3,973 results match your criteria Ventricular Aneurysm Imaging


3D printing in adult cardiovascular surgery and interventions: a systematic review.

J Thorac Dis 2020 Jun;12(6):3227-3237

Department of Cardiovascular Surgery, Jinling Hospital, Nanjing University, School Medicine, Nanjing 210002, China.

3D printing in adult cardiac and vascular surgery has been evaluated over the last 10 years, and all of the available literature reports benefits from the use of 3D models. In the present study, we analyzed the current applications of 3D printing for adult cardiovascular disease treated with surgical or catheter-based interventions, including the clinical medical simulation of physiological or pathology conducted with 3D printing in this field. A search of PubMed and MEDLINE databases were supplemented by searching through bibliographies of key articles. Read More

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http://dx.doi.org/10.21037/jtd-20-455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330795PMC

A case report: a rare case of severe aortic incompetence.

Eur Heart J Case Rep 2020 Jun 26;4(3):1-5. Epub 2020 May 26.

Hero DMC (Dayanand Medical College) Heart Institute, Civil Lines, DMC Road, Tagore Nagar, Ludhiana, Punjab 141001, India.

Background: Aneurysms of the sinus of Valsalva (SOV) are thin-walled outpouchings most commonly involving the right or non-coronary sinuses. Because they are asymptomatic, they are rarely discovered before they rupture and form an aorto-cardiac fistula. We present a rare case of unruptured aneurysm of the right coronary SOV burrowing into the interventricular septum with severe aortic incompetence and left ventricular dysfunction. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319804PMC

From Infectious Endocarditis to Ventricular Pseudo-Aneurysm.

Circ Cardiovasc Imaging 2020 Jul 1;13(7):e010265. Epub 2020 Jul 1.

Cardiac Surgery Department (Y.B., M.F., L.C., N.d'O.), University Hospital, Clermont-Ferrand, France.

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http://dx.doi.org/10.1161/CIRCIMAGING.119.010265DOI Listing

Left ventricular systolic dyssynchrony in patients with Kawasaki disease: a real-time three-dimensional echocardiography study.

Int J Cardiovasc Imaging 2020 Jun 11. Epub 2020 Jun 11.

The Department of Ultrasound Medicine, The First Affiliated Hospital, Xi'an Jiaotong University, No 277, Yanta West Road, Xi'an, 710061, Shaanxi Province, China.

The left ventricular (LV) systolic dyssynchrony index (SDI) is an important prognostic indicator for many cardiovascular diseases; however, the characteristics of the SDI in patients with Kawasaki disease (KD) are unknown. In this study, we aimed to identify and quantify the SDI using real-time three-dimensional echocardiography (RT3DE) in KD patients during different phases. In addition, we intended to explore whether the SDI is associated with systolic dysfunction. Read More

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http://dx.doi.org/10.1007/s10554-020-01909-2DOI Listing

Obstructive sleep apnoea but not central sleep apnoea is associated with left ventricular remodelling after acute myocardial infarction.

Clin Res Cardiol 2020 Jun 9. Epub 2020 Jun 9.

Department of Internal Medicine II, University Medical Centre Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Germany.

Obejctive: Obstructive sleep apnoea (OSA) increases left ventricular transmural pressure more than central sleep apnoea (CSA) owing to negative intrathoracic pressure swings. We tested the hypothesis that the severity of OSA, and not CSA, is therefore associated with spheric cardiac remodelling after acute myocardial infarction.

Methods: This sub-analysis of a prospective observational study included 24 patients with acute myocardial infarction who underwent primary percutaneous coronary intervention. Read More

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http://dx.doi.org/10.1007/s00392-020-01684-zDOI Listing

Diagnosis of double-chambered left ventricle using echocardiography.

Echocardiography 2020 Jun 8. Epub 2020 Jun 8.

Heart Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijng, China.

Double-chambered left ventricle (DCLV) is a particularly rare congenital cardiovascular malformation that is difficult to diagnose. It is characterized by the subdivision of the left ventricle into two chambers by an abnormal septum or muscle band. Here, we report 12 patients with DCLV. Read More

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http://dx.doi.org/10.1111/echo.14699DOI Listing
June 2020
1.254 Impact Factor

TGFBR1 Rare Variant Associated With Thoracic Aortic Aneurysm, Double Chamber Left Ventricle, Coronary Anomaly, and Inducible Ventricular Tachycardia.

