31,279 results match your criteria Pulmonic Valve


Use of benzodiazepine medications during pregnancy and potential risk for birth defects, National Birth Defects Prevention Study, 1997-2011.

Birth Defects Res 2019 Mar 19. Epub 2019 Mar 19.

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.

Background: Benzodiazepine medications can be used to treat anxiety, a condition affecting 15% of women of childbearing age in the United States. Studies have shown conflicting results for the association between benzodiazepine use during pregnancy and birth defects.

Methods: We analyzed 1997-2011 data from the National Birth Defects Prevention Study, a multisite, population-based case-control study. Read More

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http://dx.doi.org/10.1002/bdr2.1497DOI Listing
March 2019
1 Read

ST-Elevation Myocardial Infarction Associated With Infective Endocarditis.

Am J Cardiol 2019 Jan 31. Epub 2019 Jan 31.

Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.

ST-elevation myocardial infarction (STEMI) as a complication of infective endocarditis (IE) is a rarely reported entity. No clear guidelines exist with regards to the management of this medical emergency. We sought to systematically review the clinical presentation and management of this condition. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.01.033DOI Listing
January 2019

Coronary-Pulmonary Artery Fistula Ligation and Mitral Valve Repair through a Mini-Thoracotomy Approach.

Innovations (Phila) 2019 Mar 18:1556984519836868. Epub 2019 Mar 18.

1 Department of Cardiac Surgery, Asahikawa Medical University, Japan.

A 39-year-old man with severe mitral regurgitation was referred to our institution for surgical evaluation. During preoperative workup, a coronary-pulmonary artery fistula was incidentally found by computed tomography. After multidisciplinary cardiac team discussion, the decision was made to proceed with coronary-pulmonary artery fistula ligation and mitral valve repair through a mini-thoracotomy approach. Read More

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http://dx.doi.org/10.1177/1556984519836868DOI Listing

Thyroid storm and myxoedema: two reversible causes of acute heart failure.

Acute Med 2018 ;17(4):229-231

Department of Intensive Medicine, Unidade de Saúde Local de Matosinhos, Matosinhos, Portugal.

Cardiovascular signs and symptoms can prevail in both hypothyroidism and hyperthyroidism. Case 1: 30-year-old female with acute right heart failure as first manifestation of Graves' disease. It illustrates some of its cardiovascular complications, particularly pulmonary hypertension, tricuspid regurgitation, atrial fibrillation, mitral valve prolapse and mitral regurgitation. Read More

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January 2018

Sex-Specific Determinants of Outcomes After Transcatheter Aortic Valve Replacement.

Circ Cardiovasc Qual Outcomes 2019 Mar;12(3):e005363

Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Montreal, QC, Canada (A.T., J.A.).

Background Women account for a large proportion of patients treated with transcatheter aortic valve replacement, yet there remain conflicting reports about the effect of sex on outcomes. Moreover, the sex-specific prevalence and prognostic impact of frailty has not been systematically studied in the context of transcatheter aortic valve replacement. Methods and Results A preplanned analysis of the FRAILTY-AVR study (Frailty Aortic Valve Replacement) was performed to analyze the determinants of outcomes in older women and men undergoing transcatheter aortic valve replacement. Read More

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http://dx.doi.org/10.1161/CIRCOUTCOMES.118.005363DOI Listing

A European study on decellularized homografts for pulmonary valve replacement: initial results from the prospective ESPOIR Trial and ESPOIR Registry data†.

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiac, Thoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Objectives: Decellularized pulmonary homografts (DPH) have shown excellent results for pulmonary valve replacement. However, controlled multicentre studies are lacking to date.

Methods: Prospective European multicentre trial evaluating DPH for pulmonary valve replacement. Read More

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http://dx.doi.org/10.1093/ejcts/ezz054DOI Listing

Severe right ventricular dilatation after repair of Tetralogy of Fallot is associated with increased left ventricular preload and stroke volume.

Eur Heart J Cardiovasc Imaging 2019 Mar 14. Epub 2019 Mar 14.

The Heart Centre for Children, The Children's Hospital at Westmead, Corner of Hawkesbury Road and Hainsworth Street, Westmead, New South Wales 2145, Australia.

