keyword
https://read.qxmd.com/read/38315074/our-10-year-experience-with-atrial-myxomas-is-concurrent-valve-intervention-really-warranted
#21
JOURNAL ARTICLE
Ketika Potey, Narender Jhajhria, Manish Mallik, Rahul Bhushan, Palash Aiyer, Vijay Grover
INTRODUCTION: Primary cardiac myxomas are rare tumors. Concurrent valvular lesion is a common finding on evaluation which is thought to be due to annular dilatation secondary to tumor movement across the valve, functional obstruction across the valve, and severe pulmonary hypertension secondary to chronic obstruction. A common belief among surgeons is that excision of myxoma leads to abatement of symptoms, and further valve intervention may not be warranted. METHODS: A 10-year retrospective descriptive study was designed to analyze patients who underwent excision of cardiac myxoma at our center...
February 5, 2024: Brazilian Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38284662/a-case-of-tricuspid-valve-stenosis-after-pacemaker-implantation-with-infective-endocarditis
#22
Lin Song, Xiaoli Qin, Xuejie Li, Yunxia Zuo
A 68-year-old male patient was admitted for extremities edema and diagnosed with infective endocarditis (IEIE). The patient underwent mitral and aortic valve mechanical valve replacement due to rheumatic heart valve disease 26 years ago. He underwent mechanical aortic valve and bioprosthetic tricuspid valve replacement due to mechanical aortic valve dysfunction and severe tricuspid valve regurgitation 1 year ago. Two months ago, the patient underwent emergency permanent pacemaker implantation due to syncope caused by a third-degree atrioventricular block...
January 2024: Echocardiography
https://read.qxmd.com/read/38281764/mitral-valve-repair-vs-replacement-by-different-etiologies%C3%A3-a-nationwide-population-based-cohort-study
#23
JOURNAL ARTICLE
Hsiu-An Lee, Feng-Cheng Chang, Jih-Kai Yeh, Ying-Chang Tung, Victor Chien-Chia Wu, Ming-Jer Hsieh, Chun-Yu Chen, Chi-Hsiao Yeh, Pao-Hsien Chu, Shao-Wei Chen
BACKGROUND: When mitral valve (MV) surgery is indicated, repair is preferred over replacement; however, this preference is not supported by evidence from clinical trials. Furthermore, the benefits of MV repair may not be universal for all etiologies of MV disease.Methods and Results: This study identified a total of 18,428 patients who underwent MV repair (n=4,817) or MV replacement (n=13,611) during 2001-2018 from Taiwan's National Health Insurance Research Database. These patients were classified into 4 etiologies: infective endocarditis (IE, n=2,678), rheumatic heart disease (RHD, n=4,524), ischemic mitral regurgitation (IMR, n=3,893), and degenerative mitral regurgitation (DMR, n=7,333)...
January 27, 2024: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/38281006/risk-factors-for-long-term-invasive-mechanical-ventilation-a-longitudinal-study-using-german-health-claims-data
#24
JOURNAL ARTICLE
Franziska C Trudzinski, Julia D Michels-Zetsche, Benjamin Neetz, Jan Meis, Michael Müller, Axel Kempa, Claus Neurohr, Armin Schneider, Felix J F Herth, Joachim Szecsenyi, Elena Biehler, Thomas Fleischauer, Michel Wensing, Simone Britsch, Janina Schubert-Haack, Thomas Grobe, Timm Frerk
BACKGROUND: Long-term invasive mechanical ventilation (IMV) is a major burden for those affected and causes high costs for the health care system. Early risk assessment is a prerequisite for the best possible support of high-risk patients during the weaning process. We aimed to identify risk factors for long-term IMV within 96 h (h) after the onset of IMV. METHODS: The analysis was based on data from one of Germany's largest statutory health insurance funds; patients who received IMV ≥ 96 h and were admitted in January 2015 at the earliest and discharged in December 2017 at the latest were analysed...
January 27, 2024: Respiratory Research
https://read.qxmd.com/read/38273089/assessment-of-the-mitral-valve-with-cardiac-ct-may-improve-preoperative-stratification-of-patients-with-rheumatic-heart-disease
#25
EDITORIAL
Matthias Eberhard
No abstract text is available yet for this article.
January 26, 2024: European Radiology
https://read.qxmd.com/read/38269589/profibrotic-vegfr3-dependent-lymphatic-vessel-growth-in-autoimmune-valvular-carditis
#26
JOURNAL ARTICLE
Victoria Osinski, Amritha Yellamilli, Maria M Firulyova, Michael J Zhang, Alyssa L Peck, Jennifer L Auger, Jessica L Faragher, Aubyn Marath, Rochus K Voeller, Timothy D O'Connell, Konstantin Zaitsev, Bryce A Binstadt
BACKGROUND: Rheumatic heart disease is the major cause of valvular heart disease in developing nations. Endothelial cells (ECs) are considered crucial contributors to rheumatic heart disease, but greater insight into their roles in disease progression is needed. METHODS: We used a Cdh5 -driven EC lineage-tracing approach to identify and track ECs in the K/B.g7 model of autoimmune valvular carditis. Single-cell RNA sequencing was used to characterize the EC populations in control and inflamed mitral valves...