Circ Cardiovasc Imaging 2020 Jun;13(6):e010084

Division of Cardiology (K.B.-J., N.B.M., D.R., S.N., I.A.E., D.K., R.W.S., S.K.P.), Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston.

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http://dx.doi.org/10.1161/CIRCIMAGING.119.010084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285880PMC

Ruptured cerebral mycotic aneurysm in a left ventricular assist device patient with bacteremia.

Int J Artif Organs 2020 May 30:391398820925493. Epub 2020 May 30.

Division of Cardiac Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

A 50-year-old male with a history of nonischemic dilated cardiomyopathy presented in cardiogenic shock and ultimately underwent durable left ventricular assist device implantation. He recovered well initially but developed persistent bacteremia. His indwelling pacemaker leads were extracted due to evidence of vegetation. Read More

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http://dx.doi.org/10.1177/0391398820925493DOI Listing

Myocardial Cut-off Sign is a Sensitive and Specific Cardiac Computed Tomography and Magnetic Resonance Imaging Sign to Distinguish Left Ventricular Pseudoaneurysms From True Aneurysms.

J Thorac Imaging 2020 May 15. Epub 2020 May 15.

Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.

Purpose: The purpose of this study was to describe the myocardial cut-off sign, assess its ability to distinguish left ventricular pseudoaneurysms (LV PSAs) from true aneurysms (LVAs), and compare its performance with other imaging findings and quantitative measurements used to differentiate LV PSAs from LVAs.

Materials And Methods: This retrospective single-center study identified patients with preoperative cardiac computed tomography (CT) or magnetic resonance imaging (MRI) and surgically confirmed LVAs or LV PSAs over a 10-year period. Seventeen LV PSAs (11 MRI, 6 CT) and 18 LVAs (10 MRI, 8 CT) were included. Read More

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http://dx.doi.org/10.1097/RTI.0000000000000525DOI Listing
May 2020
1.489 Impact Factor

Coexisting left ventricular aneurysm and pseudoaneurysm after inferior wall myocardial infarction.

Eur Heart J Cardiovasc Imaging 2020 May 19. Epub 2020 May 19.

Department of Heart Disease, Haukeland University Hospital, PO Box 1400, N-5021 Bergen, Norway.

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http://dx.doi.org/10.1093/ehjci/jeaa103DOI Listing

Caudal vena cava aneurysm in a cat with Eisenmenger Syndrome.

J Vet Med Sci 2020 Jun 15;82(6):784-787. Epub 2020 May 15.

Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, 05029, 120, Neungdong-ro, Gwangjin-gu, Seoul, Republic of Korea.

A seven-month-old cat was referred for evaluation of exercise intolerance and open-mouth breathing. Based on ultrasonographic examination, caudal vena cava (CVC) aneurysm associated with right congestive heart failure resulting from congenital heart disease was diagnosed. Conservative treatment for alleviating pulmonary hypertension mildly improved the clinical signs and decreased the heart size and CVC aneurysm diameter. Read More

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http://dx.doi.org/10.1292/jvms.19-0518DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324822PMC

Left Ventricular Aneurysm in a Child After Recovering From Dilated Cardiomyopathy.

World J Pediatr Congenit Heart Surg 2020 Jul 13;11(4):515-517. Epub 2020 May 13.

Department of Cardiac Imaging, Inova Children's Hospital, Falls Church, VA, USA.

Left ventricular aneurysms are extremely rare in children. A child developed an aneurysm a year after recovering from idiopathic dilated cardiomyopathy. The initial management was conservative. Read More

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http://dx.doi.org/10.1177/2150135120908208DOI Listing

A case of giant main pulmonary artery aneurysm associated with complicated congenital heart disease and simultaneous chronic pulmonary artery dissection.

J Cardiothorac Surg 2020 May 12;15(1):87. Epub 2020 May 12.

Department of Radiology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Qingyang District, Chengdu, 610072, Sichuan, China.

Background: Pulmonary artery aneurysm (PAA), usually associated with congenital heart disease (CHD), is a very rare clinical condition. Pulmonary artery dissection (PAD) is considered the most life-threatening complication of PAA, and patients can progress from being asymptomatic to sudden death. We report the following case of PAA associated with complicated congenital heart disease and simultaneous chronic PAD. Read More

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http://dx.doi.org/10.1186/s13019-020-01139-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216660PMC

Nowhere to Hide.

