1):255. Epub 2020 Jul 23.

University of Agricultural Science and Veterinary Medicine, Calea Manastur 3-5, 400372, Cluj- Napoca, Romania.

Background: Left ventricular noncompaction (LVNC) is a rare form of cardiomyopathy currently described in humans and cats. It consists of a spongy myocardium characterized by prominent trabeculation and deep recesses involving more than 50% of the ventricular thickness. We describe the clinical and pathological features of LVNC combined with tricuspid valve dysplasia, double-orifice tricuspid valve and severe pulmonary stenosis in a puppy. Read More

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http://dx.doi.org/10.1186/s12917-020-02480-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7379346PMC

Reconstruction of right ventricular outflow tract stenosis and right ventricular failure after Ross procedure - comprehensive assessment of adult congenital heart disease with four-dimensional imaging: a case report.

J Med Case Rep 2020 Jul 23;14(1):113. Epub 2020 Jul 23.

Department of Pediatric Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Background: Re-intervention after Ross procedure into the right ventricular outflow tract might be needed in patients in the long term. However, right ventricular outflow tract re-intervention indications are still unclear. Comprehensive assessment of total hemodynamics is needed. Read More

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http://dx.doi.org/10.1186/s13256-020-02414-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376682PMC

Preoperative Clinical Features and High Pulmonary Wedge Pressure with a Discordant Pattern as Prognostic Factor in Hemodialysis Patients with Severe Aortic Valve Stenosis.

Int Heart J 2020 Jul 18;61(4):720-726. Epub 2020 Jul 18.

Department of Cardiology and Geriatrics, Kochi Medical School, Kochi University.

Hemodialysis (HD) is one of the important risks for the development of cardiovascular disease, including aortic valve stenosis (AS). Although aortic valve replacement (AVR) is a beneficial treatment for AS, HD patients are known to show a high rate of mortality after AVR than non-HD patients.We retrospectively studied 109 patients who underwent AVR for severe AS, 18 of which were HD patients. Read More

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http://dx.doi.org/10.1536/ihj.19-575DOI Listing

The assessment of patients with situs inversus and corrected transposition of the great arteries.

Rev Port Cardiol 2020 Jul 16;39(7):391-396. Epub 2020 Jul 16.

Department of Pediatric Cardiology, Istanbul Saglik Bilimleri University Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital, Istanbul, Turkey.

Introduction: Congenitally corrected transposition of the great arteries (ccTGA) is a rare congenital heart defect. There are different subgroups according to the location of the heart in the thorax, apical position and situs.

Objectives: The purpose of this study was to assess pediatric patients with situs inversus (SI) ccTGA (SI-ccTGA), a rare subgroup of this condition, in detail. Read More

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http://dx.doi.org/10.1016/j.repc.2019.09.017DOI Listing

Prenatal Diagnosis and Postnatal Outcome of Eight Cases with Criss-Cross Heart - A Multicenter Case Series.

Ultraschall Med 2020 Jul 16. Epub 2020 Jul 16.

Division of Prenatal Medicine, Department of Obstetrics and Gynecology, Justus-Liebig-University and UKGM, Gießen, Germany.

Objective:  Criss-cross heart (CCH) is a rare congenital cardiac defect defined by crossing of ventricular inflow streams contributing to less than 0.1 % of all congenital heart anomalies. Due to its rarity and complexity, prenatal diagnosis in these patients remains challenging. Read More

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http://dx.doi.org/10.1055/a-1205-0289DOI Listing

Meta-analysis of right ventricular function in patients with aortic stenosis after transfemoral aortic valve replacement or surgical aortic valve replacement.

Ther Adv Chronic Dis 2020 3;11:2040622320933775. Epub 2020 Jul 3.

Department of Pathology, Gansu Provincial Hospital, No.204, Donggang West Road, Chengguan District, Lanzhou, Gansu 730000, China.

