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Bicuspid aortic valve (BAV), the most common congenital cardiac anomaly, predisposes individuals to aortic stenosis and regurgitation due to valve degeneration. In the sixth postoperative year, she was readmitted due to ascending aorta rupture, resulting in blood entering the right atrium and causing acute right heart failure.
Background Bicuspid aortic valve (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
BackgroundAortic valve calcium score is associated with hemodynamic severity of aortic stenosis. All patients underwent invasive mitral valve assessment via direct left atrial and left ventricular pressure measurement. Median diastolic mitral valve gradient was 9.4±3.4 or mitral valve gradient (r=−0.03;P=0.8).ConclusionsMAC
At 30-day follow-up, all-cause mortality, the incidence of major adverse cardiovascular events, major vascular complications, and new permanent pacemaker implantation were 3.8%, 4.6%, 0.8%, and 0.8%, respectively. of patients showedmild paravalvular leakage, and all 125 (100%) patients were in New York Heart Association ClassII.
Bicuspid aortic valve (BAV) is a common congenital heart condition that can lead to some valve-related complications, such as aortic stenosis and/or regurgitation, and is often associated with aortic root dilation.
These key takeaways from the research letter on IVL-facilitated valvuloplasty for severely calcified mitral valve stenosis are published in the Journal of the American College of Cardiology (JACC) Cardiovascular Interventions. We are looking forward to treating patients who have no other options for mitralstenosis diseased valves.”
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. That is an important feature of bicuspid aortic valve on M-Mode echocardiogram. So this is a premature beat. is the normal range.
What are the procedural and clinical outcomes of balloon-expandable valves (BEVs) and self-expanding valves (SEVs) in Sievers type 1 bicuspid aortic valve (BAV) stenosis?
BACKGROUND:Data concerning the outcomes of transcatheter aortic valve replacement in type 0 bicuspid aortic stenosis (AS) are scarce. Ascending aortic diameter was the single predictor of 1-year mortality in type 0 bicuspid patients (hazard ratio, 1.59 [95% CI, 1.03–2.44];P=0.035). Poverall=0.522; 1 year: 10% versus 2.3%
BACKGROUND:Patients with paradoxical low-flow, low-gradient severe aortic stenosis exhibit low transvalvular flow rate (Q), while maintaining preserved left ventricular ejection fraction. Severe mitral regurgitation (MR) also causes a low-flow state, adding complexity to diagnosis and management.
This case report describes a 3-month-old male infant diagnosed with severe mitralstenosis (MS) and mitral regurgitation (MR) by transthoracic echocardiography. The male infant initially underwent complex mitral valve repair surgery.
We assessed outcomes following mitral valvular surgery in a tertiary referral centre with a dedicated mitral multi-disciplinary team (MDT). This was a single-centre retrospective review of prospectively collected data within the ‘mitral database’ of mitral valvular disease patients.
Mitral and aortic annular calcification is an age-related degenerative process that can result in severe mitral and/or aortic stenosis and/or regurgitation. Annular calcification not only increases the surgica.
Columbia and Cornell researchers developed an echo AI model that could improve the difficult task of mitral regurgitation diagnosis, and might even represent an AI-driven step towards enhancing all valvular regurgitation assessments. The post New Echo AI Model Could Streamline Mitral Regurgitation Diagnosis appeared first on Cardiac Wire.
Background:There have been several studies postulating the association between Mitral valve stenosis (MS) and Chronic Kidney Disease (CKD). The prevalence of non rheumatic Mitralstenosis (MS) in the admission cohort was analyzed. The association between the conditions was statistically significant.
Percutaneous balloon mitral valvotomy (PBMV) is a good and preferred therapy choice over surgical commissurotomy for patients with rheumatic mitralstenosis (MS).
We focus on the most common primary valvular heart diseases, including calcific aortic stenosis, bicuspid aortic valves, mitral valve prolapse, and rheumatic heart disease, and outline the fundamental molecular discoveries contributing to each.
Webinar STS South Asia Webinar in collaboration with IACTS : Rheumatic Mitral Valve Repair gmckinney Fri, 10/18/2024 - 10:43 November 9, 2024 The first session of the South Asia webinar series delves into valve repair strategies for rheumatic mitral valve disease. Moderators Vinod H.
Webinar Rheumatic Mitral Valve Repair: STS South Asia Webinar in collaboration with IACTS gmckinney Fri, 10/18/2024 - 10:43 November 9, 2024 The first session of the South Asia webinar series delves into valve repair strategies for rheumatic mitral valve disease.
BACKGROUND:This study aimed to compare the incidence and prognostic implications of new-onset conduction disturbances after surgical aortic valve replacement (SAVR) in patients with bicuspid aortic valve (BAV) aortic stenosis (AS) versus patients with tricuspid aortic valve (TAV) AS (ie, BAV-AS and TAV-AS, respectively).