Circ Cardiovasc Imaging 2020 May 13;13(5):e009643. Epub 2020 May 13.

Department of Cardiology, Princess Royal University Hospital, Orpington, United Kingdom (A.H., M.G., M.A.).

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http://dx.doi.org/10.1161/CIRCIMAGING.119.009643DOI Listing

Dexamethasone inhibits regeneration and causes ventricular aneurysm in the neonatal porcine heart after myocardial infarction.

J Mol Cell Cardiol 2020 May 5;144:15-23. Epub 2020 May 5.

National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore. Electronic address:

Aims: Recently, we demonstrated that the hearts of neonatal pigs (2-day old) have regenerative capacity, likely driven by cardiac myocyte division, but this potential is lost immediately after postnatal day 3. However, it is unknown if corticosteroid, a broad anti-inflammatory agent, will abrogate the regenerative capacity in the hearts of neonatal pigs. The aim of the current study is to evaluate the effect Dexamethasone (Dex), a broad anti-inflammatory agent, on heart regeneration, structure, and function of the neonatal pigs' post-myocardial infarction (MI). Read More

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http://dx.doi.org/10.1016/j.yjmcc.2020.04.033DOI Listing

Prevalence and clinical significance of cardiovascular magnetic resonance adenosine stress-induced myocardial perfusion defect in hypertrophic cardiomyopathy.

J Cardiovasc Magn Reson 2020 05 4;22(1):30. Epub 2020 May 4.

Department of Radiology and Cardiovascular Imaging Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.

Background: Hypertrophic cardiomyopathy (HCM) is thought to be associated with microvascular dysfunction. Adenosine stress-perfusion cardiovascular magnetic resonance imaging (CMR) is a sensitive method for assessing microvascular perfusion abnormalities. We evaluated the prevalence and clinical characteristics of HCM patients with adenosine-induced perfusion defects on CMR. Read More

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http://dx.doi.org/10.1186/s12968-020-00623-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199346PMC

Giant Right Coronary Artery Aneurysm Resembling Cardiac Tumor: A Case Report.

Heart Surg Forum 2020 03 24;23(2):E165-E169. Epub 2020 Mar 24.

Echocardiography and Vascular Ultrasound Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Background: Coronary artery aneurysms are not uncommon vascular anomalies, but giant coronary artery aneurysms mimicking cardiac tumors are extremely rare and easily misdiagnosed as tumors. The management and prognosis are not well defined.

Case Report: We describe a case of a 50-year-old woman, who had a transthoracic echocardiogram that suggested a cardiac tumor in the right ventricle adjacent to the tricuspid valve and without ventricular wall akinesia. Read More

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http://dx.doi.org/10.1532/hsf.2947DOI Listing

Multimodal imaging of a giant left ventricular basal aneurysm and resulting intracardiac flow disturbances.

Eur Heart J Cardiovasc Imaging 2020 May 3. Epub 2020 May 3.

Department of Radiology, Northwestern University, Feinberg School of Medicine, 737 N Michigan, Suite 1600, Chicago, IL 60611, USA.

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http://dx.doi.org/10.1093/ehjci/jeaa080DOI Listing

A smaller heart-aorta-angle associates with ascending aortic dilatation and increases wall shear stress.

Eur Radiol 2020 Apr 22. Epub 2020 Apr 22.

Department of Clinical Radiology, Clinical Imaging Center, Kuopio University Hospital, Kuopio, Finland.

Objectives: The aim of this study was to evaluate whether the orientation of the heart, measured as an angle between the long axis of the heart and ascending aorta midline (heart-aorta-angle, HAA), associates with ascending aortic (AA) dilatation. Furthermore, the association between HAA and wall shear stress (WSS) was studied.

Methods: HAA was retrospectively measured in 1000 consecutive coronary artery computed tomographic angiography (CCTA) images in patients with low-to-moderate pretest probability for coronary artery disease (CAD). Read More

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http://dx.doi.org/10.1007/s00330-020-06852-3DOI Listing

Microsurgical Clipping of Giant P3 Segment Posterior Cerebral Artery Aneurysm: 2-Dimensional Operative Video.

World Neurosurg 2020 Apr 18;139:148. Epub 2020 Apr 18.