Aims: Pulmonary regurgitation (PR) and right ventricular (RV) dilatation are common in repaired tetralogy of Fallot (rTOF). Left ventricular (LV) dysfunction is an important risk factor in rTOF. The effect of PR/RV dilatation on LV performance and RV-LV interactions in rTOF are incompletely understood. Read More

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http://dx.doi.org/10.1093/ehjci/jez035DOI Listing
March 2019
1 Read

In Silico Performance of a Recellularized Tissue Engineered Transcatheter Aortic Valve.

J Biomech Eng 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, USA 55905, phone: +1 (507)-266-5120.

Commercially available heart valves have many limitations, such as a lack of re-modeling, risk of calcification and thromboembolic problems. Many state-of-the-art tissue engineered heart valves rely on recellularization. Current in vitro testing is insufficient in characterizing a soon to be living valve. Read More

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http://dx.doi.org/10.1115/1.4043209DOI Listing

Right-heart catheterization using antecubital venous access in patients with complex congenital heart defects and Glenn anastomosis.

Turk Kardiyol Dern Ars 2019 Mar;47(2):103-110

Department of Pediatric Cardiology, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.

Objective: Right-heart catheterization using the antecubital veins has recently regained attention, and studies demonstrating the feasibility and safety of antecubital access in adults have been published. However, no changes have been observed in the preferred entrance sites in right-heart catheterizations in children with congenital heart diseases. This article is a description of the technique and features of the antecubital venous approach in pediatric patients with complex congenital heart defects and a Glenn anastomosis. Read More

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http://dx.doi.org/10.5543/tkda.2019.70558DOI Listing
March 2019
1 Read

Interventional therapy in patients with severe emphysema: evaluation of contraindications and their incidence.

Ther Adv Respir Dis 2019 Jan-Dec;13:1753466619835494

Pneumology and Critical Care Medicine, Thoraxklinik at University of Heidelberg, Heidelberg, Germany, and Translational Lung Research Center Heidelberg (TLRCH, German Center for Lung Research), Heidelberg, Germany.

Background:: Endoscopic and surgical interventions may be beneficial for selected patients with emphysema. Rates of treatment failure decrease when the predictors for successful therapy are known. The aim of the study was to evaluate the number of patients with severe emphysema who were not eligible for any intervention, and the reasons for their exclusion. Read More

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http://dx.doi.org/10.1177/1753466619835494DOI Listing
March 2019
1 Read

Isolated myxoid degeneration of aortic valve: diagnostic dilemma.

BMJ Case Rep 2019 Mar 14;12(3). Epub 2019 Mar 14.

Department of Internal Medicine, Hurley Medical Center/ Michigan State University, Flint, MI, USA.

Myxoid degeneration of the aortic valve as a cause of acute aortic valve regurgitation in young age is uncommon. We report a 39-year-old African-American man with a history of epilepsy and hypertension who presented with a 1-month history of worsening shortness of breath. He was diagnosed with acute pulmonary oedema. Read More

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http://dx.doi.org/10.1136/bcr-2018-228414DOI Listing
March 2019
1 Read

An in-vitro study to evaluate high-volume low-pressure endotracheal tube cuff deflation dynamics.

Minerva Anestesiol 2019 Mar 12. Epub 2019 Mar 12.

Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.

Background: High-volume low-pressure (HVLP) endotracheal tube (ETT) cuffs for critically ill patients often deflate during the course of mechanical ventilation. We performed an in-vitro study to comprehensively assess HVLP cuff deflation dynamics and potential preventive measures.

Methods: We evaluated 24-h deflation of 7 HVLP cuffs of cylindrical or tapered shape, and made of polyvinylchloride or polyurethane. Read More

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http://dx.doi.org/10.23736/S0375-9393.19.13133-1DOI Listing
March 2019
1 Read

Protective effect of remote ischemic pre-conditioning on patients undergoing cardiac bypass valve replacement surgery: A randomized controlled trial.

Exp Ther Med 2019 Mar 21;17(3):2099-2106. Epub 2019 Jan 21.

Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, P.R. China.

Remote ischemic pre-conditioning (RIPC) may have a protective effect on myocardial injury associated with cardiac bypass surgery (CPB). The objective of the present study was to investigate the effect of RIPC on ischemia/reperfusion (I/R) injury and to assess the underlying mechanisms. A total of 241 patients who underwent valve replacement were randomly assigned to receive either RIPC (n=121) or control group (n=120). Read More

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http://dx.doi.org/10.3892/etm.2019.7192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396008PMC

Sacubitril/valsartan can improve exercise performance in systolic chronic heart failure patients: a case report.

