11,130 results match your criteria Tricuspid Regurgitation


Burden of Tricuspid Regurgitation in Patients Undergoing Coronary Artery Bypass Grafting.

Ann Thorac Surg 2020 Jun 1. Epub 2020 Jun 1.

Division of Thoracic & Cardiovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, VA. Electronic address:

Background: Tricuspid regurgitation (TR) is associated with poor outcomes following cardiac surgery. Guidelines recommend correction of severe TR in patients undergoing left sided valve surgery but not coronary artery bypass grafting (CABG). We sought to evaluate impact of TR on outcomes following CABG. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.038DOI Listing

Association between mitral regurgitation and clinical outcome after endovascular thrombectomy in stroke patients.

Neurol Res 2020 Jun 4:1-7. Epub 2020 Jun 4.

Department of Neurology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.

Objective: Some hyperacute stroke patients have unfavorable outcomes after endovascular thrombectomy (EVT) despite successful recanalization. We hypothesized that a cardiac parameter, moderate-to-severe mitral regurgitation (MR), might decrease the rate of favorable clinical outcome after EVT in patients with atrial fibrillation (AF).

Method: From our prospective EVT registry, AF patients who underwent transthoracic echocardiography (TTE) were retrospectively analyzed. Read More

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http://dx.doi.org/10.1080/01616412.2020.1773611DOI Listing

Operative Results of Mitral Valve Repair and Replacement in Chronic Ischaemic Mitral Valve Regurgitation.

Heart Lung Circ 2020 Apr 9. Epub 2020 Apr 9.

Department of Cardiothoracic Surgery, The Prince of Wales Hospital, Sydney, NSW, Australia.

Background: Ischaemic mitral regurgitation (IMR) carries significant morbidity and mortality. Surgical management includes coronary artery bypass surgery alone or concomitant with mitral valve repair or replacement. There is ongoing debate regarding the appropriate approach to the mitral valve in relation to long-term outcomes. Read More

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http://dx.doi.org/10.1016/j.hlc.2020.03.007DOI Listing

Paradoxical low-flow phenotype in hospitalized heart failure with preserved ejection fraction.

Int J Cardiol Heart Vasc 2020 Jun 28;28:100539. Epub 2020 May 28.

Cardiology Unit and LTTA Centre, University of Ferrara, Italy.

Background: Low flow (LF) in heart failure with preserved ejection fraction (HFpEF) is a paradox but is associated with worse prognosis. Determinants of LF in HFpEF have not been clarified but their assessment could corroborate recognition and definition of such a paradoxical condition.

Methods: A cohort of 193 patients hospitalized with HFpEF was retrospectively studied and divided in a group with LF (N = 45), defined by a left ventricular (LV) stroke volume index (SVI) < 30 ml/m, and a group with normal flow (N = 148). Read More

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http://dx.doi.org/10.1016/j.ijcha.2020.100539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262439PMC

Ebstein anomaly combined with unique pulmonary venous abnormality in a 9-month-old child.

Cardiol Young 2020 Jun 2:1-3. Epub 2020 Jun 2.

Division of Pediatric Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock, AR, USA.

Ebstein anomaly is a rare CHD known for its wide spectrum of presentation with the age of diagnosis dependent on the malformation's severity. Here, the authors describe a case of delayed diagnosis of Ebstein anomaly, secondary to lack of medical attention, which resulted in severe tricuspid regurgitation and pulmonary hypertension. Furthermore, the case was complicated by a unique pulmonary venous abnormality. Read More

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http://dx.doi.org/10.1017/S1047951120001249DOI Listing

The Year in Perioperative Echocardiography: Selected Highlights From 2019.

J Cardiothorac Vasc Anesth 2020 May 16. Epub 2020 May 16.

Department of Anesthesiology, UCSD Medical Center - Sulpizio Cardiovascular Center, La Jolla, CA. Electronic address:

This article is the fourth of an annual series reviewing the research highlights of the year pertaining to the subspecialty of perioperative echocardiography for the Journal of Cardiothoracic and Vascular Anesthesia. The authors thank the editor-in-chief, Dr. Kaplan, and the editorial board, for the opportunity to continue this series. Read More

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http://dx.doi.org/10.1053/j.jvca.2020.03.058DOI Listing

Utility of a Leadless Pacemaker as a Backup to Left Ventricle-only Pacing in a Patient with Prior Device-related Severe Tricuspid Regurgitation.