Department of Neurosurgery, Uludag University School of Medicine, Bursa, Turkey.

Posterior cerebral artery (PCA) aneurysms comprise <2% of all intracranial aneurysms and are usually located on the P1 and P2 segments. Aneurysms of the P3 segment of the PCA are even rarer, and despite their proximity to the cerebral aqueduct, presentation with hydrocephalus is exceptional. This video demonstrates the case of a 28-year-old female patient who presented acute hydrocephalus due to a partially thrombosed, giant P3 segment PCA aneurysm. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.04.035DOI Listing

Etiological factors of spontaneous primary intraventricular hemorrhage.

Br J Neurosurg 2020 Apr 20:1-4. Epub 2020 Apr 20.

Department of Neurosurgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Spontaneous primary intraventricular hemorrhage (SPIVH) is a distinct subtype of nontraumatic intracerebral hemorrhage in the ventricular system without a recognizable parenchymal component. The purpose of this study was to analyze the etiological characteristics of SPIVH. We analyzed the records of 88 patients with SPIVH that had been evaluated and treated at our institute from January 2011 to May 2018. Read More

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http://dx.doi.org/10.1080/02688697.2020.1751067DOI Listing

A Review on the Surgical Management of Subvalvular Aneurysm.

World J Pediatr Congenit Heart Surg 2020 May;11(3):325-337

Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.

The present perspective is a synthesis of published investigations in the setting of subvalvular aortic aneurysms. We identified 75 investigations and reviewed the clinical presentation, diagnostic modalities used, surgical techniques employed, and their outcomes. Clinical presentation, radiographic findings, transthoracic and transesophageal echocardiography, electrocardiogram-gated computerized tomography, and magnetic resonance imaging provided the diagnostic information and were used to define the disease entity before surgery. Read More

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http://dx.doi.org/10.1177/2150135120907373DOI Listing

Multi-detector computed tomography in the assessment of tetralogy of Fallot patients: is it a must?

Egypt Heart J 2020 Apr 3;72(1):17. Epub 2020 Apr 3.

Aswan Heart Centre (Magdi Yacoub Foundation), Aswan, Egypt.

Background: Tetralogy of Fallot (TOF) accounts for 10% of all CHD. It classically consists of ventricular septal defect (VSD), aortic overriding, right ventricular outflow tract (RVOT) obstruction, and RV hypertrophy. There are many anatomic variants, associated intracardiac and extracardiac anomalies that must be taken into consideration when imaging and planning the surgical procedure needed. Read More

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http://dx.doi.org/10.1186/s43044-020-00047-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138870PMC

[Giant left ventricular false aneurysme revealing a silent myocardial infarction].

Ann Cardiol Angeiol (Paris) 2020 May 4;69(3):144-147. Epub 2020 Apr 4.

Service de cardiologie A, CHU Ibn Sina, Rabat, Maroc.

Left ventricular false aneurysms are rare. They are secondary to a myocardial rupture which is contained by adherent pericardium and scar tissue. LV pseudoaneurysm contains no endocardium or myocardium unlike left ventricular true aneurysm. Read More

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http://dx.doi.org/10.1016/j.ancard.2019.08.014DOI Listing

Coronary Artery Disease: From Mechanism to Clinical Practice.

Adv Exp Med Biol 2020 ;1177:1-36

Department of Cardiology, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 167 Beilishi Road, Beijing, 100037, China.

In most developed countries, coronary artery disease (CAD), mostly caused by atherosclerosis of coronary arteries, is one of the primary causes of death. From 1990s to 2000s, mortality caused by acute MI declined up to 50%. The incidence of CAD is related with age, gender, economic, etc. Read More

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http://dx.doi.org/10.1007/978-981-15-2517-9_1DOI Listing

Association between regional longitudinal strain and left ventricular thrombus formation following acute myocardial infarction.

Int J Cardiovasc Imaging 2020 Jul 29;36(7):1271-1281. Epub 2020 Mar 29.

Department of Cardiology, Herlev & Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.

Left ventricular thrombus (LVT) formation is a dangerous complication to acute myocardial infarction (MI). We hypothesized that regional longitudinal strain impairment is associated with LVT formation. We included 373 prospectively enrolled patients with ST-segment elevation MI. Read More

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http://dx.doi.org/10.1007/s10554-020-01825-5DOI Listing

Abdominal Pain: an Uncommon Presentation of Myocardial Rupture.