Curr Med Res Opin 2019 Mar;35(sup1):3-5

a Centro Cardiologico Monzino, IRCCS , Milan , Italy.

Objective: The cardiopulmonary exercise test (CPET) provides functional prognostic parameters for patients with chronic heart failure (CHF), such as peak volume of oxygen (VO) and minute ventilation/carbon dioxide production (VE/VCO) slope. Sacubitril/valsartan (LCZ696) has been recently approved for CHF patients as it reduces cardiovascular (CV) deaths and hospitalization for heart failure (HF). However, the potential beneficial effects of this therapy on exercise performance have been poorly investigated to date. Read More

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http://dx.doi.org/10.1080/03007995.2019.1576480DOI Listing
March 2019
1 Read

Impact of volume reduction in giant left atrium during surgical ablation of atrial fibrillation.

J Thorac Dis 2019 Jan;11(1):84-92

Department of Cardiology, Sejong Heart Institute, Sejong General Hospital, Bucheon, Republic of Korea.

Background: An enlarged left atrium (LA) is a well-known risk factor for ablation failure of atrial fibrillation (AF). We analyzed the result of concomitant AF ablation in patients with a giant LA and evaluated the effect of LA volume reduction.

Methods: Between 2000 and 2011, 116 patients with a giant LA (antero-posterior dimension ≥70 mm) who underwent surgical AF ablation during MV surgery were retrospectively reviewed. Read More

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http://dx.doi.org/10.21037/jtd.2018.12.118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384332PMC
January 2019

Atrial septal defect causing angina.

Asian Cardiovasc Thorac Ann 2019 Mar 12:218492319836869. Epub 2019 Mar 12.

Dr. Ram Manohar Lohia Hospital, Post Graduate Institute of Medical Education and Research, New Delhi, India.

Left coronary artery compression syndrome is characterized by compression of the left main coronary artery between the aorta and an enlarged main pulmonary artery. A 39-year-old woman presented with angina with dyspnea on exertion for two years. Detailed investigations revealed an atrial septal defect, valvular lesions, and severe pulmonary hypertension with left main coronary artery compression. Read More

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http://dx.doi.org/10.1177/0218492319836869DOI Listing
March 2019
2 Reads

Mortality from heart diseases following occupational radiation exposure: analysis of the National Registry for Radiation Workers (NRRW) in the United Kingdom.

J Radiol Prot 2019 Mar 12;39(2):327-353. Epub 2019 Mar 12.

Statistically significant increases in heart disease (HD) mortality with cumulative recorded occupational radiation dose from external sources were observed among 174 541 subjects, who were predominately exposed to protracted low doses over a number of years, and were followed up until the end of 2011 in the UK National Registry for Radiation Workers (NRRW) cohort. Amongst the subtypes of HD, the increasing trends with cumulative dose arose for ischaemic heart disease (IHD) and other HD (which includes pulmonary HD, valve disorders, cardiomyopathy, cardiac dysrhythmias, carditis, conduction disorder and ill-defined HD). For IHD, the increased mortality appears to be at least 20 years after first exposure and the excess risk peaked between 30 and 40 years after the first exposure. Read More

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http://dx.doi.org/10.1088/1361-6498/ab02b2DOI Listing
March 2019
1.702 Impact Factor

Multimodality imaging in ischaemic heart failure.

Lancet 2019 Mar;393(10175):1056-1070

Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands.

In heart failure, extensive evaluation with modern non-invasive imaging modalities is needed to assess causes, pathophysiology, and haemodynamics, to determine prognosis and consider therapeutic options. This systematic evaluation includes a stepwise assessment of left ventricular size and function, the presence and severity of coronary artery disease, mitral regurgitation, pulmonary hypertension, right ventricular dilation and dysfunction, and tricuspid regurgitation. Based on this imaging-derived information, the need for specific therapies besides optimised medical therapy can be determined. Read More

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http://dx.doi.org/10.1016/S0140-6736(18)33207-0DOI Listing
March 2019
2 Reads

The effects of pulmonary valve replacement on QRS duration in repaired tetralogy of Fallot patients with pulmonary regurgitation.

J Electrocardiol 2019 Feb 27;54:36-39. Epub 2019 Feb 27.