J Innov Card Rhythm Manag 2019 Jul 15;10(7):3733-3736. Epub 2019 Jul 15.

Department of Cardiology, NorthShore University HealthSystem, Evanston, IL, USA.

The contribution of endocardial cardiac device leads to severe tricuspid regurgitation (TR) has become increasingly recognized. Current strategies for treating cardiac device lead-related TR have limitations. We present a case of a pacemaker-dependent patient with severe TR as a complication of multiple cardiac device leads who underwent laser lead extraction, which was followed by implantation of a dual-chamber pacemaker with a coronary sinus lead for left ventricular pacing and a leadless transcatheter pacemaker for backup right ventricular (RV) pacing. Read More

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http://dx.doi.org/10.19102/icrm.2019.100706DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252799PMC

Diastology: 2020-A practical guide.

Authors:
Sherif F Nagueh

Echocardiography 2020 Jun 1. Epub 2020 Jun 1.

Methodist DeBakey Heart and Vascular Center, Houston, TX, USA.

Left ventricular (LV) diastolic function can be most conveniently assessed by echocardiography which provides reliable assessments of LV structure and function. Most patients with structural heart disease have variable degrees of myocardial dysfunction. LV structural changes as pathologic hypertrophy and systolic functional abnormalities as depressed LV long-axis systolic function are associated with diastolic dysfunction. Read More

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http://dx.doi.org/10.1111/echo.14742DOI Listing

[Surgical Repair without Ventriculotomy for Double-chambered Right Ventricle in a 61-year-old Man;Report of a Case].

Kyobu Geka 2020 Jun;73(6):441-444

Department of Cadiovascular Surgely, Odawara Cadiovascular Hospital, Odawara, Japan.

A 61-year-old man with double-chambered right ventricle( DCRV) was operated on successfully without ventriculotomy. The patient presented with cardiac murmur and electrocardiogram abnormality with exertional dyspnea. Echocardiography demonstrated double-chambered right ventricle with severe tricuspid valve regurgitation. Read More

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Tricuspid valve geometry in patients with functional tricuspid regurgitation: A three-dimensional echocardiographic study.

Echocardiography 2020 May 29. Epub 2020 May 29.

Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Tricuspid valve (TV) has a complex anatomy causing some difficulties in echocardiographic evaluation. In this study, we sought to assess the geometry of TV in patients with functional tricuspid regurgitation (TR) by the implementation of 2- and 3-dimennsional (2D and 3D) echocardiography.

Methods: In a case-control study, the geometrical features of TV were evaluated in forty patients with functional TR using echocardiographic examinations, and those data compared with twenty-five age- and sex-matched healthy individuals. Read More

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http://dx.doi.org/10.1111/echo.14747DOI Listing

Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure.

Echocardiography 2020 May 29. Epub 2020 May 29.

Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Tricuspid valve (TV) degeneration after surgical repair with an annuloplasty ring is problematic as redo operation carries high mortality. This can be addressed with transcatheter therapies to implant a valve within in prior ring (tricuspid valve-in-ring). When an incomplete ring is present, paravalvular leak is commonly encountered after tricuspid valve-in-ring (TViR) implant; however, this can be addressed with paravalvular leak closure devices. Read More

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http://dx.doi.org/10.1111/echo.14743DOI Listing

Effect of tricuspid regurgitation and right ventricular dysfunction on long-term mortality in patients undergoing cardiac devices implantation: >10-year follow-up study.

Int J Cardiol 2020 May 26. Epub 2020 May 26.

Echocardiography Laboratory, Barts Heart Centre, St Bartholomew's Hospital, London, UK; University College London Hospitals NHS Trust, London, UK; Institute of Cardiovascular Science, UCL, London, UK; William Harvey Research Institute, Queen Mary University of London, London, UK. Electronic address:

Background: The long-term effect of tricuspid regurgitation (TR) after device implantation on long-term mortality remains unknown. In the present study, we sought to examine whether patients undergoing an implantable cardiac device procedure (pacemaker, cardiac defibrillator or cardiac resynchronisation therapy) have an increased risk of TR and to determine the effect of this on long-term survival.