Arq Bras Cardiol 2020 02;114(2):319-322

Centro Hospitalar do Tâmega e Sousa, Departamento de Cardiologia, Penafiel - Portugal.

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http://dx.doi.org/10.36660/abc.20190495DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077568PMC
February 2020

Giant Coronary Artery Aneurysm Combined Coronary Right Ventricle Fistula.

Circ Cardiovasc Imaging 2020 Apr 25;13(4):e010166. Epub 2020 Mar 25.

The Second Department of Cardiac Surgery (M.L., G.C., Z.-k.W.), First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

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http://dx.doi.org/10.1161/CIRCIMAGING.119.010166DOI Listing

Management of Late-Presenting Congenital Combined Heart Defect - Bicuspid Aortic Valve and Ventricular Septal Aneurysm.

Am J Case Rep 2020 Mar 13;21:e919766. Epub 2020 Mar 13.

Department of Cardiac Surgery, University Hospital "St. Ekaterina", Sofia, Medical University, Sofia, Bulgaria.

BACKGROUND Bicuspid aortic valve is the most common congenital heart malformation, encountered in 1-2% of the population, while interventricular septal defect and patent ductus arteriosus are the most common congenital malformations associated with bicuspid aortic valve. Although bicuspid valve can have no clinical manifestation, patients with bicuspid valve are prone to develop vascular abnormalities. Aortic dilatation is the most common of these abnormalities, which in turn can lead to serious complications and often requires surgical treatment. Read More

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http://dx.doi.org/10.12659/AJCR.919766DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081954PMC

Late recurrence of a giant left ventricular pseudoaneurysm: the importance of multimodality imaging approach.

Monaldi Arch Chest Dis 2020 Mar 12;90(1). Epub 2020 Mar 12.

Cardiovascular Department, IRCCS Multimedica, Milan.

Left ventricular pseudoaneurysms (LVP) are rare but may arise after myocardial infarction, trauma or cardiac surgery, tending to expand and rupture over the time. We show the case of a 75-year-old patient with a recurrent giant ventricular pseudoaneurysm, who presented to the emergency department with sustained ventricular tachycardia. Pseudoaneurysmatic lesion was investigated through echocardiography, angiography and Cardiac Computed Tomography, in order to evaluate the size and spatial orientation of the pseudoaneurysm and to set a tailored treatment. Read More

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http://dx.doi.org/10.4081/monaldi.2020.1232DOI Listing

Multimodality Imaging for a Challenging Left Ventricular Assist Device in Double Ventricular Aneurysm.

Circ Cardiovasc Imaging 2020 Mar 12;13(3):e010035. Epub 2020 Mar 12.

Cardiothoracic Intensive Care Unit (F.C., L.B., S.A., G.M., M.G.C., M.P., E.F., F.P., A.M.S.), Cardiology and Cardiothoracic Surgery Department, San Raffaele University Hospital, Milan, Italy.

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http://dx.doi.org/10.1161/CIRCIMAGING.119.010035DOI Listing

Unusual Cause of Heart Failure in a Patient with Marfan Syndrome: A Late Complication of Bioprosthetic Valved Graft Replacement.

Tex Heart Inst J 2020 02 1;47(1):38-40. Epub 2020 Feb 1.

A high-velocity gradient across the left ventricular outflow tract is most often caused by aortic valve stenosis. We describe the unusual case of a high-velocity gradient caused by a kinked ascending aortic graft in a 69-year-old man who had Marfan syndrome. The patient had a history of ascending aortic aneurysm and had previously undergone replacement of the aortic root and ascending aorta with use of a bioprosthetic valved graft. Read More

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http://dx.doi.org/10.14503/THIJ-18-6618DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046353PMC
February 2020

Unusual presentation of left ventricular rupture.

BMJ Case Rep 2020 Feb 2;13(1). Epub 2020 Feb 2.

Cardiology, University of California San Francisco, Fresno, California, USA.

We describe a case of 49-year-old man who presented with chest pain and was diagnosed with non-ST elevation myocardial infarction. Transthoracic echocardiogram (TTE) showed severe global hypokinesis of left ventricle with ejection fraction of 25%-30%. Left heart catheterisation showed severe right coronary stenosis and focal 60%-70% distal left anterior descending artery stenosis. Read More

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http://dx.doi.org/10.1136/bcr-2019-231680DOI Listing
February 2020

Aberrant right coronary artery in a grown up congenital cardiac patient, successfully treated 46 years earlier with a double Starr-Edwards silastic ball valve replacement: a case report.

