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The decision between a bioprosthetic and mechanical valve is one of the most consequential for patients requiring aorticvalve replacement, said Michael Bowdish, MD, lead author of the study and a cardiothoracic surgeon at Cedars-Sinai Medical Center in Los Angeles.
This study aimed to determine if pulse pressure and aorticvalve peak velocity could serve as early predictors of heart failure with preserved ejection fraction in patients with myocardial infarction. to 1.97), and a similar association was observed for aorticvalve peak velocity (HR: 1.37, 95% CI 1.19 m/s had a 2.10-fold
In an era of rapidly expanding use of transcatheter aorticvalve implantation (TAVI), the management of patients with bicuspid aorticvalve (BAV) disease is far less well established than in those with trileaflet anatomy.
Transcatheter aorticvalve replacement (TAVR) has become a leading treatment for aortic stenosis, but managing thromboembolic and bleeding risks post-procedure remains challenging. This review examines current evidence on antithrombotic therapy after TAVR.
The sociodemographic characteristics of patients undergoing intervention for aortic stenosis (AS) in England, and the impact of COVID-19, is unknown. Background Health inequalities in cardiovascular care have been identified in the UK.
Bicuspid aorticvalve (BAV), the most common congenital cardiac anomaly, predisposes individuals to aortic stenosis and regurgitation due to valve degeneration.
This Viewpoint advocates for prompt aorticvalve replacement (rather than clinical surveillance) as the default strategy for patients with asymptomatic severe aortic stenosis.
ObjectivesRegistered, prospective, multicenter study of the short-term clinical outcomes of a novel transcatheter aorticvalve system (Xcor system, Saint Medical Technology, Inc.,
The NOTION trial, a pioneering study, sought to compare the long-term clinical and bioprosthesis outcomes of Transcatheter AorticValve Implantation (TAVI) versus Surgical AorticValve Replacement (SAVR) in patients with severe aorticvalve stenosis (AS) at lower surgical risk.
Background Bicuspid aorticvalve (BAV) is the most common congenital heart defect in adults, often leading to complications such as thoracic aortic aneurysms and aortic stenosis. While BAV is frequently associated with 22q11.2 This study is aimed to assess the role of rare 22q11.2 region (18–24 Mb).
Small aortic annulus poses a major challenge in aorticvalve replacement due to the increased risk of prosthesispatient mismatch (PPM) and increased surgical risk. In recent years, transcatheter aorticvalve replacement (TAVR) has emerged as a popular alternative to the traditional surgical aorticvalve replacement.
Studies were excluded if they weren’t exclusively conducted on patients submitted to surgical aorticvalve replacement using the Inspiris Resilia bioprosthesis. Its performance appears to be equal to or better than many other bioprosthetic valves. Results The technical success rate was almost perfect in all studies.
A 70-year-old female patient with a history of bioprosthetic aorticvalve replacement and coronary artery bypass graft presented with bioprosthetic valve failure secondary to prosthetic valve endocarditis. This resulted in early death due to myocardial infarction and acute heart failure.
Getty Images milla1cf Fri, 06/07/2024 - 15:10 June 7, 2024 — Calcific aorticvalve disease (CAVD) is the major heart valve disease that afflicts nearly 10 million patients globally with an annual mortality exceeding 100,000, and the numbers continue to rise.
This randomized clinical trial evaluates the safety and efficacy of administration of protamine to reduce bleeding following transcatheter aorticvalve implantation vs placebo, selective protamine administration.
Genetic variants linked to a rare form of bicuspid aorticvalve disease that affects young adults and can lead to dangerous and potentially life-threatening aortic complications have been identified by researchers at UTHealth Houston.
(MedPage Today) -- LOS ANGELES -- Survival outcomes favored mechanical valves for isolated surgical aorticvalve replacement (SAVR) for people until age 60, after which a tissue valve may start to have an advantage, according to a large registry.
Background Subclinical leaflet thrombosis (SLT) is a common complication after transcatheter aorticvalve replacement (TAVR). Methods This prospective cohort study consecutively enrolled patients with severe symptomatic aortic stenosis who underwent successful TAVR.
Valvular heart disease, including calcific or degenerative aortic stenosis (AS), is increasingly prevalent among the older adult population. Over the last few decades, treatment of severe AS has been revolutionised following the development of transcatheter aorticvalve replacement (TAVR).
milla1cf Tue, 12/12/2023 - 07:00 December 12, 2023 — Patients who received the anticoagulant drug warfarin after bioprosthetic aorticvalve replacement had lower incidence of mortality and a decreased risk of blood clots, according to a retrospective study published in Mayo Clinic Proceedings.