Ahmanson/UCLA Adult Congenital Heart Disease Center, Division of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States of America. Electronic address:

Introduction: Chronic pulmonary regurgitation (PR) following surgical correction in Tetralogy of Fallot (TOF) leads to right ventricular (RV) dysfunction, arrhythmias and sudden cardiac death (SCD). Pulmonary valve replacement (PVR) decreases PR and improves RV function, but data regarding QRS duration reduction remain scarce.

Methods: All adult TOF patients undergoing transcatheter PVR or surgical PVR from 2010 to 2016 were included. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2019.02.010DOI Listing
February 2019
1 Read

Tricuspid Valve Infective Endocarditis Due to in Intravenous Drug User.

Hawaii J Med Public Health 2019 Mar;78(3):98-102

The Queen's Medical Center, Honolulu, HI; and John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.

Infective endocarditis is a high morbidity-mortality condition despite advancements in supportive care and medical therapy. One of the strongest risk factors is intravenous drug use, which has high prevalence in the Hawai'i population. is a rare but aggressive pathogen causing infective endocarditis. Read More

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March 2019
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Echocardiographic parameters of severe pulmonary regurgitation after surgical repair of tetralogy of Fallot.

Congenit Heart Dis 2019 Mar 7. Epub 2019 Mar 7.

Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands.

Aims: Reliable evaluation of the severity and consequences of pulmonary regurgitation (PR) in patients with repaired tetralogy of Fallot (TOF) is crucial to timely identify the need for pulmonary valve intervention. We aimed to identify the accuracy of echocardiographic parameters to differentiate between moderate and severe PR, using phase contrast cardiac magnetic resonance imaging (CMR) as gold standard.

Methods And Results: In this cross-sectional study, 45 TOF patients with both echocardiographic and CMR measurements of PR were enrolled. Read More

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http://dx.doi.org/10.1111/chd.12762DOI Listing
March 2019
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Influence of Transvalvar Pressure Gradient on Hinge Washing in Closed Mechanical Prosthetic Cardiac Valves Under Pulmonary Pressure Conditions: A Comparative In Vitro Study.

World J Pediatr Congenit Heart Surg 2019 Mar;10(2):145-150

1 Center for Congenital Heart Diseases, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

Objective:: Hinge washing is a crucial factor in the prevention of mechanical prosthetic valvar thrombosis, especially in the pulmonary valve position. The aim of this laboratory study was to determine the relationship between pressure difference and the amount of hinge washing in the closed position, using the pressures that are normal for the right ventricle and pulmonary artery.

Methods:: In an in vitro setting, four different bileaflet mechanical valves were tested for hinge washing in closed position. Read More

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http://dx.doi.org/10.1177/2150135118818760DOI Listing
March 2019
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Total Anomalous Pulmonary Venous Connection Beyond the First Decade of Life.

World J Pediatr Congenit Heart Surg 2019 Mar;10(2):185-191

1 Departments of Cardiothoracic and Vascular Surgery, Cardiology, All India Institute of Medical Sciences, New Delhi, India.

Objective:: We report our experience with surgery for total anomalous pulmonary venous connection (TAPVC) beyond first decade of life.

Methods:: Between January 1987 and July 2017, 98 patients ≥ten years underwent TAPVC repair. Their detailed case-records were analyzed. Read More

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http://journals.sagepub.com/doi/10.1177/2150135118822792
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http://dx.doi.org/10.1177/2150135118822792DOI Listing
March 2019
2 Reads

Porcine Versus Pericardial Pulmonary Valve Replacement in Adults With Prior Congenital Cardiac Surgery: Midterm Outcomes.

World J Pediatr Congenit Heart Surg 2019 Mar;10(2):197-205

2 Department of Cardiothoracic Surgery, Queen Mary Hospital, Hong Kong.

Background:: Postcongenital heart surgery pulmonary regurgitation requires subsequent pulmonary valve replacement. We sought to compare the outcomes of pulmonary valve replacement after using bioprosthetic valves, porcine versus pericardial bioprosthesis.

Method:: Retrospective single-center study of consecutive pulmonary valve replacement in patients with pulmonary regurgitation following initial congenital cardiac surgery. Read More

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http://dx.doi.org/10.1177/2150135118825113DOI Listing

β2-Adrenoceptors and GRK2 as Potential Biomarkers in Patients With Chronic Pulmonary Regurgitation.