BMC Cardiovasc Disord 2020 Jan 29;20(1):37. Epub 2020 Jan 29.

Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.

Background: The Starr-Edwards ball valve prosthesis was successfully introduced in 1961-62 and largely used for aortic and mitral valve replacement. Even if Starr-Edwards valves have been widely replaced in clinical practice by other mechanical valves, they define a standard concerning long-term durability.

Case Presentation: We describe the case of a 55-year-old man referred to our Department to perform a cardiac computed tomography (CCT), to better evaluate a severe dilation of ascending aorta discovered at echocardiography. Read More

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http://dx.doi.org/10.1186/s12872-020-01351-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6990510PMC
January 2020

Is Anatomical Variations a Risk Factor for Cerebral Vasospasm in Anterior Communicating Complex Aneurysms Rupture?

Stroke 2020 03 22;51(3):998-1001. Epub 2020 Jan 22.

Department of Neuroradiology (E.S., N.-A.S., K.P., S.L., F.C.), Pitié-Salpêtrière Hospital, France.

Background and Purpose- One-third of ruptured aneurysms are located on the anterior communicating complex with high prevalence of anatomic variations of this arterial segment. In this study, we hypothesized that anatomic variations of the anterior communicating complex increase the risk of angiographic vasospasm. Methods- Retrospective study of prospectively collected data from a monocentric subarachnoid hemorrhage cohort of patients admitted to neurointensive care between 2002 and 2018. Read More

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http://dx.doi.org/10.1161/STROKEAHA.119.026661DOI Listing

Utilization of Advanced Cardiovascular Therapies in the United States and Canada: An Observational Study of New York and Ontario Administrative Data.

Circ Cardiovasc Qual Outcomes 2020 Jan 20;13(1):e006037. Epub 2020 Jan 20.

Department of Medicine (P.C., D.S.L., D.T.K.), University of Toronto, ON.

Background: Endovascular aortic aneurysm repair (EVAR), left ventricular assist device (LVAD), and transcatheter aortic valve replacement (TAVR) are expensive cardiovascular technologies with potential to benefit large numbers of patients. There are few population-based studies comparing utilization between countries. Our objective was to compare patient characteristics and utilization patterns of EVAR, LVAD, and TAVR in Ontario, Canada, and New York State, United States. Read More

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http://dx.doi.org/10.1161/CIRCOUTCOMES.119.006037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006709PMC
January 2020

Surgical treatment of mild to moderately dilated ascending aorta in bicuspid aortic valve aortopathy: the art of safety and simplicity.

J Cardiothorac Surg 2020 Jan 17;15(1):24. Epub 2020 Jan 17.

Department of Cardiovascular Surgery, First hospital, Dalian Medical University, No. 222, Zhongshan Road, Xigang District, Dalian, Liaoning, 125000, People's Republic of China.

Background: Evaluate the safety and efficacy of our modified technique of the extravascular procedure for treating mild to moderately dilated ascending aorta in patients with bicuspid aortic valve (BAV) aortopathy.

Methods: From January 2015 to December 2018,119 consecutive patients with BAV and ascending aorta dilatation (dimension 40 mm~ 45 mm) were diagnosed in our institution. Among these,49 patients received aggressive aortic valve replace (AVR) + ascending aorta wrapped (wrapped group) while the other 70 patients received AVR + ascending aorta replacement (wheat group). Read More

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http://dx.doi.org/10.1186/s13019-020-1068-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969471PMC
January 2020

Unusual case of combined aortic root replacement and repair of hypertrophic obstructive cardiomyopathy.

J Thorac Cardiovasc Surg 2020 May 26;159(5):e295-e297. Epub 2019 Oct 26.

Harefield Hospital, London, United Kingdom.

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http://dx.doi.org/10.1016/j.jtcvs.2019.09.180DOI Listing

Debranching thoracic endovascular aortic repair for distal aortic arch aneurysm in elderly patients aged over 75 years old.

J Cardiothorac Surg 2020 Jan 10;15(1):13. Epub 2020 Jan 10.

