- Experience of the Postoperative Intensive Care Treatment of Stanford Type A Aortic Dissection. [Journal Article]Int J Clin Pract. 2023; 2023:4191277.IJ
- CONCLUSIONS: Postoperative intensive care treatment was an important part of the successful surgical treatment of STAAD.
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- Aortic valve infective endocarditis due to Streptococcus pyogenes : A case report. [Case Reports]
- Group A Streptococcus is a common cause of pharyngitis, scarlet fever, glomerulonephritis, and various skin infections. However, there have only been a few reports of Group A Streptococcus (GAS) associated with infective endocarditis. We present a case of a 31-year-old male who presented to the hospital with a few days of weakness and myalgias after recently receiving treatment with azithromycin …
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- Systolic reverse flow derived from 4D flow cardiovascular magnetic resonance in bicuspid aortic valve is associated with aortic dilation and aortic valve stenosis: a cross sectional study in 655 subjects. [Journal Article]
- CONCLUSIONS: 4D flow CMR derived reverse flow associated with BAV was successfully captured even in the absence of AR or AS and in comparison to TAV patients with aortic dilation. Diastolic AAo reverse flow increased with AR severity while AS severity strongly correlated with increased systolic reverse flow in the AAo. Additionally, increasing MAAD was independently associated with increasing systolic AAo reverse flow. Thus, systolic AAo reverse flow may be a valuable metric for evaluating disease severity in future longitudinal outcome studies.
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- Infective Endocarditis as a Complication of Crohn's Disease on Immunotherapy. [Case Reports]
- A patient with a history of Crohn's disease on infliximab presented to the hospital with sepsis and a new heart murmur. He was found to have native aortic valve infective endocarditis from a rare species of group D Streptococcusin his blood. The patient was also noted to be in an acute flare of Crohn's disease. The hospital course was complicated by florid heart failure from acute aortic insuffic…
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- Immediate results of primary balloon dilation for congenital aortic valve stenosis predict the mid-term outcome. [Journal Article]Cardiol Young. 2023 Jan 19 [Online ahead of print]CY
- CONCLUSIONS: Post-procedural aortic valve insufficiency grade >+1/4 and/or residual gradient ≥35 mmHg in patients undergoing balloon valvuloplasty for congenital aortic valve stenosis confers an increased risk for reintervention in mid-term follow-up.
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- Matched comparison between external aortic root support and valve-sparing root replacement. [Journal Article]Heart. 2023 Jan 17 [Online ahead of print]H
- CONCLUSIONS: VSRR and PEARS offer favourable mid-term survival, freedom from reintervention and preservation of valve function. Both treatments deserve their place in the surgical repertoire, depending on a patient's disease stage. This study is limited by its retrospective nature and different follow-ups in both cohorts.
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- Risk Factors and Hospital Outcomes of Acute Kidney Injury in Patients Operated on for an acquired Valvular Heart Disease. [Journal Article]Kardiologiia. 2022 Dec 31; 62(12):73-79.K
- Aim To determine predictors of acute kidney injury (AKI) related with surgeries for correction of acquired valvular heart disease (HD) and to evaluate the incidence of in-hospital complications in patients with postoperative AKI.Material and methods This study included 62 patients after surgery for correction of acquired valvular HD (mean age, 61±10.9 years) with a disease duration of 11±5.…
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- Transcatheter Aortic Valve Replacement and Surgical Aortic Valve Replacement Outcomes in Left Ventricular Assist Device Patients with Aortic Insufficiency. [Journal Article]
- Background: Worsening aortic insufficiency (AI) is a known sequela of prolonged continuous-flow left ventricular assist device (LVAD) support with a significant impact on patient outcomes. While medical treatment may relieve symptoms, it is unlikely to halt progression. Surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) are among non-medical interventions a…
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- Mitral Valve Replacement for Mitral Stenosis Secondary to Massive Mitral Annular Calcium. [Journal Article]Am J Cardiol. 2023 Feb 15; 189:131-136.AJ
- Mitral annular calcium (MAC) may produce mitral stenosis (MS) if its quantity is massive. We define massive MAC as the presence of a huge quantity of calcium underlying the posterior mitral leaflet and extending across all or nearly all of the ventricular aspect of the anterior mitral leaflet. This report was prompted to emphasize the hazards of performing mitral valve replacement in patients wit…
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- Ascending Aorta Sacular Aneurysm. [Case Reports]Port J Card Thorac Vasc Surg. 2023 Jan 14; 29(4):71.PJ
- . A 83 year old woman with history of arterial hypertension, hypothyroidism, obesity, chronic renal insufficiency and incipient dementia was transferred to our hospital after complaints of chest pain. Investigation revealed a sacular ascending aortic aneurysm with the aneurysmal sac adjacent to the sternum. Due to her age, cognitive state and risk of sternal entry, she was refused for surgery. Sh…
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- Distal aortic progression following acute type A aortic dissection repair among patients with bicuspid and tricuspid aortic valves. [Journal Article]J Thorac Cardiovasc Surg. 2022 Dec 21 [Online ahead of print]JT
- CONCLUSIONS: Patients with bicuspid aortic valves could be treated similarly as patients with tricuspid aortic valves without connective tissue disease in the setting of open acute type A aortic dissection repair.