Front Pharmacol 2019 19;10:93. Epub 2019 Feb 19.

Departamento de Farmacología, Facultad de Farmacia, Universitat de València, Valencia, Spain.

Pulmonary regurgitation (PR) is a frequent complication after repair of congenital heart disease. Three different GRK isoforms (GRK2, GRK5, and GRK3) and two β-adrenoceptors (β1-AR and β2-AR) are present in peripheral blood mononuclear cells (PBMC) and their expression changes as a consequence of the hemodynamic and neurohumoral alterations that occur in some cardiovascular diseases. Therefore, they could be useful as biomarkers in PR. Read More

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http://dx.doi.org/10.3389/fphar.2019.00093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390728PMC
February 2019

Intra-hospital transport of critically ill patients with rapid response team and risk factors for cardiopulmonary arrest: A retrospective cohort study.

PLoS One 2019 5;14(3):e0213146. Epub 2019 Mar 5.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.

Introduction: This study aimed to determine the occurrence rate and risk factors of cardiopulmonary arrest (CPA) during intra-hospital transport (IHT) among critically ill patients, accompanied by a rapid response team (RRT).

Methods: We performed a retrospective cohort study in a 1300-bed tertiary-care teaching hospital. Data of all admitted patients transported within the hospital and accompanied by the RRT from October 2012 to May 2016 were included. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213146PLOS
March 2019
2 Reads

Evaluation of myocardial function in neonatal sepsis using tissue Doppler imaging.

J Matern Fetal Neonatal Med 2019 Mar 5:1-5. Epub 2019 Mar 5.

a Pediatrics Department , Beni-Suef University , Beni Suef , Egypt.

Background: Neonatal sepsis is an important cause of neonatal morbidity and mortality especially in developing countries. Cardiac dysfunction is a major complication of severe sepsis and occurs as a part of multiple organ failure.

Objective: To asses right and left ventricular functions in neonates with sepsis using tissue Doppler imaging (TDI). Read More

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http://dx.doi.org/10.1080/14767058.2019.1583739DOI Listing
March 2019
1 Read

Pulmonary artery banding in a cat with a perimembranous ventricular septal defect and left-sided congestive heart failure.

J Am Vet Med Assoc 2019 Mar;254(6):723-727

CASE DESCRIPTION A 6-month-old sexually intact male domestic shorthair cat was referred for evaluation of a heart murmur and ventricular septal defect (VSD). CLINICAL FINDINGS Physical examination revealed a grade 5/6 right apical systolic heart murmur. Findings on thoracic radiography were consistent with moderate right and left ventricular enlargement, left atrial enlargement, and enlargement of the pulmonary arteries and veins; an interstitial pulmonary pattern was also evident. Read More

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http://dx.doi.org/10.2460/javma.254.6.723DOI Listing
March 2019
1 Read

Carcinoid Heart Disease: Review of Current Knowledge.

Tex Heart Inst J 2019 02 1;46(1):21-27. Epub 2019 Feb 1.

Carcinoid heart disease is the collective term for all cardiac manifestations in patients who have carcinoid syndrome. Carcinoid heart disease has a multifactorial pathophysiology, and the right side of the heart is usually involved. Symptoms and signs vary depending upon the affected cardiac components; most typical is right-sided heart failure secondary to diseased tricuspid and pulmonary valves. Read More

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http://dx.doi.org/10.14503/THIJ-17-6562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378997PMC
February 2019
1 Read

Mid-term outcome of severe tricuspid regurgitation: are there any differences according to mechanism and severity?

Eur Heart J Cardiovasc Imaging 2019 Mar 4. Epub 2019 Mar 4.

Cardiac Imaging Unit, Cardiology Department, Ramón y Cajal University Hospital, Carretera de Colmenar Km 9, 100, Madrid, Madrid, Spain.

Aims: Patients with significant tricuspid regurgitation (TR) addressed according the new classification in torrential TR may have different prognosis compared with just severe TR patients. We sought to determine distribution and mechanism of consecutive severe TR patients, in accordance with aetiology and severity by applying the new proposed classification scheme and their long-term outcomes.

Methods And Results: Between January and December 2013, 249 patients with significant TR referred to the cardiac imaging unit (mean age 79. Read More

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http://dx.doi.org/10.1093/ehjci/jez024DOI Listing
March 2019
2 Reads

Myxomatous mitral valve disease in the miniature poodle: A retrospective study.