Division of Cardiovascular Surgery, Tottori University Faculty of Medicine, 36-1, Nishi-cho, Yonago, Tottori, 683-8504, Japan.

Background: We examined the outcome of debranching thoracic endovascular aortic repair (d-TEVAR) without sternotomy for distal aortic arch aneurysm in patients aged ≥75 years.

Methods: Patients who underwent d-TEVAR or TAR for aortic arch aneurysm between 2008 and 2015 at our hospital and aged ≥75 years were included. Age, sex, left ventricular ejection fraction, preoperative creatinine level, diabetes, cerebrovascular disease, and chronic obstructive pulmonary disease were matched using PS. Read More

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http://dx.doi.org/10.1186/s13019-020-1047-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6954511PMC
January 2020

Ruptured Valsalva Sinus Aneurysm with Ventricular Septal Defect and Double-Chambered Right Ventricle without Heart Failure: A Case Report.

Heart Surg Forum 2019 10 9;22(6):E429-E431. Epub 2019 Oct 9.

Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.

Valsalva sinus aneurysm and double-chambered right ventricle are both rare congenital cardiac anomalies. Ventricular septal defect may be present in approximately 50%-60% of patients with Valsalva sinus aneurysm or approximately 70%-80% of patients with double-chambered right ventricle. However, Valsalva sinus aneurysm, double-chambered right ventricle, and ventricular septal defect rarely coexist in the same patient. Read More

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http://dx.doi.org/10.1532/hsf.2463DOI Listing
October 2019

Rupture of Aortic Sinus Aneurysms Diagnosed by Left Ventricular Opacification.

Int Heart J 2020 Jan 26;61(1):186-190. Epub 2019 Dec 26.

Department of Echocardiography, The First Hospital of Jilin University.

Rupture of aortic sinus aneurysms is a rare cardiac malformation that is commonly observed in the right coronary sinus but is rarely observed in the noncoronary sinus. Here, we report a case of aneurysm of the aortic sinus that ruptured into the left ventricular outflow tract and was diagnosed with left ventricular opacification. Left heart echocardiography can clearly demonstrate the structure of the heart and is one of the important diagnostic methods for diagnosing ruptured aortic sinus aneurysms. Read More

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http://dx.doi.org/10.1536/ihj.19-271DOI Listing
January 2020

The incidence of arrhythmias during exercise stress tests among children with Kawasaki disease: A single-center case series.

Congenit Heart Dis 2019 Nov 23;14(6):1032-1036. Epub 2019 Dec 23.

The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.

Objective: Based on 2017 guidelines, participation in competitive sports with prior history of Kawasaki Disease (KD) requires those with coronary artery aneurysms (CAA) z score ≥ 5 to undergo evaluation for evidence of inducible ischemia or arrhythmias. The use of exercise stress testing (EST) to evaluate arrhythmias among KD patients has never been reported. This retrospective single-center case series study sought to describe the presence of inducible arrhythmias during EST in KD patients with or without CAA. Read More

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http://dx.doi.org/10.1111/chd.12864DOI Listing
November 2019

Apical variant hypertrophic cardiomyopathy "multimodality imaging evaluation".

Int J Cardiovasc Imaging 2020 Mar 18;36(3):553-561. Epub 2019 Dec 18.

Department of Nuclear medicine, University of Washington Medical Center, Seattle, WA, USA.

Apical variant hypertrophic cardiomyopathy (AHCM) is characterized by asymmetric hypertrophy of the left ventricular (LV) apex. T wave inversions of variable degree, particularly in the left precordial leads, and left ventricular hypertrophy (LVH) are common EKG findings in AHCM. Echocardiography is typically the initial imaging modality used in the diagnosis and evaluation of AHCM. Read More

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http://dx.doi.org/10.1007/s10554-019-01739-xDOI Listing

Detection of LV apical thrombus by three-dimensional transesophageal echocardiography.

Echocardiography 2020 Jan 16;37(1):142-146. Epub 2019 Dec 16.

Echocardiography Laboratory, Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ, USA.

Introduction: Patients with apical myocardial infarction are at higher risk of developing left ventricular (LV) thrombi. Standard transesophageal echocardiography (TEE) is commonly used in assessing cardiac source of embolic cerebrovascular accident (CVA). Contrast-enhanced transthoracic echocardiography (TTE) improves sensitivity for thrombus detection compared with noncontrast TTE, and however for LV apical thrombi, contrast-enhanced magnetic resonance imaging (MRI) and/or contrast-enhanced computed tomography (CT) outperform both TTE and TEE in some studies. Read More

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http://dx.doi.org/10.1111/echo.14558DOI Listing
January 2020

Predictors of Significant Coronary Artery Disease in Patients with Cerebral Artery Atherosclerosis.