Background: Right ventricular function (RVF) is an independent predictor of prognosis for patients undergoing aortic valve replacement: transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR). The effect of transfemoral aortic valve replacement (TF-TAVR) on RVF is uncertain. We aimed to perform a meta-analysis of the effect of TF-TAVR on RVF in patients with aortic stenosis (AS) and compare the effect of TF-TAVR with SAVR. Read More

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http://dx.doi.org/10.1177/2040622320933775DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339069PMC

Subclavian transcatheter aortic valve implantation (TAVI): superficial cervical plexus block combined with low-dose interscalene block.

Can J Anaesth 2020 Jul 14. Epub 2020 Jul 14.

Department of Cardiothoracic Surgery, Mazankowski Alberta Heart Institute, Edmonton, AB, Canada.

Purpose: Transcatheter aortic valve implantation (TAVI) has become a widely used technique for treating aortic stenosis. Subclavian access may be warranted in the presence of poor vasculature that precludes femoral access. Conscious sedation is increasingly being adopted with some evidence suggesting better outcomes compared with those of general anesthesia. Read More

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http://dx.doi.org/10.1007/s12630-020-01764-8DOI Listing

Right-sided double valve replacement in an adult patient who underwent surgery for pulmonary stenosis in childhood: a case report.

J Cardiothorac Surg 2020 Jul 14;15(1):170. Epub 2020 Jul 14.

Second Department of Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Background: Pulmonary regurgitation and the subsequent functional tricuspid regurgitation are frequently observed in adult patients who previously underwent pulmonary valvular operations. Pulmonary valve replacement, in combination with tricuspid annuloplasty, is frequently performed in adult patients. However, postoperative worsening or recurrence of tricuspid regurgitation is a major concern after pulmonary valve replacement with tricuspid annuloplasty. Read More

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http://dx.doi.org/10.1186/s13019-020-01207-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362504PMC

Echocardiographic findings on aortic stenosis: an observational, prospective, and multi-center registry.

Perfusion 2020 Jul 10:267659120924921. Epub 2020 Jul 10.

Centre Hospitalier Universitaire de Rennes, Rennes, France.

Background: The aim of this aortic stenosis registry was to investigate the changes of routine echocardiographic indices and strain in patients with moderate-to-severe aortic stenosis over a 6-month follow-up period.

Methods: Our aortic stenosis registry is observational, prospective, multicenter registry of nine countries, with 197 patients with aortic valve area less than 1.5 cm. Read More

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http://dx.doi.org/10.1177/0267659120924921DOI Listing
July 2020
1.083 Impact Factor

Changes in Prognosis of Heterotaxy Syndrome Over Time.

Pediatrics 2020 Aug 9;146(2). Epub 2020 Jul 9.

Departments of Cardiology and

Background: Long-term outcomes in heterotaxy syndrome (HS) are poorly described. Some reports suggest improved survival in the recent era, whereas others do not. We sought to describe long-term outcomes and assess whether outcomes have changed over time. Read More

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http://dx.doi.org/10.1542/peds.2019-3345DOI Listing

Invasive Hemodynamic Characteristics in Patients Undergoing Transcatheter Tricuspid Valve-In-Valve Implantation for Treatment of Tricuspid Stenosis.

World J Pediatr Congenit Heart Surg 2020 Jul;11(4):411-416

Ahmanson/UCLA Adult Congenital Heart Disease Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Background: We sought to describe invasive hemodynamic measurements in patients with tricuspid stenosis (TS) undergoing transcatheter tricuspid valve-in-valve (TVIV) implantation immediately pre- and postimplantation. Development of TS in patients who have undergone surgical tricuspid valve replacement with a bioprosthetic valve is a serious complication that leads to elevated right atrial (RA) pressures and decreased cardiac output. Transcatheter TVIV implantation is a viable alternative to surgical tricuspid valve replacement, but data on the hemodynamic consequences of TVIV for the treatment of severe TS are currently limited to echocardiographic assessment of Doppler-derived gradients. Read More

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http://dx.doi.org/10.1177/2150135120910366DOI Listing

Mechanism of the right ventricular reverse remodeling after balloon pulmonary valvuloplasty in patients with congenital pulmonary stenosis: A three-dimensional echocardiographic study.

