4,494 results match your criteria balloon atrial

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

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

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

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

View Article and Full-Text PDF

Torrential Mitral Regurgitation After Transcatheter Edge-to-Edge Mitral Valve Repair.

JACC Case Rep 2021 Jan 20;3(1):69-73. Epub 2021 Jan 20.

Department of Medicine, Division of Cardiovascular Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USA.

A patient with severe mitral regurgitation and chronic systolic heart failure taking inotropic support at home presents for transcatheter edge-to-edge mitral valve repair, complicated by torrential mitral regurgitation from damaged mitral leaflets requiring escalating mechanical circulatory support and ultimately expedited orthotopic heart transplantation. (). Read More

View Article and Full-Text PDF
January 2021

Atrial septoplasty through internal jugular venous access in an infant with transposition of great arteries: technical challenges and solutions.

Cardiol Young 2021 Jul 26:1-3. Epub 2021 Jul 26.

Department of Cardiology, All India Institute of Medical Sciences, New Delhi110029, India.

We describe a 3-month-old infant with transposition of great arteries and restrictive foramen ovale who presented with severe cyanosis. Child had a large thrombus causing near-total occlusion of the inferior caval vein. An emergency atrial septoplasty was performed via internal jugular venous access. Read More

View Article and Full-Text PDF

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

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

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

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

View Article and Full-Text PDF

Comparison of procedural efficacy, balloon nadir temperature, and incidence of phrenic nerve palsy between two cryoballoon technologies for pulmonary vein isolation: A systematic review and meta-analysis.

J Cardiovasc Electrophysiol 2021 Jul 21. Epub 2021 Jul 21.

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

Introduction: In May 2020, a novel cryoballoon system (POLARx; Boston Scientific) became available for catheter ablation of atrial fibrillation (AF). The design of the cryoballoon is comparable to the Arctic Front Advance Pro (AFA-Pro; Medtronic), but it is more compliant during freezing. We compared the procedural efficacy, biophysical parameters, and risk of phrenic nerve palsy (PNP) between the two cryoballoons. Read More

View Article and Full-Text PDF

Hypomagnesaemia causing functional hypoparathyroidism in rheumatic mitral stenosis leading to sudden cardiac arrest in a young woman.

BMJ Case Rep 2021 Jul 19;14(7). Epub 2021 Jul 19.

Cardiology, Nitte University KS Hegde Medical Academy, Mangalore, Karnataka, India

A 23-year-old young woman with a known history of valvular heart disease of rheumatic origin, post balloon mitral valvotomy 5 years ago, presented with fever, palpitations and breathlessness. ECG showed atrial fibrillation with fast ventricular rate. A 2D transthoracic echocardiography showed severe restenosis of mitral valve and moderate left ventricular dysfunction. Read More

View Article and Full-Text PDF

Emergency sandwich patch repair right ventricular incision for postinfarction ventricular septal defects: a case series.

Eur Heart J Case Rep 2021 May 17;5(5):ytab141. Epub 2021 May 17.

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 6-1 Kishibe-Shimmachi, Suita, Osaka 564-8565, Japan.

Background: The surgical treatment for postinfarction ventricular septal defect (VSD) remains challenging, especially in emergency cases. Several authors have reported the efficacy of a sandwich patch VSD repair a right ventricular (RV) incision. However, this procedure remains uncommon, and its efficacy is still unknown, especially when performed under an emergency. Read More

View Article and Full-Text PDF

A modified percutaneous atrial balloon septoplasty for difficult transseptal puncture.

Medicine (Baltimore) 2021 Jul;100(28):e26525

Heart Center & Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

Abstract: Catheter ablation of atrial fibrillation sometimes encounters difficulty in passing the interatrial septum. This study reports a modified percutaneous atrial balloon septoplasty with short balloon to gain access to left atrium (LA) during challenging transseptal puncture (TSP).We retrospectively analyzed 20 patients (61. Read More

View Article and Full-Text PDF

Hemodynamic changes during transcatheter atrial septal defect closure predict midterm heart failure deterioration in adults.

Catheter Cardiovasc Interv 2021 Jul 6. Epub 2021 Jul 6.

Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.