Methods: A total of 304 patients who underwent device implant and had pre- and post-implant transthoracic echocardiogram were included in the analysis. Read More

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http://dx.doi.org/10.1016/j.ijcard.2020.05.062DOI Listing

Impact of right ventricular impairment on morbidity and mortality in takotsubo syndrome-a meta-analysis of observational trials.

Heart Fail Rev 2020 May 28. Epub 2020 May 28.

Department of Cardiology, University of Iowa Health Care, Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, 52242, USA.

The impact of right ventricular impairment (RVI) on the morbidity and mortality of patients with Takotsubo syndrome (TTS) is well-debated. We conducted a meta-analysis to evaluate the mortality and morbidity risk associated with RVI compared with those without RVI in patients with TTS. A comprehensive search was performed in PubMed and Embase from inception to April 19, 2019. Read More

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http://dx.doi.org/10.1007/s10741-020-09981-5DOI Listing

Transcatheter therapies for severe tricuspid regurgitation. Quo vadis?

Herz 2020 May 28. Epub 2020 May 28.

Department of General and Interventional Cardiology, Helios Klinikum Erfurt, Nordhäuser Str. 74, 99089, Erfurt, Germany.

Moderate-to-severe tricuspid regurgitation (TR) is common and is associated with a poor prognosis. To date, most patients are undertreated; therefore, transcatheter options could be clinically impactful in those who are denied surgery. Several transcatheter solutions have been developed that address the problem via leaflet enhancement, annuloplasty, or heterotopic implantation of self-expandable or balloon-expandable valves in the caval veins. Read More

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http://dx.doi.org/10.1007/s00059-020-04941-zDOI Listing

Effect of transcatheter closure by Amplatzer Duct Occluder II in patients with small ventricular septal defect.

Cardiovasc Interv Ther 2020 May 27. Epub 2020 May 27.

Pediatric Cardiac Center, College of Medicine, Queen Sirikit National Institute of Child Health, Rangsit University, Bangkok, Thailand.

Transcatheter closure of ventricular septal defect (VSD) is an alternative treatment of surgery. However, because of the potential risk of the complete atrioventricular block (AVB) and the lack of available dedicated devices for VSD, this procedure rarely used most centers. Recently in Thailand, with distinct device design that may cause less clamp force and radial force, the AmplatzerDuct Occluder (ADO) II has become available for the closure of small VSDs. Read More

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http://dx.doi.org/10.1007/s12928-020-00677-zDOI Listing

Impact of right atrium dimension on adverse outcome after pulmonary valve replacement in repaired Tetralogy of Fallot patients.

Int J Cardiovasc Imaging 2020 May 27. Epub 2020 May 27.

Fondazione G. Monasterio CNR-Regione Toscana, Massa, Italy.

The hemodynamic impact of residual pulmonary regurgitation (PR) in repaired Tetralogy of Fallot (rTOF) has been well demonstrated. However, markers driving the decision making process to indicate the ideal timing of pulmonary valve replacement (PVR) are still uncertain. Furthermore, very few studies have included the right atrium (RA) dilatation as a preoperative risk factor for post-PVR clinical adverse outcome. Read More

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http://dx.doi.org/10.1007/s10554-020-01891-9DOI Listing

Transcatheter closure of paravalvular leaks: short and medium-term outcomes.

Arch Cardiol Mex 2020 ;90(2):122-129

Departamento de Cardiología Intervencionista, Instituto Nacional de Cardiología Ignacio Chávez. Ciudad de México, México.

Background: Paravalvular leak is a frequent and important complication after surgical valvular replacement that can cause heart failure, hemolytic anemia and is associated with poor clinical outcomes. Surgical reoperation has been the standard treatment, but it is associated with high morbidity and mortality. Transcatheter closure is a therapeutic alternative. Read More

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http://dx.doi.org/10.24875/ACM.19000169DOI Listing
January 2020

Traumatic tricuspid regurgitation in a pediatric patient: Is an an early diagnosis possible?

Arch Cardiol Mex 2020 ;90(2):230-232

Servicio de Cirugía Cardíaca Pediátrica, Hospital Universitario Vall d'Hebron. Barcelona, España.

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http://dx.doi.org/10.24875/ACM.19000176DOI Listing
January 2020

Comparisons of perventricular device closure, conventional surgical repair, and transcatheter device closure in patients with perimembranous ventricular septal defects: a network meta-analysis.

BMC Surg 2020 May 26;20(1):115. Epub 2020 May 26.