Ann Pediatr Cardiol 2020 Apr-Jun;13(2):123-129. Epub 2020 Mar 20.

Department of Cardiology, Ain Shams University Hospital, Cairo, Egypt.

Background And Objectives: The main effect of pulmonary stenosis is a rise in right ventricular pressure. This pressure overload leads to multiple changes in the shape, dimensions, and volumes of the right ventricle (RV) that are reversed after the relieve of the valve obstruction. We thought to study the changes in the RV in patients undergoing balloon pulmonary valvuloplasty (BPV) using three-dimensional (3D) echocardiography. Read More

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http://dx.doi.org/10.4103/apc.APC_93_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331844PMC

A rare disease of primary cardiac intimal sarcoma at the left atrium presented with mimicking mitral stenosis in a patient with polycystic kidney disease.

Authors:
Ji-Won Hwang

J Cardiol Cases 2020 Jul 18;22(1):5-10. Epub 2020 Apr 18.

Division of Cardiology, Department of Medicine, Ilsan Paik Hospital, Inje University School of Medicine, Goyang 10380, Republic of Korea.

A 55-year-old woman presented with a history of constitutional symptoms with exertional dyspnea, orthopnea, and cough for one month. She developed progressive heart failure symptoms. Initial computed tomography revealed a large left atrial mass with compression of pulmonary veins and mitral valve. Read More

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http://dx.doi.org/10.1016/j.jccase.2020.03.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326662PMC

The Y-stenting technique for bifurcation stenosis and bioprosthetic valve frame fracture prior to valve-in-valve transcatheter pulmonary valve replacement in a child.

Postepy Kardiol Interwencyjnej 2020 Jun 23;16(2):206-208. Epub 2020 Jun 23.

Department of Congenital Heart Defects and Paediatric Cardiology, FMS in Zabrze, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland.

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http://dx.doi.org/10.5114/aic.2020.96066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333195PMC

Fetal Cardiac Intervention for Pulmonary Atresia with Intact Ventricular Septum: International Fetal Cardiac Intervention Registry.

Fetal Diagn Ther 2020 Jul 7:1-9. Epub 2020 Jul 7.

University of California-San Francisco, San Francisco, California, USA.

Introduction: Invasive fetal cardiac intervention (FCI) for pulmonary atresia with intact ventricular septum (PAIVS) and critical pulmonary stenosis (PS) has been performed with small single-institution series reporting technical and physiological success. We present the first multicenter experience.

Objectives: Describe fetal and maternal characteristics of those being evaluated for FCI, including pregnancy/neonatal outcome data using the International Fetal Cardiac Intervention Registry (IFCIR). Read More

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http://dx.doi.org/10.1159/000508045DOI Listing

Strategies for diagnosis of fetal right atrium dilation: based on fetal cardiac anatomy and hemodynamics.

BMC Med Imaging 2020 Jul 6;20(1):76. Epub 2020 Jul 6.

Department of Ultrasound, Shengjing Hospital of China Medical University, NO.36 Sanhao Street, Heping District, Shenyang, 110004, Liaoning Province, China.

Background: Fetal right atrium (RA) dilation is frequently detected in routine screenings while it remains a challenge to clarify the reasons. This study aimed to analyze the cardiac anatomy and hemodynamics of fetal RA dilation and the changes of hemodynamic indexes.

Methods: In the retrospective study, 420 fetuses with RA dilation were included, which were classified into the physiological group (n = 202), volume overload group (n = 142), and the pressure overload group (n = 76). Read More

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http://dx.doi.org/10.1186/s12880-020-00477-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339432PMC

A teenager with CHD and coronavirus disease 2019.

Cardiol Young 2020 Jul 6:1-2. Epub 2020 Jul 6.