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- Cerebrovascular pulsatility index is higher in chronic kidney disease. [Journal Article]
- Patients with chronic kidney disease (CKD) are more likely to die of cardiovascular diseases, including cerebrovascular disease, than to progress to end-stage kidney disease. Cerebrovascular dysfunction, characterized by reduced cerebrovascular reactivity, cerebral hypoperfusion, and increased pulsatile flow within the brain, precedes the onset of dementia and is linked to cognitive dysfunction. …
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- Long-term outcomes of aortic root procedures for heterogenous ascending aneurysm disease in bicuspid aortic valve syndrome. [Journal Article]J Thorac Cardiovasc Surg. 2022 Nov 24 [Online ahead of print]JT
- CONCLUSIONS: A tailored approach to heterogeneous ascending aneurysm pathologies in bicuspid aortic valve syndrome utilizing Bentall, AVRSCAAR, and VSRR procedures renders excellent long-term clinical and functional outcomes, with biologic conduits showing equivalent to improved clinical outcomes.
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- Future of transcatheter aortic valve implantation: where do we go from here? [Journal Article]Heart. 2023 Jan 11 [Online ahead of print]H
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- Aortic Valve Reconstruction With Autologous Pericardium Versus a Bioprosthesis: The Ozaki Procedure in Perspective. [Journal Article]J Am Heart Assoc. 2023 Jan 17; 12(2):e027391.JA
- Background We assessed the Ozaki procedure, aortic valve reconstruction using autologous pericardium, with respect to its learning curve, hemodynamic performance, and durability compared with a stented bioprosthesis. Methods and Results From January 2007 to January 2016, 776 patients underwent an Ozaki procedure at Toho University Ohashi Medical Center. Learning curves, aortic regurgitation (AR),…
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- Disease- and sex-specific differences in patients with heart valve disease: a proteome study. [Journal Article]
- Pressure overload in patients with aortic valve stenosis and volume overload in mitral valve regurgitation trigger specific forms of cardiac remodeling; however, little is known about similarities and differences in myocardial proteome regulation. We performed proteome profiling of 75 human left ventricular myocardial biopsies (aortic stenosis = 41, mitral regurgitation = 17, and controls = 17) u…
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- Aortic root repair in acute type A aortic dissection: Neomedia or no neomedia. [Journal Article]J Thorac Cardiovasc Surg. 2022 Dec 10 [Online ahead of print]JT
- CONCLUSIONS: In patients with acute type A aortic dissection, aortic root repair with or without neomedia was equally safe and effective. Neomedia use could be avoided in acute type A aortic dissection repair.
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- Aortic Biological Prosthetic Valve Dysfunction Secondary to Endocarditis: Is Percutaneous Valve-in-Valve an Option? [Case Reports]
- We present the case of a 69-year-old man with an aortic biological prosthetic valve. In May 2019, the patient experienced increasing dyspnea and fatigue: A diagnosis of prosthetic aortic valve dysfunction was made, leading to severe valvular insufficiency. The dysfunction of the prosthetic valve seemed to be linked to a previous infective endocarditis: after ruling out active endocarditis, the pa…
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- Ultrasound-guided serratus anterior plane block for transapical transcatheter aortic valve implantation. [Letter]
- CONCLUSIONS: Ultrasound-guided SAPB could improve analgesia after transapical transcatheter aortic valve implantation.