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, P.R. China.

Background: Treatments for perimembranous ventricular septal defects (pmVSD) mainly include conventional surgical repair (CSR), transcatheter device closure (TDC), and perventricular device closure (PDC). We aimed to perform a network meta-analysis to compare the three approaches in patients with pmVSD.

Methods: We searched for comparative studies on device closure and conventional repair for pmVSD to April 2020. Read More

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http://dx.doi.org/10.1186/s12893-020-00777-wDOI Listing

Effect of Atrioventricular Valve Repair on Multistage Palliation Results of Single Ventricle Defects.

Ann Thorac Surg 2020 May 23. Epub 2020 May 23.

Department of Cardiothoracic Surgery, University of Louisville. Electronic address:

Background: The presence of significant atrioventricular valve (AVV) regurgitation results in unfavorable conditions that affect the success of single ventricle (SV) multistage palliation. We report our institution's AVV repair experience.

Methods: We examined incidence of AVV repair in 603 infants who underwent initial SV palliation surgery from 2002-12. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.03.126DOI Listing

A novel double-balloon catheter for percutaneous balloon pulmonary valvuloplasty under echocardiographic guidance only.

J Cardiol 2020 May 22. Epub 2020 May 22.

National Center for Cardiovascular Disease, China and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ,100037, China. Electronic address:

Background: Percutaneous balloon pulmonary valvuloplasty (PBPV) is the procedure of choice for uncomplicated severe or symptomatic pulmonary stenosis. Echocardiography (echo)-guided PBPV can completely avoid the use of radiation and contrast agents compared to fluoroscopy-guided PBPV. Although we have confirmed that echo-guided PBPV is feasible in humans, the poor visibility of the traditional catheter under echo greatly limits the promotion of this new technology. Read More

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http://dx.doi.org/10.1016/j.jjcc.2020.03.014DOI Listing

Ascending aorta mechanics in bicuspid aortopathy: controversy or fact?

Asian Cardiovasc Thorac Ann 2020 May 25:218492320928731. Epub 2020 May 25.

Biomechanics Laboratory, Center of Clinical, Experimental Surgery, and Translational Research, Biomedical Research Foundation of the Academy of Athens, Athens, Greece.

Bicuspid aortic valve is the most common congenital cardiovascular defect, often associated with proximal aortic dilatation, and the ideal management strategy is debated. The inconsistency in previous and present guideline recommendations emphasizes the insufficiency of the maximal diameter as the sole criterion for prophylactic repair. Our ability to guide clinical decisions may improve through an understanding of the mechanical properties of ascending thoracic aortic aneurysms in bicuspid compared to tricuspid aortic valve patients and non-aneurysmal aortas, because dissection and rupture are aortic wall mechanical failures. Read More

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http://dx.doi.org/10.1177/0218492320928731DOI Listing

An analysis of factors influencing pulmonary artery catheter passage through the tricuspid and pulmonary valves.

JA Clin Rep 2020 May 23;6(1):38. Epub 2020 May 23.

Anesthesiology Service, Sakurabashi-Watanabe Hospital, 2-4-32 Umeda, Kita-ku, Osaka, 530-0001, Japan.

Purpose: A pulmonary artery catheter (PAC) has to pass the tricuspid and pulmonary valves for its proper placement. Although several factors were reported to hinder the placement, there have been no reports to identify the factors that prolong the individual time for passing through each valve.

Method: We individually measured the time required for a PAC to pass through the tricuspid and pulmonary valves. Read More

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http://dx.doi.org/10.1186/s40981-020-00344-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7245599PMC

Impact of tricuspid annuloplasty on postoperative changes in the right ventricular systolic and diastolic function: A retrospective cohort study.

J Card Surg 2020 May 22. Epub 2020 May 22.

Division of Cardiovascular Surgery, Funabashi Municipal Medical Center Heart and Vascular Institute, Funabashi, Japan.

Objectives: To elucidate the impact of regulation of tricuspid regurgitation (TR) using tricuspid annuloplasty on postoperative changes in right ventricular (RV) systolic and diastolic functions.

Methods: We enrolled 69 patients who underwent aortic or mitral valve surgery between July 2016 to March 2018 without recurrence. Patients with concomitant coronary artery bypass grafting or a history of previous cardiovascular surgery were excluded, remaining 45 patients enrolled. Read More

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http://dx.doi.org/10.1111/jocs.14611DOI Listing

Aortic Valve Repair for Aortic Insufficiency or Dilatation: Technical Evolution and Long-term Outcomes.