Kinderkardiologie/Herzchirurgie für angeborene Herzfehler, Universitäres Herz- und Gefäßzentrum UKE Hamburg, Universitätsklinikum Hamburg Eppendorf, Hamburg, Germany.

A 16-year-old girl with history of treated congenital mitral valve disease and signs of respiratory infection was admitted to our paediatric cardiology department. She was tested positive for severe acute respiratory syndrome coronavirus 2. Despite her severe pre-existing cardiac conditions with pulmonary hypertension, atrial arrhythmias and mitral valve stenosis, the infection did not lead to any cardiac or pulmonary deterioration. Read More

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http://dx.doi.org/10.1017/S1047951120002127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7385314PMC

Corrected QT Interval in Severe Aortic Stenosis: Clinical and Hemodynamic Correlates and Prognostic Impact.

Am J Med 2020 Jul 1. Epub 2020 Jul 1.

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

Background: The role of the electrocardiogram for risk stratification in patients with severe aortic stenosis is not established. We assessed the hemodynamic correlates and the prognostic value of the corrected QT interval (QTc) in patients with severe aortic stenosis undergoing aortic valve replacement.

Methods: The QT interval was measured in a 12-lead electrocardiogram in 485 patients (age 74 ± 10 years, 57% male) with severe aortic stenosis (indexed aortic valve area 0. Read More

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http://dx.doi.org/10.1016/j.amjmed.2020.05.035DOI Listing

Atrial pacing and administration of nifekalant hydrochloride for unstable atrial fibrillation: a case report.

Eur Heart J Case Rep 2020 Jun 14;4(3):1-5. Epub 2020 May 14.

Department of Cardiology, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1, Jigyohama, Chuo-ku, Fukuoka, Fukuoka 810-8563, Japan.

Background: Atrial fibrillation (AF) is a common arrhythmia in patients with hypertrophic cardiomyopathy (HCM) and can deteriorate haemodynamic status.

Case Summary: We report a case of a 77-year-old woman with cardiogenic shock due to paroxysmal AF, complicated with HCM and aortic stenosis. Atrial fibrillation was successfully managed with temporary atrial pacing and administration of nifekalant hydrochloride without invasive mechanical circulatory support until surgery. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319856PMC

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

Prediction of adverse cardiac events in pregnant women with valvular rheumatic heart disease.

Heart 2020 Jun 29. Epub 2020 Jun 29.

Anaesthesiology & Critical Care, Jawaharlal Institute of Post-graduate Medical Education and Research (JIPMER), Puducherry, India.

Objective: To assess the incidence of adverse cardiac events in pregnant women with rheumatic valvular heart disease (RHD) and to derive a clinical risk scoring for predicting it.

Methods: This is an observational study involving pregnant women with RHD, attending a tertiary centre in south India. Data regarding obstetric history, medical history, maternal complications and perinatal outcome till discharge were collected. Read More

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http://dx.doi.org/10.1136/heartjnl-2020-316648DOI Listing

Percutaneous mitral commissurotomy in women with asymptomatic severe mitral stenosis before pregnancy.

Acta Cardiol 2020 Jun 29:1-6. Epub 2020 Jun 29.

Department of Cardiology, Yüzüncü Yıl University, Van, Turkey.

Performing percutaneous mitral commissurotomy (PMC) in the women with asymptomatic severe mitral stenosis (MS) who plan a pregnancy is recommended. However the data regarding this recommendation is limited in the literature. We aimed to investigate maternal and fetal outcomes of women with asymptomatic severe MS who underwent PMC before a planned pregnancy. Read More

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http://dx.doi.org/10.1080/00015385.2020.1783778DOI Listing

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

Echocardiography 2020 Jul 28;37(7):1111-1113. 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

Physiologic effects and functional outcome after treatment of dysfunctional right ventricular outflow tract in congenital heart disease using a two-stage intervention.

Int J Cardiol 2020 Jun 25. Epub 2020 Jun 25.