BackgroundThe potential impact of exercise on valvular function and aortic diameters in patients with a bicuspid aortic valve remains unclear. Echocardiography was used to assess aortic stenosis or aortic regurgitation and to measure diameters at the sinuses of Valsalva and ascending aorta. Aortic dilatation was defined as aZ‐score ≥2.
Results The presence of aortic stenosis (AS) was detected with a sensitivity of 90.9%, a specificity of 94.5%, and an area under the curve (AUC) of 0.979 (CI: 0.963–0.995). Screening jointly for symptomatic regurgitation or presence of stenosis resulted in an AUC of 0.86, with 97.7% of AS cases ( n = 44) and all 12 MS cases detected.
The realm of mitral valve disease management is witnessing an unprecedented surge of advancements. The Evolution of Treatment Modalities Historically, surgical repair has stood as the cornerstone in addressing primary mitral regurgitation. Addressing calcification-induced stenosis and regurgitation necessitates innovative solutions.
Continuous wave Doppler imaging at the mitral valve has been provided in figure 1. Figure 1 Continuous wave Doppler imaging at the mitral valve. Question What is the likely aetiology and the cause of late diastolic murmur?
Patients with bicuspid aortic valves (BAV) are predisposed to the development of aortic stenosis. We performed a pairwise meta-analysis, comparing the efficacy of transcatheter aortic valve replacement (TAVR) versus surgical aortic valve replacement (SAVR) in patients with BAV.
In the past decade, the U.S. has seen a 25-fold increase in the use of TAVR, with more than 100,000 performed annually. This technique is now employed in approximately 85% of all isolated aortic valve replacements. Despite this growth, there are notable gaps in the evidence.
Background Myocardial infarction (MI) has been shown to induce fibrotic remodelling of the mitral and tricuspid valves. It is unknown whether MI also induces pathological remodelling of the aortic valve and alters aortic stenosis (AS) progression.
Therefore, the implementation of stress echocardiography is recommended for determining interventional indications and risk stratification in mitral regurgitation and aortic stenosis. Here, we summarize the current evidence and future perspectives on stress echocardiography in VHD.
Herein, we review the management of acute heart failure caused by VHD with a focus on transcatheter therapies and describe currently available evidence based on a systematic literature search on the following valve pathologies: (i) aortic stenosis, (ii) aortic regurgitation, (iii) mitral regurgitation, and (iv) mitralstenosis.
Publication date: Available online 22 August 2024 Source: The American Journal of Cardiology Author(s): William R. Miranda, Abdallah El Sabbagh, C. Charles Jain, Patricia A. Pellikka, Jae K. Oh, Rick A. Nishimura
Clinical introduction A woman in her 30s, a case of rheumatic mitralstenosis status post balloon mitral valvuloplasty 15 years prior, presented to urgent care with palpitations and dyspnoea for 1 week. Echocardiography demonstrated severe calcific mitralstenosis with pulmonary hypertension.
Standalone performance for significant major valve disease pathology (aortic stenosis and regurgitation and mitral and tricuspid regurgitation) had a 93 percent sensitivity and 93 percent specificity.
The realm of mitral valve disease management is witnessing an unprecedented surge of advancements. The Evolution of Treatment Modalities Historically, surgical repair has stood as the cornerstone in addressing primary mitral regurgitation. Addressing calcification-induced stenosis and regurgitation necessitates innovative solutions.
However, underlying lesions such as hypertension, mitral valve disease, COPD, ASD, and TR greatly influence the degree of atrial enlargement. This is similar to MR begets MR. Atrial functional MR occurs when the lower part of the atria stretches the mitral annulus. No published proof as such.
to 55% of total SAVRs), while SAVR ratios increased among patients with bicuspid aortic valves (from 15.5% That’s a positive trend given that <80yr SAVR patients with bicuspid aortic valves also had better-than-expected mortality rates. Much of these SAVR declines occurred in patients with tricuspid aortic valves (from 84.5%
Objective A novel artificial intelligence-based phenotyping approach to stratify patients with severe aortic stenosis (AS) prior to transcatheter aortic valve replacement (TAVR) has been proposed, based on echocardiographic and haemodynamic data. For this consecutive study, echocardiographic follow-up data, obtained on day 147±75.1
Publication date: Available online 30 October 2024 Source: The American Journal of Cardiology Author(s): Mi-Jin Kim, Yoo-Jin Jung, Sun-Hack Lee, Byung Joo Sun, Sahmin Lee, Jung-Min Ahn, Duk-Woo Park, Dae-Hee Kim, Duk-Hyun Kang, Jong-Min Song
My patient is 59 years old, has symptomatic severe aortic stenosis (AS) with a bicuspid aortic valve (BAV), and his proximal aorta is 3.6 cm in diameter. He has no important comorbidities and was referred for advice as to whether he should have a surgical (SAVR) or transcatheter (TAVR) aortic valve replacement.
BackgroundAortic stenosis (AS) in combination with left ventricular outflow tract obstruction (LVOTO) has occasionally been reported. Immediately after the procedure, significant systolic anterior motion and mitral regurgitation developed, necessitating a surgical mitral edge-to-edge repair.
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