Ann Thorac Surg 2020 May 8. Epub 2020 May 8.

Department of Thoracic- and Cardiovascular Surgery, Siegburg Heart Center, Germany. Electronic address:

Background: Aortic valve repair is an attractive alternative to valve replacement for the treatment of aortic valve insufficiency. Hereby, we report on the mid-term outcomes after aortic valve repair for aortic valve insufficiency with emphasis on durability of repair.

Methods: Between 1996 and 2017, 560 consecutive patients (mean age 56 ± 16 years) underwent various aortic valve repair procedures on tricuspid (n=415, 74%) and bicuspid aortic valve (n=145, 26%). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.03.105DOI Listing

Normalization of the right heart and the preoperative factors that influence the emergence PAH after surgical closure of atrial septal defect.

J Cardiothorac Surg 2020 May 20;15(1):105. Epub 2020 May 20.

Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Background: Surgical closure of atrial septal defect (ASD) is contraindicated in the condition with severe pulmonary arterial hypertension (PAH), whereas ASD closure in an effective intervention to normalize the structure and function of the right heart after previously experiencing volume overload due to shunting from the defect. This study aimed to evaluate normalization of the right heart and emergence of PAH after surgical closure of ASD.

Methods: This retrospective study was carried out in 45 patients over 18 years who had undergone surgical closure of ASD. Read More

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http://dx.doi.org/10.1186/s13019-020-01148-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238627PMC

Amplatzer Piccolo Occluder clinical trial for percutaneous closure of the patent ductus arteriosus in patients ≥700 grams.

Catheter Cardiovasc Interv 2020 May 20. Epub 2020 May 20.

Cedars-Sinai Medical Center, Los Angeles, California, USA.

Objectives: Characterize the safety and effectiveness of the Amplatzer Piccolo Occluder for patent ductus arteriosus (PDA) closure.

Background: The presence of a hemodynamically significant PDA has been associated with an increased risk of morbidity and mortality in children born premature.

Methods: This was a single arm, prospective, multicenter, non-randomized study to evaluate the Amplatzer Piccolo Occluder to treat PDA in patients ≥700 g. Read More

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http://dx.doi.org/10.1002/ccd.28973DOI Listing

Imaging and Patient Selection for Transcatheter Tricuspid Valve Interventions.

Front Cardiovasc Med 2020 5;7:60. Epub 2020 May 5.

Department of Cardiology, Inselspital, University Hospital Bern, Bern, Switzerland.

With the emergence of transcatheter solutions for the treatment of tricuspid regurgitation (TR) increased attention has been directed to the once neglected tricuspid valve (TV) complex. Recent studies have highlighted new aspects of valve anatomy and TR etiology. The assessment of valve morphology along with quantification of regurgitation severity and RV function pose several challenges to cardiac imagers guiding transcatheter valve procedures. Read More

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http://dx.doi.org/10.3389/fcvm.2020.00060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214677PMC

Overcoming challenges in the management of arrhythmogenic right ventricular cardiomyopathy.

Kardiol Pol 2020 May 19;78(5):386-395. Epub 2020 May 19.

Arrhythmogenic right ventricular cardiomyopathy (ARVC) appears in most patients to be an inherited disease characterized by fibrofatty replacement of myocytes extending from the epicardium to the endocardium in the right ventricle. The disease process results in life‑threatening ventricular arrhythmias and ventricular dysfunction. In the absence of a gold‑standard diagnostic test and despite the progress in imaging techniques, ARVC is often misdiagnosed and earlier detection of the disease is challenging. Read More

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http://dx.doi.org/10.33963/KP.15374DOI Listing

A comprehensive echocardiographic method for risk stratification in pulmonary arterial hypertension.

Eur Respir J 2020 May 19. Epub 2020 May 19.

University Hospital Giessen und Marburg GmbH, Pulmonary Hypertension Division, Medical Clinic II, Giessen, Germany.

Question Addressed: Echocardiography is not currently considered as providing sufficient prognostic information to serve as an integral part of treatment goals in pulmonary arterial hypertension (PAH). We tested the hypothesis that incorporation of multiple parameters reflecting right heart function would improve the prognostic value of this imaging modality.