Heart Center Leipzig at University Leipzig, Department of Internal Medicine/Cardiology, Germany. Electronic address:

Background: Pathophysiological differences in relief of pulmonary stenosis (PS) as opposed to pulmonary regurgitation (PR) by percutaneous pulmonary valve implantation (PPVI) remain elusive, but might impact current assessment of procedural success and ultimately indications.

Methods: Invasive pressure measurements, cardiac magnetic resonance imaging and cardiopulmonary exercise testing were performed before pre-stenting (BMS), after BMS and after PPVI in patients with either PS or PR.

Results: In PS (n = 14), BMS reduced the right ventricular (RV) to systemic pressure ratio (0. Read More

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http://dx.doi.org/10.1016/j.ijcard.2020.06.026DOI Listing

Risk factors for permanent pacemaker implantation in patients receiving a balloon-expandable transcatheter aortic valve prosthesis.

Heart Vessels 2020 Jun 26. Epub 2020 Jun 26.

Department of Cardiology and Angiology, University Hospital of Tübingen, Tübingen, Germany.

Permanent pacemaker implantation (PPI) is a widely recognized complication associated with TAVI (incidence up to 20%). Smaller registries have identified several variables associated with PPI. The objective was to validate patient- and transcatheter aortic valve implantation (TAVI)-related procedural variables associated with PPI. Read More

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http://dx.doi.org/10.1007/s00380-020-01653-6DOI Listing
June 2020
2.109 Impact Factor

Frequency Responses of Conventional and Amplified Stethoscopes for Measuring Heart Sounds.

Saudi J Med Med Sci 2020 May-Aug;8(2):112-117. Epub 2020 Apr 17.

The Speech and Hearing Center, School of Communication, Louisiana Tech University, Ruston, Louisiana, USA.

Background: Frequencies of normal and abnormal heart sounds have previously been reported, but the acoustic analyses of the frequency responses of conventional and amplified stethoscopes for different heart sounds have not yet been reported.

Objectives: To compare the acoustic analysis of frequency responses of three stethoscopes (conventional and amplified) for measuring simulated heart sounds.

Materials And Methods: This exploratory study used Starkey SLI-ST3, Cardionics E-Scope II (both electronic) and Littmann Classic S. Read More

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http://dx.doi.org/10.4103/sjmms.sjmms_118_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305673PMC

Cardiovascular Risk Factors in Patients With Congenital Heart Disease.

Authors:
Jean-Luc Bigras

Can J Cardiol 2020 Jun 22. Epub 2020 Jun 22.

Division of Pediatric Cardiology, Department of Pediatrics, Sainte-Justine UHC, University of Montreal, Montreal, Quebec, Canada. Electronic address:

Survival of infants born with congenital heart disease (CHD) is improving tremendously and although most of them have mild lesions, others might be considered as only being palliated and undergo many medical or surgical interventions. Patients with CHD will be exposed to the same problematic of the modern lifestyle such as increased prevalence of obesity, decreased physical activities, and exposure to smoking, which leads to acquired cardiovascular disease. We specifically investigated specific cardiovascular risk factors such as: malnutrition, smoking exposure, hypertension, integrity of the coronary and systemic arteries, thromboembolism, ventricular dysfunction, inflammation, and arrhythmias. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.06.013DOI Listing

Double-Orifice Mitral Valve Associated with Bicuspid Aortic Valve and Primary Pulmonary Vein Stenosis.

CASE (Phila) 2020 Jun 12;4(3):152-154. Epub 2020 Apr 12.

Department of Cardiovascular Medicine, West Virginia University Heart and Vascular Institute, Morgantown, West Virginia.

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http://dx.doi.org/10.1016/j.case.2020.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303231PMC

Initial experience with Edwards SAPIEN valve transcatheter implantation in native RVOT in Latvia.

Acta Med Litu 2020 ;27(1):10-16

Children's Clinical University Hospital, Department of Paediatric Cardiology and Cardiac Surgery, Riga, Latvia.