Cerebrovasc Dis 2019 11;48(3-6):226-235. Epub 2019 Dec 11.

Department of Cardiology, Bucheon St. Mary's Hospital, The Catholic University College of Medicine, Seoul, Republic of Korea,

Objective: There are few existing data on the status of coronary artery disease (CAD) in patients with atherosclerosis of the cerebral artery detected by brain imaging studies. We aimed to analyze the predictors of asymptomatic angiographically significant CAD detected by simultaneous cerebral and coronary angiography.

Methods: This retrospective cohort study screened data obtained between August 2009 and April 2019; 11,047 patients underwent cerebral angiography for atherosclerotic change (>50% stenosis or aneurysm) seen in brain magnetic resonance angiography (MRA) or computed tomography angiography (CTA) at a single center by endovascular neurosurgeon's decision. Read More

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http://dx.doi.org/10.1159/000504927DOI Listing

Rapidly fatal encephalitis associated with atypical lymphoid proliferations of the basal ganglia subsequent to aneurysmal subarachnoid hemorrhage.

Clin Pract 2019 Nov 11;9(4):1187. Epub 2019 Nov 11.

Virginia Tech Carilion School of Medicine, Roanoke.

Rapidly fatal encephalitis associated with atypical lymphoid proliferations after intracranial aneurysm rupture has not been reported. Here, we describe a 52-year-old female who presented to the emergency department with a severe headache. Imaging demonstrated aneurysmal subarachnoid hemorrhage due to a ruptured left posterior inferior cerebellar artery aneurysm, which was treated with endovascular embolization and subsequent external ventricular drain. Read More

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http://dx.doi.org/10.4081/cp.2019.1187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875904PMC
November 2019

Unusual Presentation of Acute Systolic Heart Failure Caused by Acquired Post-Traumatic Aortic Coarctation.

Circ Heart Fail 2019 12 6;12(12):e006267. Epub 2019 Dec 6.

Division of Cardiovascular Medicine, Department of Medicine (M.R.J.), University of Wisconsin School of Medicine and Public Health, Madison, WI.

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http://dx.doi.org/10.1161/CIRCHEARTFAILURE.119.006267DOI Listing
December 2019

Left Ventricular Pseudoaneurysm: Imagiologic and Intraoperative Images.

Circ Cardiovasc Imaging 2019 12 26;12(12):e009500. Epub 2019 Nov 26.

Department of Intensive Care Medicine (H.C.-R.), Centro Hospital Universitário Lisboa Norte, Hospital de Santa Maria, Lisboa, Portugal.

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http://dx.doi.org/10.1161/CIRCIMAGING.119.009500DOI Listing
December 2019

Ruptured Distal Superior Cerebellar Artery Aneurysm After Gamma Knife Radiosurgery for Trigeminal Neuralgia: A Case Report and Review of the Literature.

World Neurosurg 2020 Mar 14;135:2-6. Epub 2019 Nov 14.

Department of Surgery, Division of Neurosurgery, Virginia Tech Carilion School of Medicine and Fralin Biomedical Research Institute, Roanoke, Virginia, USA.

Background: Intracranial aneurysm formation after Gamma Knife radiosurgery (GKRS) is a rare complication that has only recently been reported in the literature. We report the case of a fatal distal superior cerebellar artery (SCA) aneurysm rupture in a woman treated twice with GKRS for trigeminal neuralgia along with a review of the literature regarding radiation-induced aneurysms.

Case Description: A 77-year-old white woman with a history of refractory right-sided trigeminal neuralgia treated with GKRS in 2001, and again in 2006 after a relapse, presented to our emergency department with complaints of a sudden-onset severe headache associated with vomiting, right eye vision loss, left-sided facial droop, and left-sided weakness with no history of hypertension or smoking prior to presentation. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.10.136DOI Listing

Spontaneous Isolated Left Ventricular Intramyocardial Dissection.

Ann Thorac Surg 2020 04 14;109(4):e313. Epub 2019 Nov 14.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.09.066DOI Listing