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Fetal aortic valvuloplasty

All About Cardiovascular System and Disorders

Fetal aortic valvuloplasty is considered for fetuses with severe valvar aortic stenosis and echocardiographic features suggesting a risk of progression to hypoplastic left heart syndrome. So if progression to hypoplastic left heart syndrome can be prevented by fetal aortic valvuloplasty, that would be theoretically a great boon.

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Eccentricity Index in Bicuspid Aortic Valve

All About Cardiovascular System and Disorders

Transcript of the video: Closure line of aortic valve on M-Mode echocardiogram, is seen as central line, while in bicuspid aortic valve, it is an eccentric closure, nearer to one of the walls of the aorta. This eccentricity of closure of the aortic valve leaflets, can be calculated using what is known as eccentricity index.

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Echocardiographic evaluation in aortic regurgitation

All About Cardiovascular System and Disorders

The large aortic regurgitation jet can be seen as a mosaic jet in the left ventricular outflow tract anterior to the anterior mitral leaflet. A portion of the thickened aortic valve can be seen between the aorta and left ventricle. Thickening of both aortic and mitral leaflets indicate the possible etiology as rheumatic.

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Echocardiogram in Rheumatic Mitral and Aortic Regurgitation

All About Cardiovascular System and Disorders

You can see the reverse flow into the left ventricle from the aorta, with the aortic valve in closed position. Beacuse, as the aortic valve is closed, and the regurgitant jet is coming in, and left ventricular diastolic pressures are lower than the aortic pressures. You cannot say its highly quantitative estimation.

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Mitral and Aortic Regurgitation on Colour Doppler Echo

All About Cardiovascular System and Disorders

This is reverse flow from the aortic valve, that is aortic regurgitation jet. That is, flow away from the transducer is depicted as blue. Flow towards the transducer is depicted as red. Here, this is the forward flow through the mitral valve in diastole in red. That also occurs in diastole.

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Brachiocephalic Artery Access for Transcatheter Aortic Valve Replacement

All About Cardiovascular System and Disorders

Transcatheter aortic valve replacement (TAVR) is increasing in popularity for symptomatic severe aortic stenosis. Transfemoral arterial route is the most commonly used approach for TAVR, also known as TAVI or transcatheter aortic valve implantation. JACC: Asia. May 14, 2024. Epublished DOI: 10.1016/j.jacasi.2024.03.006

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Impact of untreated CAD on TAVR outcomes

Cardiology Update

The optimal management of concomitant chronic obstructive coronary artery disease (CAD) in transcatheter aortic valve replacement (TAVR) recipients remains a debated topic. While some advocate for pre-TAVR percutaneous coronary intervention, others adopt an expectant approach.

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