Transcatheter pulmonary valve implantation has been a well-known method for more than a decade, but there are still many challenging cases when a personalized solution is needed. We report a case of a 15-year-old female patient with tetralogy of Fallot, who underwent a  surgical correction during infancy. Because of progressive pulmonary regurgitation, stenosis, and right ventricle dilatation, transcatheter pulmonary valve implantation in the native right ventricle outflow tract (RVOT) using Edwards SAPIEN valve was performed. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305804PMC
January 2020

Right ventricular outflow tract obstruction caused by a right coronary cusp prolapse: An unusual finding.

Echocardiography 2020 Jul 23;37(7):1114-1115. Epub 2020 Jun 23.

Department of Anaesthesia & Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Patients with large sub-pulmonic ventricular septal defect (VSD) present early as a results of their complications. Some present late, due to the restriction of VSD by the right coronary cusp (RCC) due to its prolapse. In this report, we present a rare case of sub-pulmonic VSD in a 33-year-old man who developed a sub-pulmonic stenosis due to the prolapse of the RCC into the right ventricular outflow tract. Read More

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http://dx.doi.org/10.1111/echo.14762DOI Listing

Atypical cardiac defects in patients with RASopathies: Updated data on CARNET study.

Birth Defects Res 2020 Jun;112(10):725-731

Pediatric Cardiology, Department of Pediatrics, Obstetrics and Gynecology, Sapienza University of Rome, Rome, Italy.

Background: RASopathies are a set of relatively common autosomal dominant clinically and genetically heterogeneous disorders. Cardiac outcomes in terms of mortality and morbidity for common heart defects (such as pulmonary valve stenosis and hypertrophic cardiomyopathy) have been reported. Nevertheless, also Atypical Cardiac Defects (ACDs) are described. Read More

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http://dx.doi.org/10.1002/bdr2.1670DOI Listing

Adult Congenital Heart Disease Outpatient Clinic. Descriptive Analysis of A 12-Year Experience in Brazil.

Braz J Cardiovasc Surg 2020 Jun 1;35(3):254-264. Epub 2020 Jun 1.

Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto Department of Internal Medicine Ribeirão Preto SP Brazil Cardiology Center of the Department of Internal Medicine, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.

Objective: Description of adult congenital heart disease (CHD) outpatient characteristics has not been reported and several aspects regarding these patients require attention. We describe the 12-year experience of a Brazilian unit.

Methods: The main characteristics of 1168 patients were reviewed annotating for each patient age, gender, city of residence, main diagnosis, functional class at last examination, defect complexity and in-hospital referral pattern. Read More

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http://dx.doi.org/10.21470/1678-9741-2019-0047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299597PMC

Prediction of Early Postoperative Major Cardiac Events and In-Hospital Mortality in Elderly Hip Fracture Patients: The Role of Different Types of Preoperative Cardiac Abnormalities on Echocardiography Report.

Clin Interv Aging 2020 27;15:755-762. Epub 2020 May 27.

Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences;School of Medicine, South China University of Technology, Guangzhou, People's Republic of China.

Introduction: Transthoracic echocardiography (TTE) is a common cardiac screening test before hip fracture surgery. However, the general TTE test delays surgery, so it would be meaningful if we could simplify the TTE by only assessing cardiac abnormality specifically. Therefore, we aimed to establish the most clinically relevant abnormality by comparing the predictive value of each major cardiac abnormality in postoperative cardiac complications and mortality in elderly hip fracture patients. Read More

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http://dx.doi.org/10.2147/CIA.S250620DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7266334PMC

Characteristics and Outcomes of Pulmonary Angioplasty With or Without Stenting for Sarcoidosis-Associated Pulmonary Hypertension: Systematic Review and Individual Participant Data Meta-Analysis.

Curr Probl Cardiol 2020 May 19:100616. Epub 2020 May 19.

John Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, LA; The University of Queensland Ochsner Clinical School, Faculty of Medicine, The University of Queensland, New Orleans, LA.