Methods And Main Results: We pooled individual patient data from a total of 517 patients (mean age 52±15 years, 64. Read More

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http://dx.doi.org/10.1183/13993003.00513-2020DOI Listing

A Case Report of Acute Heart Failure Due to Infective Aortic Endocarditis Diagnosed by Point-of-care Ultrasound.

Clin Pract Cases Emerg Med 2020 May 27;4(2):193-196. Epub 2020 Apr 27.

University of Kansas Health System, Department of Emergency Medicine, Kansas City, Kansas.

Introduction: Infective endocarditis (IE) is a life-threatening condition with significant morbidity and mortality, and can require surgical repair.

Case Report: A 36-year-old man presented to the emergency department for worsening dyspnea and chest pain. Point-of-care echocardiography demonstrated a mobile oscillating mass on the aortic valve with poor approximation of the valve leaflets, suggesting aortic valve insufficiency secondary to IE as the cause of acute heart failure. Read More

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http://dx.doi.org/10.5811/cpcem.2020.3.45002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220014PMC

Cardiac overload resolved by resection of a large plexiform neurofibroma on both the buttocks and upper posterior thighs in a patient with neurofibromatosis type I: a case report.

BMC Surg 2020 May 18;20(1):106. Epub 2020 May 18.

Department of Medical Science and Cardiorenal Medicine, Yokohama City University, School of Medicine, Yokohama, Japan.

Background: A large plexiform neurofibroma in patients with neurofibromatosis type I can be life threatening due to possible massive bleeding within the lesion. Although the literature includes many reports that describe the plexiform neurofibroma size and weight or strategies for their surgical treatment, few have discussed their possible physical or mental benefits, such as reducing cardiac stress. In addition, resection of these large tumors can result in impaired wound healing, partly due to massive blood loss during surgery. Read More

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http://dx.doi.org/10.1186/s12893-020-00761-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236506PMC

Atrioventricular Valve Regurgitation in Single Ventricle Heart Disease: A Common Problem Associated With Progressive Deterioration and Mortality.

J Am Heart Assoc 2020 Jun 16;9(11):e015737. Epub 2020 May 16.

Department of Pediatrics The Heart Institute Cincinnati Children's Hospital Medical Center University of Cincinnati College of Medicine Cincinnati OH.

The Fontan procedure has provided patients with single ventricle physiology extended survival into adulthood and in many cases has improved their quality of life. Atrioventricular valve regurgitation (AVVR) is common in single ventricle patients and is associated with increased risk of mortality. AVVR is more common in patients with a systemic tricuspid or common atrioventricular valve but is generally progressive irrespective of underlying valve morphology. Read More

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http://dx.doi.org/10.1161/JAHA.119.015737DOI Listing

Commentary: Transcatheter tricuspid valve interventions for treating isolated tricuspid regurgitation: Toward a new gold standard?

J Thorac Cardiovasc Surg 2020 Mar 19. Epub 2020 Mar 19.

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

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http://dx.doi.org/10.1016/j.jtcvs.2020.02.119DOI Listing

Interventional tricuspid valve repair after failed surgical tricuspid valve reconstruction.

Can J Cardiol 2020 May 12. Epub 2020 May 12.

Medizinische Klinik und Poliklinik I, Ludwig-Maximilians University Munich, Marchioninistraße 15, D-81377 Munich, Germany. Electronic address:

Tricuspid valve regurgitation is an independent predictor of increased mortality. Especially in elderly patients, tricuspid valve surgery is associated with high perioperative risks. Despite new therapeutic options with transcatheter valve repair, anatomical complexities especially resulting from pre-operated valves still remain everyday challenges. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.04.044DOI Listing

4D MDCT in the assessment of the tricuspid valve and its spatial relationship with the right coronary artery: A customized tool based on computed tomography for the planning of percutaneous procedures.

J Cardiovasc Comput Tomogr 2020 Apr 11. Epub 2020 Apr 11.