Vet J 2019 Feb 19;244:94-97. Epub 2018 Dec 19.

Department of Veterinary Clinical Sciences, North Carolina State University, Raleigh, NC, 27607, USA.

Myxomatous mitral valve disease (MMVD) is the most common cardiovascular disease in the dog. The natural history of the disease is wide ranging and includes patients without clinical signs as well as those with significant clinical consequences from cardiac arrhythmias, pulmonary hypertension and/or congestive heart failure. The factors that determine which dogs remain asymptomatic and which develop clinical disease are not known. Read More

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http://dx.doi.org/10.1016/j.tvjl.2018.12.019DOI Listing
February 2019
1 Read

Age-Related 2-Year Mortality After Transcatheter Aortic Valve Replacement: the Young TAVR Registry.

Mayo Clin Proc 2019 Feb 26. Epub 2019 Feb 26.

INOVA Heart and Vascular Institute, Fairfax, VA; Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.

Objective: To comparatively assess the natural history of patients of different ages undergoing transcatheter aortic valve replacement (TAVR).

Patients And Methods: For this study, we used the YOUNG TAVR, an international, multicenter registry investigating mortality trends up to 2 years in patients with aortic valve stenosis treated by TAVR, classified according to 3 prespecified age groups: 75 years or younger (n=179), 76 to 86 years (n=602), and older than 86 years (n=221). A total of 1002 patients undergoing TAVR were included. Read More

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http://dx.doi.org/10.1016/j.mayocp.2019.01.008DOI Listing
February 2019
1 Read
6.262 Impact Factor

Antenatal ultrasound diagnosis of small bowel non-rotation in complex left isomerism: a case report.

Int J Surg Case Rep 2019 19;56:32-36. Epub 2019 Feb 19.

Westmead Institute for Maternal and Fetal Medicine, Westmead Hospital, Sydney, NSW, 2145, Australia; The University of Sydney, Sydney Medical School, Sydney, NSW, Australia. Electronic address:

Presentation Of Case: A multiparous expectant mother was referred to our tertiary unit at 23 weeks with a complex fetal cardiac anomaly in the context of suspected heterotaxy syndrome. The cardiac findings were consistent with isomerism: the fetal cardiac position was levocardia with a single functioning double outlet ventricle and AV valve, pulmonary stenosis, and interrupted inferior vena cava (IVC) with azygous continuation. The fetal abdominal situs was also altered, with the stomach to the right, and the hepatobiliary system midline to left. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.11.069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393701PMC
February 2019
1 Read

Diagnosis and Management of a Cardiac Amyloidosis Case Mimicking Hypertrophic Cardiomyopathy.

Cureus 2018 Dec 18;10(12):e3749. Epub 2018 Dec 18.

Internal Medicine, American University of Integrative Sciences, Tucker, BRB.

Cardiac amyloidosis is an acquired heart disease secondary to the deposition of β-pleated amyloid proteins in heart tissue. Amyloid light chain (AL) amyloidosis is usually secondary to multiple myeloma and can rapidly deteriorate cardiac function, with high mortality. Up to 50% of AL patients have cardiac involvement presenting as heart failure, conduction abnormalities, and cardiomyopathies. Read More

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http://dx.doi.org/10.7759/cureus.3749DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388819PMC
December 2018
2 Reads

Pulmonary vein stenosis after valve replacement surgery.

Med Intensiva 2019 Feb 25. Epub 2019 Feb 25.

Unidad de Cuidados Intensivos, Hospital Vithas Parque San Antonio, Málaga, España.

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http://dx.doi.org/10.1016/j.medin.2019.01.004DOI Listing
February 2019
1 Read

[Effect of multistage surgery in patients with functional single ventricle and risk factors of postoperative death].

Zhonghua Xin Xue Guan Bing Za Zhi 2019 Feb;47(2):141-150

Heart Center, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510623, China.

To investigate the efficacy of multistage surgery in patients with functional single ventricle (FSV) and risk factors of postoperative death. The clinical data of all consecutive patients with FSV undergoing multistage single ventricle palliation surgery in Guangzhou women and children's medical center from January 2008 to December 2017 were retrospectively reviewed. The study included 289 patients. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3758.2019.02.011DOI Listing
February 2019
2 Reads

Postoperative thrombotic effects of tranexamic acid in open heart surgery.