Background: Pulmonary angioplasty has been performed in patients with sarcoidosis-associated pulmonary hypertension (SAPH) but most evidence comes from case reports and small case series. Overall outcomes remain unclear. We conducted an individual participant data (IPD) meta-analysis of baseline, procedural, and outcome data of pulmonary angioplasty in patients with SAPH. Read More

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http://dx.doi.org/10.1016/j.cpcardiol.2020.100616DOI Listing

Primary repair of transposition of the great arteries with an interrupted aortic arch: a case report and literature review.

J Cardiothorac Surg 2020 Jun 11;15(1):136. Epub 2020 Jun 11.

Heart Center, Qingdao Women and Children's Hospital, Qingdao University, 6 tongfu Road, Qingdao, Shandong, China.

Transposition of the great arteries (TGA) and interruption of the aortic arch (IAA) are uncommon congenital heart diseases. The association between TGA and IAA is rare. The aim of this study is to present a case with combined TGA and IAA, who underwent the primary repair and review the literature with similar cases. Read More

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http://dx.doi.org/10.1186/s13019-020-01177-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291651PMC

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

Successful bridge to lung transplantation with transcatheter aortic valve replacement.

Am J Transplant 2020 Jun 7. Epub 2020 Jun 7.

Department of Surgery, Division of Thoracic and Cardiovascular Surgery, The University of Florida, Gainesville, Florida, USA.

End-stage lung disease and advanced cardiac conditions are frequently seen together and represent a clinical dilemma. Even though both issues may be amenable to surgical management, combining lung transplant with surgical valve repair is rarely done and theoretically associated with increased morbidity and mortality risks, especially in elderly patients. Here, we describe 2 patients presenting with end-stage lung disease and significant aortic stenosis who were successfully bridged to lung transplant via transcatheter aortic valve replacement. Read More

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http://dx.doi.org/10.1111/ajt.16103DOI Listing

Combined cardiac anomalies in Noonan syndrome: A case report.

Int J Surg Case Rep 2020 30;72:32-36. Epub 2020 May 30.

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

Introduction: Noonan syndrome is the second most common syndromic cause of congenital heart disease. Most patients have an autosomal dominant inheritance, but some cases may be sporadic. Pulmonary stenosis is the most common cardiac manifestation in Noonan syndrome, associated with the atrial septal defect and hypertrophic cardiomyopathy. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276397PMC

Transcatheter aortic valve replacement in patients with paradoxical low-flow, low-gradient aortic stenosis: Incidence and predictors of treatment futility.

Int J Cardiol 2020 Apr 13. Epub 2020 Apr 13.

Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada. Electronic address:

Background: Few and controversial data exist on the outcomes of patients with paradoxical low-flow, low-gradient aortic stenosis (PLFLG-AS) following transcatheter aortic valve replacement (TAVR). This study aims to better characterize clinical outcomes and predictors of treatment futility in PLFLG-AS patients undergoing TAVR.

Methods: In this multicenter study, 318 patients with PLFLG-AS undergoing TAVR were categorized according to treatment futility, defined as all-cause mortality, poor functional status (NYHA class III-IV) or deterioration in functional class at 1-year follow-up. Read More

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http://dx.doi.org/10.1016/j.ijcard.2020.04.036DOI Listing

"Pure" severe aortic stenosis without concomitant valvular heart diseases: echocardiographic and pathophysiological features.

Int J Cardiovasc Imaging 2020 Jun 4. Epub 2020 Jun 4.

Department of Cardiology, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.

Purpose: In echocardiography the severity of aortic stenosis (AS) is defined by effective orifice area (EOA), mean pressure gradient (mPG) and transvalvular flow velocity (maxV). The hypothesis of the present study was to confirm the pathophysiological presence of combined left ventricular hypertrophy (LVH), diastolic dysfunction (DD) and pulmonary artery hypertension (PAH) in patients with "pure" severe AS.

Methods And Results: Patients (n = 306) with asymptomatic (n = 133) and symptomatic (n = 173) "pure" severe AS (mean age 78 ± 9. Read More

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http://dx.doi.org/10.1007/s10554-020-01907-4DOI Listing