Objectives: To investigate whether hemodynamic changes during balloon occlusion test (BOT) predict future heart failure (HF) deterioration after transcatheter atrial septal defect closure (tASD-closure).

Background: Midterm HF deterioration can sometimes occur after tASD-closure in adults. Whether hemodynamic changes during tASD-closure can help identify patients at risk is unknown. Read More

View Article and Full-Text PDF

Ascites and Edema After Bicaval Orthotopic Heart Transplant.

J Invasive Cardiol 2021 Jul;33(7):E581-E583

Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Professional Office Bldg. 2, Suite 600, 5939 Harry Hines Blvd, Dallas, TX 75390-9252 USA.

IVC stenosis is a rare complication of bicaval orthotopic heart transplant. IVC stenosis can occur at either the cavo-atrial anastomosis, or the caval cannulation site, with presentations ranging from acute shock early post transplant to a more indolent course. Causes include extensive hemostatic suturing, fibrous contraction, and donor-recipient size mismatch. Read More

View Article and Full-Text PDF

Outcomes of off-pump coronary artery bypass grafting in non-dialysis-dependent patients with stage 2 and stage 3 chronic kidney disease.

Indian J Thorac Cardiovasc Surg 2021 Jul 19;37(4):392-401. Epub 2021 Mar 19.

Department of Cardiothoracic & Vascular Surgery, Peerless Hospitex Hospital & B K Roy Research Centre, 360, Pancha Sayar Road, Sahid Smrity Colony, Pancha Sayar, Kolkata, West Bengal 700094 India.

Purpose: To assess the short-term outcomes in non-dialysis-dependent patients with stage 2 and stage 3 chronic kidney disease (CKD), undergoing off-pump coronary artery bypass (OPCAB). To examine whether there was a difference in mortality between stage 2 and stage 3 CKD patients and whether mortality in diabetics was different compared to non-diabetics. Outcomes would be judged on the basis of possible cardiovascular, pulmonary, infective, neurological and renal complications, duration of stay at the intensive therapy unit (ITU), and overall duration of stay at the hospital. Read More

View Article and Full-Text PDF

Transseptal Puncture in Patients with Septal Occluder Devices during Catheter Ablation of Atrial Fibrillation.

EuroIntervention 2021 07 6. Epub 2021 Jul 6.

Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, National Clinical Research Center for Cardiovascular Diseases, Beijing, China.

Background: The atrial septal occluder (ASO) becomes a major obstacle to the widespread adoption of atrial fibrillation (AF) catheter ablation in patients with prior atrial septal defects (ASD) closure.

Aims: To describe the "Sequential Technique" of transseptal puncture (TSP) in AF patients with ASO.

Methods: Sixty-four drug-refractory AF patients with ASO who underwent catheter ablation in our center from September 2007 to March 2020 were enrolled. Read More

View Article and Full-Text PDF

Balloon atrial septostomy through azygos vein in two cases of D-TGA with left atrial isomerism.

Cardiol Young 2021 Jul 2:1-2. Epub 2021 Jul 2.

Dr Sami Ulus Gynecology Obstetrics and Child, Health and Diseases Training and Research Hospital, Pediatric Cardiology Department, Yenimahalle, Ankara, Turkey.

Balloon atrial septostomy is a palliative procedure that is performed in D-transposition of great arteries when surgery is not immediately available. Although D-TGA and left isomerism association are rare, it is an important condition as the BAS procedure approach is unique. In this case report, we present two cases of D-TGA with left isomerism where BAS was performed due to restrictive atrial septal defect and lack of immediate availability of the paediatric cardiac surgeon. Read More

View Article and Full-Text PDF

How does the level of pulmonary venous isolation compare between pulsed field ablation and thermal energy ablation (radiofrequency, cryo, or laser)?

Europace 2021 Jun 21. Epub 2021 Jun 21.

Helmsley Electrophysiology Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1030, New York, NY, 10029, USA.

Aims: We studied the extent/area of electrical pulmonary vein isolation (PVI) after either pulsed field ablation (PFA) using a pentaspline catheter or thermal ablation technologies.