Leiden University Medical Center, LUMC, Department of Cardiology, Leiden, the Netherlands. Electronic address:

Multidetector computed tomography (MDCT) is currently the imaging technique of choice for the assessment of tricuspid valve (TV) annulus geometry and relationship with the right coronary artery (RCA). However, standardized protocols with a full 3D analysis are still lacking to plan percutaneous procedures for functional tricuspid regurgitation (FTR). A novel customized 4-dimensional tool based on MDCT data was developed and provided accurate information on TV annulus morphology (3D-perimeter, 2D-Area, maximum and minimum diameters, eccentricity index), function and distance to the RCA, crucial for patient selection of percutaneous TV procedures. Read More

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http://dx.doi.org/10.1016/j.jcct.2020.04.003DOI Listing

Additional cusp reconstruction does not compromise valve durability and mid-term survival after the David procedure: results from 449 patients.

Eur J Cardiothorac Surg 2020 May 14. Epub 2020 May 14.

Department of Cardiac Surgery, Sana Cardiac Surgery, Stuttgart, Germany.

Objectives: The aim of this study was to evaluate whether additional cusp interventions and valve types affect aortic valve-related reoperation and mortality rates after the David procedure.

Methods: Between 1997 and 2018, a total of 449 patients {372 males; mean age 54.2 [standard deviation (SD) 15. Read More

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http://dx.doi.org/10.1093/ejcts/ezaa149DOI Listing

Percutaneous Treatment of a Four-Leaf Clover Valve Using the MitraClip Technology.

Can J Cardiol 2019 Dec 16. Epub 2019 Dec 16.

Cardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy.

Percutaneous treatment of tricuspid valve regurgitation using MitraClip can be performed safely achieving improvement in reduction of regurgitation. Tricuspid valve shows different anatomic variations, in particular regarding the number of leaflets, which could represent a challenge for transcatheter valve intervention. We present a case of massive tricuspid regurgitation in a 4-leaf clover valve. Read More

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http://dx.doi.org/10.1016/j.cjca.2019.12.006DOI Listing
December 2019

A prognostic nomogram for event-free survival in patients with atrial fibrillation before cardiac resynchronization therapy.

BMC Cardiovasc Disord 2020 May 13;20(1):221. Epub 2020 May 13.

Chinese Academy of Medical Sciences & Peking Union Medical College Fuwai Hospital, No. 167, Beilishi Rd, Xicheng District, Beijing, 100037, China.

Background: Atrial fibrillation (AF), one of the most common comorbidities of heart failure (HF), is associated with worse long-term prognosis in HF patients receiving cardiac resynchronization therapy (CRT). However, there is still no convenient tool to identify CRT candidates with AF who are at high risk of mortality and hospitalization due to HF.

Methods: We included 152 consecutive patients with AF for CRT in our hospital from January 2009 to July 2019. Read More

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http://dx.doi.org/10.1186/s12872-020-01502-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222436PMC

Modified unicaval drainage in reoperative isolated tricuspid valve repair via totally thoracoscopic approach.

Perfusion 2020 May 13:267659120915659. Epub 2020 May 13.

Department of Cardiovascular Surgery, Guangdong Provincial People's Hospital, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Academy of Medical Sciences, Guangzhou, P.R. China.

Aim: The aim of this study was to investigate the feasibility, safety, and clinical effect of modified unicaval drainage for thoracoscopic reoperative isolated tricuspid valve repair, compared with conventional bicaval drainage.

Methods: A total of 45 consecutive cases of patients who underwent thoracoscopic reoperative isolated tricuspid valve repair on beating-heart were enrolled and divided into two groups according to the different venous drainage (Group A: modified unicaval drainage, Group B: conventional bicaval drainage). A retrospective analysis of perioperative data and clinical outcomes were performed and all the surviving cases were followed up. Read More

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http://dx.doi.org/10.1177/0267659120915659DOI Listing

Adult Ventricular Septal Defect Repair Using a Robotic Totally Endoscopic Approach: A Case Report.

Innovations (Phila) 2020 May 14:1556984520922978. Epub 2020 May 14.

12246 Section of Cardiac Surgery, Department of Surgery, University of Chicago Medicine, IL, USA.

The growth and advancement of minimally invasive cardiac surgery in recent years has allowed robotic and totally endoscopic procedures to become safe and effective options for the treatment of patients with various diseases of the heart. However, despite these advances, outcome data for robotic correction of congenital cardiac anomalies are scarce. This is particularly true for robotic ventricular septal defect (VSD) repair with initial experiences only recently having been published by a single group. Read More

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http://dx.doi.org/10.1177/1556984520922978DOI Listing

Echocardiography and MRI parameters associated with exercise capacity in patients after the arterial switch operation.