Background In congenital aortic stenosis (CAS), commissurotomy is an option in patients not suitable to receive a valve prosthesis. However, there is often a need for future additional interventions on the aorticvalve. The fate of the aorticvalve is, however, essentially unknown.
Aortic Stenosis (AS) is a common condition with an estimated pooled prevalence of all AS in the elderly population at around 12.4%, with that of severe AS estimated to be around 3.4%. In the past, surgical aorticvalve replacement was the primary treatment option for severe AS for decades.
A significant proportion of patients with severe aortic stenosis (AS) undergoing transcatheter aorticvalve implantation (TAVI) have concomitant coronary artery disease (CAD). The best way to treat these patients is contentious.
Shettys team followed 252 patients who underwent the Ross procedure, a heart valve replacement operation commonly used to treat younger patients with severe aorticvalve disease. Freedom from aortic regurgitation was 95.1%, 92.2%, 87.7%, and 84.5% Shettys team found that survival rates were 95.8% at 5 years, 94.3%
This cohort study examines whether there is an association between osteosarcopenia and adverse outcomes, such as increased risk of mortality, in older adults following transcatheter aorticvalve replacement (TAVR).
Getty Images milla1cf Mon, 01/29/2024 - 14:24 January 29, 2024 — Despite national guidelines recommending surgical aorticvalve replacement (SAVR) for patients under age 65 with severe aortic stenosis , many hospitals are still opting for a nonsurgical approach in patients under 60—possibly with poorer survival rates.
What is the relationship between aorticvalve calcification (AVC) and aortic stenosis (AS) severity in patients with suspected low-flow low-gradient AS?
Transcatheter aorticvalve implantation (TAVI) was superior to surgical aorticvalve replacement for reducing death, stroke or rehospitalization in women with severe aortic stenosis, according to late-breaking research presented in a Hot Line session today at ESC Congress 2024.
IntroductionSince TAVR was approved for lower-risk aortic stenosis (AS) patients, managing post-implantation conduction disturbances has become crucial, especially with self-expanding heart valves (SEV).
(MedPage Today) -- Transcatheter aorticvalve replacement (TAVR) yielded clinical benefit when given early in the disease process while patients still had no symptoms or other indication for aorticvalve replacement, according to the EARLY TAVR.
Background A quarter of patients with severe aortic stenosis (AS) were asymptomatic, and only a third of them survived at the end of 4 years. Only a select subset of these patients was recommended for aorticvalve replacement (AVR) by the current American College of Cardiology/American Heart Association guidelines.
Bileaflet mechanical heart valves (MHV) remain a viable option for aorticvalve replacement, particularly for younger patients and patients from low- and middle-income countries and underserved communities. Despite their exceptional durability, MHV recipients are at increased risk of thromboembolic complications.
Background Cardiogenic shock (CS) induced by severe aortic stenosis (AS) is a life-threatening condition with high mortality. Aim This study aimed to systematically review and analyse the existing evidence on outcomes of emergency transcatheter aorticvalve implantation (eTAVI) and emergency balloon aortic valvuloplasty (eBAV) in CS patients.
Objectives The clinical outcomes of transcatheter aorticvalve replacement (TAVR) in patients with aortic stenosis (AS) and concomitant active cancer remain insufficiently explored. This study aimed to assess the midterm outcomes of TAVR in patients diagnosed with AS and active cancer.
Quadricuspid aorticvalve (QAV) is rare. However, to repair a quadricuspid aorticvalve is not as easy to realize as in bicuspid aorticvalve. The surgical design is crucial to rebuild the stable structure.
In the 22 years since Professor Alain Cribier performed the first transcatheter aorticvalve implantation (TAVI) in Rouen in France, treatment pathways for patients with aorticvalve stenosis have evolved rapidly.
The goal of the AVATAR trial was to evaluate aorticvalve replacement (AVR) compared with conservative therapy among patients with asymptomatic severe aortic stenosis.
Large and rare duplications and deletions in a chromosome region known as 22q11.2 , which involves genes that regulate cardiac development, are linked to nonsyndromic bicuspid aorticvalve disease.
Aortic stenosis is a narrowing of the aorticvalve which prevents the aortic leaflets from opening and closing properly. Patients with aortic stenosis often have heart murmurs and experience debilitating symptoms including chest pain, dizziness, fatigue, shortness of breath and an irregular heartbeat.
Quadricuspid aorticvalve (QAV) is a rare congenital anomaly of the aorticvalve, with an incidence of 0.05-0.1%, 0.1%, often associated with aortic regurgitation. The condition typically presents between the ages o.
Objectives To evaluate the results of the inoperable and operable with aorticvalve endocarditis, focus on risk factors, significance, and management of destruction of the aortic annulus in aorticvalve endocarditis. There were 32 operative deaths (6.3%, 32/512).
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