Methods And Results: In a clinical trial (NCT03714178), paroxysmal atrial fibrillation (PAF) patients underwent PVI with a multi-electrode pentaspline PFA catheter using a biphasic waveform, and after 75 days, detailed voltage maps were created during protocol-specified remapping studies. Comparative voltage mapping data were retrospectively collected from consecutive PAF patients who (i) underwent PVI using thermal energy, (ii) underwent reablation for recurrence, and (iii) had durably isolated PVs. Read More

View Article and Full-Text PDF

[Short- and mid-term outcomes of percutaneous balloon mitral valvuloplasty under the guidance of ultrasound].

Zhonghua Yi Xue Za Zhi 2021 Jun;101(22):1690-1694

Structural Heart Disease Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China.

To evaluate the safety, short- and mid-term outcomes of percutaneous balloon mitral valvuloplasty (PBMV) guided by the ultrasound. In this retrospective study, medical data of 15 patients [9 males and 6 females, with an age of (53±13) years] with PBMV under the guidance of ultrasound in Heart Center of Henan Provincial People's Hospital between December 2016 and January 2019 were collected and reviewed. The short-and mid-term outcomes were analyzed. Read More

View Article and Full-Text PDF

Impact of myocardial injury and inflammation due to ablation on the short-term and mid-term outcomes: Cryoballoon versus laser balloon ablation.

Int J Cardiol 2021 Sep 12;338:102-108. Epub 2021 Jun 12.

Division of Cardiology, Osaka Rosai Hospital, 3-1179 Nagasonecho, kita-ku, Sakai, Osaka, 591-8025, Japan.

Background: Cryoballoon ablation (CBA) and laser balloon ablation (LBA) were developed as alternatives to conventional radiofrequency ablation for paroxysmal atrial fibrillation (PAF). Pathological findings after ablation such as myocardial injury and inflammation are thought to be different between CBA and LBA. However, the different impact of myocardial injury and inflammation after ablation on short- and mid-term outcomes remains unclear. Read More

View Article and Full-Text PDF
September 2021

Management of ascending aorta perforation during transseptal puncture for left atrial appendage closure: a case report.

Eur Heart J Case Rep 2021 Apr 30;5(4):ytab154. Epub 2021 Apr 30.

Department of Cardiology, Rabin Medical Center, 39 Jabotinsky St., Petach Tikva 4941492, Israel.

Background: An 82-year-old female with a history of atrial fibrillation and repeated episodes of major bleeding on direct oral anticoagulant therapy, with a high risk for thromboembolism and was referred for left atrial appendage closure.

Case Summary: During the procedure, an unrecognized puncture of the aorta by the transseptal puncture (TSP) needle and inadvertent advancement of the sheath resulted in ascending aorta perforation. This perforation was closed percutaneously using an Amplatzer™ Duct Occluder (ADO). Read More

View Article and Full-Text PDF

Diagnosis and treatment of effusive-constrictive pericarditis: a case report.

Eur Heart J Case Rep 2021 May 8;5(5):ytab174. Epub 2021 May 8.

Department of Cardiology, Pennsylvania Hospital-University of Pennsylvania Health System, 800 Spruce Street, Philadelphia, PA, USA.

Background: Effusive-constrictive pericarditis (ECP) is a rare syndrome involving pericardial effusion and concomitant constrictive pericarditis. The hallmark is a persistently elevated right atrial pressure of >10 mmHg or reduction of less than 50% from baseline despite pericardiocentesis. Aetiologies include radiation, infection, malignancy, and autoimmune disease. Read More

View Article and Full-Text PDF

Left ventricular restrictive physiology in kids with atrial septal defects: Something unexpected!

Ann Pediatr Cardiol 2021 Apr-Jun;14(2):228-230. Epub 2021 Apr 10.

Department of Pediatric Cardiology and Adults with Congenital Heart Disease, Evelina Children's, Hospital, St Thomas Hospital, 249 Westminster Bridge Road, SE1 7EH, London, England.

Atrial septal defect (ASD) associated with left ventricular (LV) diastolic dysfunction (DD) is rare in children. DD is common in elderly patients undergoing ASD closure. Restrictive physiology among children undergoing percutaneous ASD closure is something unexpected that has not been described before in the literature. Read More

View Article and Full-Text PDF

Rapid decline in cardiac function in diabetic patients with calcified coronary artery disease undergoing hemodialysis: two case reports.