Ir J Med Sci 2019 Feb 28. Epub 2019 Feb 28.

Department of Anesthesiology and Intensive Care, Health Sciences University Medical School, Istanbul, Turkey.

Background: Following the administration of tranexamic acid, the occurrence of thromboembolic events is a controversial issue.

Aims: In this retrospective cohort study, we aimed to determine the possible thromboembolic complications due to tranexamic acid as a prophylactic method in patients undergoing open heart surgery.

Methods: The data of 172 adult patients undergoing open heart surgery were analyzed. Read More

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http://link.springer.com/10.1007/s11845-019-01991-z
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http://dx.doi.org/10.1007/s11845-019-01991-zDOI Listing
February 2019
4 Reads

Characterization of biventricular alterations in myocardial (reverse) remodelling in aortic banding-induced chronic pressure overload.

Sci Rep 2019 Feb 27;9(1):2956. Epub 2019 Feb 27.

Department of Surgery and Physiology, University of Porto, Porto, Portugal.

Aortic Stenosis (AS) is the most frequent valvulopathy in the western world. Traditionally aortic valve replacement (AVR) has been recommended immediately after the onset of heart failure (HF) symptoms. However, recent evidence suggests that AVR outcome can be improved if performed earlier. Read More

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http://dx.doi.org/10.1038/s41598-019-39581-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393473PMC
February 2019

Training in cardiac surgery using human cadavers: Effectiveness of "Silent Teachers".

J Card Surg 2019 Feb 27. Epub 2019 Feb 27.

Department of Cardiovascular and Thoracic Diseases, Anatomy Unit, Bouake Teaching Hospital, Bouake, Cote d'Ivoire.

Background: Surgical skills acquisition in cardiac surgery requires consistent and hard practice. Furthermore, training using cadaver is advocated as a means of transferring learned skills to the operating room and recreate surgical situations for trainees to practice and hone their skills. We expose our experience in training for cardiac surgical procedures using human cadavers. Read More

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http://dx.doi.org/10.1111/jocs.14005DOI Listing
February 2019
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Asymptomatic Right Ventricular Hypoplasia in Twin Siblings: A Normal Variant or Cause of Early Mortality?

Case Rep Pediatr 2019 21;2019:6871340. Epub 2019 Jan 21.

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

Right ventricular (RV) hypoplasia may develop secondary to pulmonary or tricuspid valve atresia. These patients are usually symptomatic early in life and need prompt intervention. Isolated RV hypoplasia is a rare congenital heart disease. Read More

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http://dx.doi.org/10.1155/2019/6871340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360540PMC
January 2019
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Outcomes of Anticoagulation Therapy in Adults With Tetralogy of Fallot.

J Am Heart Assoc 2019 Mar;8(5):e011474

1 Department of Cardiovascular Medicine Mayo Clinic Rochester MN.

Background Available outcomes data for anticoagulation therapy in adults with congenital heart disease ( CHD ) provide assessment of global risk of this therapy for CHD patients (a heterogeneous population), but the risk of complications for the different CHD diagnoses is unknown. The purpose of the study was to describe the indications for anticoagulation, and the incidence and risk factors for major bleeding complication in adults with tetralogy of Fallot. Methods and Results We queried Mayo Adult Congenital Heart Disease (MACHD) database for tetralogy of Fallot patients (aged ≥18 years) that received anticoagulation, 1990-2017. Read More

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http://dx.doi.org/10.1161/JAHA.118.011474DOI Listing
March 2019
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Fetal and postnatal echocardiographic imaging of transposition of the great arteries with the aortic valve posterior to the pulmonary valve.

Echocardiography 2019 Feb 23. Epub 2019 Feb 23.

Section of Pediatric Cardiology, Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.

Transposition of the great arteries (TGA) with a posterior aorta is an uncommon but historically important variant of TGA. In this arrangement, the aorta is posterior to the pulmonary valve, maintains fibrous continuity with the mitral valve, and arises from the right ventricle. We present a case of fetal echocardiography demonstrating TGA with a posterior aorta. Read More

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http://dx.doi.org/10.1111/echo.14292DOI Listing
February 2019

Small-Group Activity to Reinforce the Impact of Valvular Defects and Heart Failure on Cardiac Pressure-Volume Relationships.