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- Locomotor Brachii Sign in Aortic Regurgitation. [Case Reports]N Engl J Med. 2023 01 05; 388(1):e1.NEJM
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- Intra-Caval Balloon Pump. [Journal Article]J Invasive Cardiol. 2023 Jan; 35(1):E57-E58.JI
- This clinical image vignette describes the inadvertent placement of a balloon pump in the vena cava during a "code blue" scenario, and the lessons to be learned from that experience. The hemodynamic benefits of intra-aortic balloon pump during experimental cardiac arrest include shorter circulation time and increases in end-tidal CO2 and coronary perfusion pressure. However, the hemodynamic effec…
- Analysis on Early and Late Operation Results and Risk Factors of Elderly Acute Type-A Aortic Dissection. [Case Reports]Neuro Endocrinol Lett. 2022 Dec 29; 43(6)NE
- CONCLUSIONS: The early operation can effectively reduce the postoperative complications of elderly acute type-A aortic dissection, so early operation should be performed according to the conditions of patients and hospital.
- Anatomy of the mitral valve relative to controversies concerning the so-called annular disjunction. [Review]Heart. 2022 Dec 30 [Online ahead of print]H
- It is now accepted that the mitral valve functions on the basis of a complex made up of the annulus, the leaflets, the tendinous cords and the papillary muscles. So as to work properly, these components must combine together in harmonious fashion. Despite the features of the arrangement of each component having been the focus of anatomical investigation for centuries, controversies still exist in…
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- Prospective pilot study on the predictive significance of plasma miR-30b-5p through the study of echocardiographic modifications in Cavalier King Charles Spaniels affected by different stages of myxomatous mitral valve disease: The PRIME study. [Journal Article]
- Specific microRNAs expressions may accurately characterize different stages of canine myxomatous mitral valve disease. This preliminary pilot study aimed to (1) describe the clinical and echocardiographic parameters of Cavalier King Charles Spaniels affected by myxomatous mitral valve disease at different American College of Veterinary Internal Medicine (ACVIM) stages (B1, B2 and C) and healthy c…
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- The Role of Echocardiography in Extracorporeal Membrane Oxygenation. [Review]Curr Cardiol Rep. 2023 Jan; 25(1):9-16.CC
- Extracorporeal membrane oxygenation (ECMO) is increasingly used to temporarily support patients in severe circulatory and/or respiratory failure. Echocardiography is a core component of successful ECMO deployment. Herein, we review the role of echocardiography at different phases on extracorporeal support including candidate identification, cannulation, maintenance, complication vigilance, and de…
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- Asymptomatic myocardial injury identified on postoperative troponin testing after open or endovascular surgical procedures is a predictor of mortality. [Journal Article]J Vasc Surg. 2022 Dec 21 [Online ahead of print]JV
- CONCLUSIONS: In the present study, patients with elevated TnT levels after vascular surgery had had significantly higher early and late all-cause mortality compared with those with normal postoperative TnT levels. This was true even for patients with asymptomatic TnT elevation, suggesting a role might exist for routine postoperative TnT screening to allow for long-term risk stratification and targeted medical management.
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- Ross Procedure Versus Mechanical Versus Bioprosthetic Aortic Valve Replacement: A Network Meta-Analysis. [Review]J Am Heart Assoc. 2023 Jan 03; 12(1):e8066.JA
- Background The Ross operation appears to restore normal survival in young and middle-aged adults with aortic valve disease. However, there are limited data comparing it with conventional aortic valve replacement. Herein, we compared outcomes of the Ross procedure with mechanical and bioprosthetic aortic valve replacement (M-AVR and B-AVR, respectively). Methods and Results MEDLINE and EMBASE were…
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- Delayed aortic regurgitation after TEVAR procedure: a case report. [Case Reports]
- CONCLUSIONS: Our results demonstrate that when a catheter-related procedure is performed around the aortic valve, slight injury of the valve can cause aortic insufficiency even 3 years after surgery. Consequently, when performing a catheter-related procedure around the aortic valve, special attention is always required.
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- Postpartum Endocarditis and Left Main Embolization. [Case Reports]
- Postpartum infective endocarditis is a rare disease, especially in people with no risk factors (ie, intravenous drug use), that can be followed by severe morbidity and mortality. Here, we report a case of postpartum infective endocarditis with an unusual acute coronary syndrome-like presentation in a patient with minimal risk factors. In addition to lesions on the aortic valve causing severe aort…
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- Lipomembranous fat necrosis: A distinctive and unique morphology (Review). [Review]
- Lipomembranous fat necrosis (LFN) is an uncommon but distinct form of fat necrosis, which is characterized by eosinophilic, crenulated and/or serpiginous membranes. LFN exhibits macrocystic, microcystic and/or crushed features. LFN is routinely detectable on hematoxylin and eosin (H&E)-stained sections, and is present both in the acute phase and in the later or fibrous stage of necrotic fatty les…
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