BMC Cardiovasc Disord 2021 Jun 3;21(1):271. Epub 2021 Jun 3.

Department of Cardiovascular Surgery, Juntendo University, 2-1-1, Bunkyo-ku, Tokyo, 113-8421, Japan.

Background: Clinical symptoms of patients on dialysis do not match the signs of coronary disease progression, making the prediction of the true progression of their medical condition in clinical settings difficult. Emergency and concomitant surgeries are significant risk factors of mortality following open-heart surgery in patients on hemodialysis.

Case Presentation: We report two cases of successful coronary artery bypass grafting (CABG) in patients on dialysis with a history of cardiac surgery. Read More

View Article and Full-Text PDF

Late arrhythmias in patients with new-onset persistent left bundle branch block after transcatheter aortic valve replacement using a balloon-expandable valve.

Heart Rhythm 2021 May 31. Epub 2021 May 31.

Department of Cardiology, Quebec Heart & Lung Institute, Laval University, Quebec City, Quebec, Canada; Hospital Clínic de Barcelona, Barcelona, Spain. Electronic address:

Background: The arrhythmic burden after discharge in patients with new-onset left bundle branch block (LBBB) undergoing transcatheter aortic valve replacement (TAVR) with the balloon-expandable SAPIEN 3 (S3) valve remains largely unknown.

Objective: The purpose of this study was to determine the incidence of late arrhythmias in patients with new-onset LBBB undergoing TAVR with the balloon-expandable S3 valve.

Methods: This was a multicenter, prospective study that included 104 consecutive TAVR patients with new-onset persistent LBBB following TAVR with the S3 valve. Read More

View Article and Full-Text PDF

Balloon Aortic Valvuloplasty With Same-Setting Complex Percutaneous Coronary Intervention in the TAVR Era: A Case Series.

J Invasive Cardiol 2021 Jun 20;33(6):E479-E482. Epub 2021 May 20.

Transcatheter Aortic Valve Replacement Program, Division of Cardiology, Stony Brook University Medical Center Health Sciences Center, T16-080, Stony Brook, NY 11794-8160 USA.

Background: The use of balloon aortic valvuloplasty (BAV) prior to same-setting complex percutaneous coronary intervention (PCI) in patients with severe aortic stenosis (AS) and concomitant severe coronary artery disease (CAD) has not been well studied in the era of transcatheter aortic valve replacement (TAVR).

Methods: We reviewed 379 BAVs performed between January 2016 and April 2020 at an academic tertiary-care medical center. Overall, 327 BAVs were performed in the setting of TAVR. Read More

View Article and Full-Text PDF

Comparing Endovascular Treatment Methods in Acute Ischemic Stroke Due to Tandem Occlusion Focusing on Clinical Aspects.

Life (Basel) 2021 May 20;11(5). Epub 2021 May 20.

Department of Neurology, Medical School, University of Pécs, 7623 Pécs, Hungary.

Introduction: Acute ischemic strokes (AIS) due to tandem occlusion (TO) of intracranial anterior large vessel and concomitant extracranial internal carotid artery (EICA) are represent in 15-20% of all ischemic strokes. The endovascular treatment (EVT) strategy for those patients is still unclear. Although the intracranial mechanical thrombectomy (MT) is considered as a standard treatment approach, the EICA lesion stent necessity remains a matter of debate. Read More

View Article and Full-Text PDF

Reliability of Fetal Echocardiography in Predicting Postnatal Critical Hypoxia in Patients with Transposition of Great Arteries and Intact Ventricular Septum.

Pediatr Cardiol 2021 May 29. Epub 2021 May 29.

Perinatal Cardiology Unit, Department of Medical and Surgical for Fetus-Neonate, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.

Critical hypoxemia soon after birth is the most critical preoperative determinant of neurological outcomes and survival in newborns with Dextro Transposition of the Great Arteries and Intact Ventricular Septum (D-TGAIVS). Our study aimed to define fetal echocardiographic aspects that can better predict neonates with D-TGAIVS at risk for restricted interatrial communication after birth. 31 fetuses with a prenatal diagnosis of D-TGAIVS were included in our study. Read More

View Article and Full-Text PDF

Comparison of Del Nido Cardioplegia and Blood Cardioplegia in Terms of Development of Postoperative Atrial Fibrillation in Patients Undergoing Isolated Coronary Artery Bypass Grafting.