J Cardiol 2020 May 10. Epub 2020 May 10.

University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address:

Background: The arterial switch operation (ASO) for transposition of the great arteries has excellent survival, but a substantial number of patients suffer from a reduced exercise capacity. The goal of this study was to identify imaging parameters associated with a reduced exercise capacity in patients after ASO.

Methods: A retrospective analysis was performed of ASO patients who underwent cardiopulmonary exercise testing (CPET) between 2007 and 2017. Read More

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http://dx.doi.org/10.1016/j.jjcc.2020.02.025DOI Listing

Does atrial fibrillation affect the tricuspid annulus 3D geometry in patients without severe valve regurgitation?

Eur Heart J Cardiovasc Imaging 2020 May 13. Epub 2020 May 13.

Department of Cardiac, Neurological and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, San Luca Hospital, Piazzale Brescia, 20, 20149 Milan, Italy.

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http://dx.doi.org/10.1093/ehjci/jeaa082DOI Listing

Impact of tricuspid regurgitation on postoperative outcomes after non-cardiac surgeries.

Open Heart 2020 21;7(1):e001183. Epub 2020 Apr 21.

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

Objective: Tricuspid regurgitation (TR) severity has known adverse implications, its impact on patients undergoing non-cardiac surgery (NCS) remains unclear. We sought to determine the impact of TR on patient outcomes after NCS.

Methods: We performed a retrospective cohort study in patients undergoing NCS. Read More

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http://dx.doi.org/10.1136/openhrt-2019-001183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204555PMC

[Cardiac Surgery for Mitral Regurgitation Associated with Essential Thrombocythemia].

Kyobu Geka 2020 May;73(5):353-357

Department of Cardiovascular Surgery, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.

An 80-year-old woman with essential thrombocythemia was diagnosed with severe mitral regurgitation and moderate tricuspid regurgitation. Preoperatively, she had been treated with hydroxycarbamide and low-dose aspirin since her platelet count was high( 96.2×104/μl). Read More

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Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity.

Int J Occup Med Environ Health 2020 May 11. Epub 2020 May 11.

University of Zurich, Zurich, Switzerland (Institute of Primary Care).

Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon race held in 2010, but dropped out of the competition due to acute cardiac problems manifested after 16 h of running and having completed a distance of 129 km. Read More

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http://dx.doi.org/10.13075/ijomeh.1896.01535DOI Listing

Tricuspid Regurgitation in Adults after Repair of Right Ventricular Outflow Obstructive Lesions.

Pediatr Cardiol 2020 May 11. Epub 2020 May 11.

Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.

We determined the prevalence and factors associated with tricuspid regurgitation (TR) in adults with repair of right ventricular (RV) outflow obstruction. A total of 256 patients (128 males) were studied at 25.7 ± 7. Read More

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http://dx.doi.org/10.1007/s00246-020-02366-3DOI Listing
May 2020
1.550 Impact Factor

Tricuspid Valve Regurgitation in Patients Undergoing Pericardiectomy for Constrictive Pericarditis.

Semin Thorac Cardiovasc Surg 2020 May 7. Epub 2020 May 7.

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.

We hypothesized that tricuspid valve regurgitation was associated with increased risk of mortality after pericardiectomy for constrictive pericarditis. We reviewed the records of 518 patients who received pericardiectomy for constrictive pericarditis between January 2000 and December 2016. We excluded cases of radiation induced constrictive pericarditis, tuberculous-related constrictive pericarditis, and concomitant tricuspid valve intervention. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2020.03.003DOI Listing

Transcatheter management of valvular regurgitation beyond the aortic valve (mitral - tricuspid valve): Literature overview and future perspectives.

Hellenic J Cardiol 2020 May 6. Epub 2020 May 6.

Department of Interventional Cardiology, Onassis Cardiac Surgery Center.

The growth of the available transcatheter treatment approaches for the mitral and tricuspid position was accompanied by important clinical trials and studies through the last years. The selection of appropriate candidates for transcatheter techniques requires significant insight on the anatomical limitations of each patient undergoing clinical evaluation. Furthermore, the technological characteristics of the available devices, and the risks and benefit of each potential therapy, play the most important role in the physician's decision. Read More

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http://dx.doi.org/10.1016/j.hjc.2020.04.016DOI Listing