MedEdPORTAL 2018 Feb 6;14:10675. Epub 2018 Feb 6.

Professor of Physiology, Biomedical Science Division, Marian University College of Osteopathic Medicine.

Introduction: An important topic in cardiac physiology is the relationship between changes in intracardiac pressures and volumes during the cardiac cycle. This topic lends itself well to utilizing active learning principles to facilitate student understanding of pressure and volume changes in normal cardiac physiology and in the pathophysiology of valve disease and heart failure. We describe an active learning exercise regarding this topic that engages and facilitates student learning in a small-group setting. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342338PMC
February 2018

Biventricular Repair in Patients With Borderline Left Heart-The "Growing" Experience.

Authors:
Sitaram M Emani

World J Pediatr Congenit Heart Surg 2019 01;10(1):18-19

1 Children's Hospital Boston, Boston, MA, USA.

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http://dx.doi.org/10.1177/2150135118819418DOI Listing
January 2019
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Surgical Outcomes of Biventricular Repair for Hypoplastic Left Ventricle With Congenital Mitral Valve Stenosis.

World J Pediatr Congenit Heart Surg 2019 01;10(1):11-17

1 Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Objective: Surgical outcomes of biventricular repair for hearts with hypoplastic left ventricle with congenital mitral valve stenosis are described. Serial changes of left ventricular geometry and clinical features after biventricular repair were reviewed.

Methods: Eight patients with hypoplastic left ventricle and congenital mitral valve stenosis who underwent first surgical intervention for biventricular circulation in neonatal or infantile period between 2001 and 2014 comprise the study population. Read More

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http://dx.doi.org/10.1177/2150135118808748DOI Listing
January 2019
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IMPACT Registry and National Pediatric Cardiology Quality Improvement Collaborative: Contributions to Quality in Congenital Heart Disease.

World J Pediatr Congenit Heart Surg 2019 01;10(1):72-80

3 Division of Pediatric Cardiology, Children's Healthcare of Atlanta-Emory University, Atlanta, GA, USA.

The IMproving Pediatric and Adult Congenital Treatments (IMPACT) Registry and the National Pediatric Cardiology Quality Improvement Collaborative (NPC-QIC) are two efforts initiated to improve outcomes in the congenital heart disease field. The IMPACT Registry is focused on evaluating the use, risks, adverse events (AEs), and outcomes associated with diagnostic and common interventional catheterization procedures in all children and adults with congenital heart disease. Utilizing a modular approach, the common procedures include diagnostic cardiac catheterization, atrial septal defect device closure, patent ductus arteriosus device closure, pulmonary valvuloplasty, aortic valvuloplasty, balloon and stent angioplasty of coarctation of the aorta, pulmonary artery balloon stent angioplasty, transcatheter pulmonary valve replacement, and electrophysiology procedures including radiofrequency ablation. Read More

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http://dx.doi.org/10.1177/2150135118815059DOI Listing
January 2019
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Preservation of a Regurgitant Quadricuspid Pulmonary Autograft by the David-Procedure.

Ann Thorac Surg 2019 Feb 21. Epub 2019 Feb 21.

Sana Cardiac Surgery, Stuttgart, Germany.

We report the case in which a quadricuspid pulmonary valve was used for the Ross operation in a young male patient. The patient demonstrated severe pulmonary autograft regurgitation due to neosinus of Valsalva aneurysm 16 years after primary operation. Preservation of the quadricuspid pulmonary autograft was performed by the David procedure resulting in a competent valve function. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.037DOI Listing
February 2019

Transcatheter pulmonary valvuloplasty in neonates with pulmonary atresia and intact ventricular septum.

Arch Cardiovasc Dis 2019 Feb 20. Epub 2019 Feb 20.

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

Background: Transcatheter pulmonary valvuloplasty in neonates with pulmonary atresia and intact ventricular septum (PA-IVS) or duct-dependent pulmonary valve stenosis (DD-PVS) has become a reasonable alternative to surgical right ventricle decompression.

Aim: To investigate mid-term outcomes following pulmonary valvuloplasty.

Methods: Sixty-five neonates with PA-IVS (n=29) or DD-PVS (n=36) (median age 4 days; mean weight 3. Read More

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http://dx.doi.org/10.1016/j.acvd.2018.11.015DOI Listing
February 2019
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