Braz J Cardiovasc Surg 2021 04 1;36(2):158-164. Epub 2021 Apr 1.

Department of Cardiovascular Surgery, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

Objective: Del Nido cardioplegia (DNC) has been used in pediatric cardiac surgery for many years with a single dose application and its usage in adult cardiac surgery has been increasing in recent years, with results being published. In this study, we aimed to investigate the effect of DNC on the development of postoperative atrial fibrillation (PoAF).

Methods: In this retrospective observational comparative study, 255 patients who underwent isolated on-pump coronary artery bypass grafting, between January 2019 and November 2019, were enrolled. Read More

View Article and Full-Text PDF

Concurrent Transcatheter Aortic Valve Replacement and Leadless Pacemaker Implantation in a Patient With Aortic Stenosis and Tachycardia-Bradycardia Syndrome.

CJC Open 2021 Apr 26;3(4):549-551. Epub 2020 Nov 26.

Westmead Hospital, Sydney, New South Wales, Australia.

We present a patient with symptomatic severe aortic stenosis and atrial fibrillation complicated by tachycardia-bradycardia syndrome, deemed too high-risk for surgical valve replacement and referred for transcatheter aortic valve replacement. We show that concurrent implantation of a leadless pacemaker system can be performed successfully with minimal additional risk to the patient, and also, that it can be used to rapidly pace the ventricles to assist in balloon valvuloplasty and prosthetic aortic valve deployment. Read More

View Article and Full-Text PDF

Transcatheter pulmonary balloon valvuloplasty of severe valvar pulmonary stenosis and atrial septal defect in patient with severe cyanosis and very low ventricle ejection fractions: a bailout procedure.

Cardiol Young 2021 May 21:1-3. Epub 2021 May 21.

Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.

Most cases of severe or critical pulmonary stenosis are detected early and interventional management is routine within the first days of life. We present a case of a thirteen-year-old boy diagnosed with pulmonary stenosis and atrial septal defect with low ventricle ejection fraction. The patient underwent staged pulmonary balloon valvuloplasty and interventional atrial septal defect closure with good results. Read More

View Article and Full-Text PDF

Static balloon atrial septostomy in Japan in shortage of standard balloon septostomy catheter.

J Cardiol 2021 May 13. Epub 2021 May 13.

Working Group on Balloon Atrial Septostomy Catheter, Japanese Society of Congenital Interventional Cardiology; Pediatric Heart Disease and Adult Congenital Heart Disease Center, Showa University Hospital, Tokyo, Japan.

Background: The supply of Rashkind balloon atrial septostomy (BAS) catheters (Medtronic, Minneapolis, MN, USA) has suddenly been discontinued in the world due to its recall. Consequently, Japan fell into a critical shortage of standard BAS catheters. Although the use of static BAS is off-label in Japan, its importance is increasing in such a situation. Read More

View Article and Full-Text PDF

Aortic valve replacement vs. balloon-expandable and self-expandable transcatheter implantation: A network meta-analysis.

Int J Cardiol 2021 08 8;337:90-98. Epub 2021 May 8.

Division of Cardiology, Cardiovascular and Thoracic Department, Città della Salute e della Scienza Hospital and University of Turin, Italy.

Introduction: Recently, observational data have raised concerns about safety of selfexpandable (SE) compared to balloon-expandable (BE) valves in TAVI, although potentially limited by patient selection bias.

Methods: All Randomized Controlled Trials (RCTs) comparing BE vs. SE TAVI or/and vs. Read More

View Article and Full-Text PDF

Effect of the Balloon Size on Lesion Formation During Visually Guided Laser Balloon Ablation in an In Vitro Model.

Circ J 2021 Jul 8;85(8):1394-1399. Epub 2021 May 8.

Division of Cardiology, Osaka Rosai Hospital.

Background: It is unclear whether balloon size can influence lesion formation. The aim of this study was to evaluate the impact of balloon size on lesion formation during laser balloon procedures in an in vitro model.Methods and Results:Laser energy was applied to chicken muscle using a first generation laser balloon. Read More

View Article and Full-Text PDF