January 25, 2024: Arteriosclerosis, Thrombosis, and Vascular Biology
https://read.qxmd.com/read/38267036/sex-differences-in-epidemiological-distribution-and-outcomes-of-surgical-mitral-valve-disease
#27
JOURNAL ARTICLE
Feng-Cheng Chang, Chun-Yu Chen, Yi-Hsin Chan, Yu-Ting Cheng, Chia-Pin Lin, Victor Chien-Chia Wu, Kuo-Chun Hung, Pao-Hsien Chu, An-Hsun Chou, Shao-Wei Chen
BACKGROUND: Mitral valve (MV) disease is the most common form of valvular heart disease. Findings that indicate women have a higher risk for unfavorable outcomes than men remain controversial. This study aimed to determine the sex-based differences in epidemiological distributions and outcomes of surgery for MV disease.Methods and Results: Overall, 18,572 patients (45.3% women) who underwent MV surgery between 2001 and 2018 were included. Outcomes included in-hospital death and all-cause mortality during follow up...
January 24, 2024: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/38252276/scoring-model-based-on-cardiac-ct-and-clinical-factors-to-predict-early-good-mitral-valve%C3%A2-repair-in-rheumatic-mitral-disease
#28
JOURNAL ARTICLE
Maozhou Wang, Hongkai Zhang, Zhou Liu, Jie Han, Jing Liu, Nan Zhang, Shuang Li, Wenjie Tang, Peiyi Liu, Baiyu Tian, Tiange Luo, Jiangang Wang, Xu Meng, Hongyu Ye, Lei Xu, Hongjia Zhang, Wenjian Jiang
OBJECTIVE: We aimed to evaluate the mitral valve calcification and mitral structure detected by cardiac computed tomography (cardiac CT) and establish a scoring model based on cardiac CT and clinical factors to predict early good mitral valve repair (EGMR) and guide surgical strategy in rheumatic mitral disease (RMD). MATERIALS AND METHODS: This is a retrospective bi-center cohort study. Based on cardiac CT, mitral valve calcification and mitral structure in RMD were quantified and evaluated...
January 22, 2024: European Radiology
https://read.qxmd.com/read/38237762/surgery-and-transcatheter-intervention-for-degenerative-mitral-regurgitation-in-the-united-states
#29
JOURNAL ARTICLE
Joanna Chikwe, Qiudong Chen, Michael E Bowdish, Amy Roach, Dominic Emerson, Annetine Gelijns, Natalia Egorova
OBJECTIVES: We evaluated practice trends and 3-year outcomes of transcatheter edge-to-edge repair (TEER) and surgical repair for degenerative mitral regurgitation (MR) in the U.S. METHODS: From the Centers for Medicare and Medicaid data (2012-2019), 53,117 mitral valve interventions (surgery or TEER) were performed for degenerative MR, identified by excluding rheumatic and congenital disease, endocarditis, myocardial infarction, cardiomyopathy, and concomitant or prior coronary revascularizations...
January 16, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38226515/using-artificial-intelligence-for-rheumatic-heart-disease-detection-by-echocardiography-focus-on-mitral-regurgitation
#30
JOURNAL ARTICLE
Kelsey Brown, Pooneh Roshanitabrizi, Joselyn Rwebembera, Emmy Okello, Andrea Beaton, Marius George Linguraru, Craig A Sable
BACKGROUND: Identification of children with latent rheumatic heart disease (RHD) by echocardiography, before onset of symptoms, provides an opportunity to initiate secondary prophylaxis and prevent disease progression. There have been limited artificial intelligence studies published assessing the potential of machine learning to detect and analyze mitral regurgitation or to detect the presence of RHD on standard portable echocardiograms. METHODS AND RESULTS: We used 511 echocardiograms in children, focusing on color Doppler images of the mitral valve...
January 16, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38222099/clinical-outcome-of-rheumatic-mitral-valve-repair-and-replacement-surgery-in-indonesia-a-comparison-with-non-rheumatic-aetiology
#31
JOURNAL ARTICLE
Amiliana Mardiani Soesanto, Estu Rudiktyo, Amin Tjubandi, Rina Ariani, Fadhila Nafilah Azzahra, Mochammad Faisal Adam, Ario Soeryo Kuncoro
INTRODUCTION: Mitral valve repair (MVr) has been shown to achieve better outcomes than mitral valve replacement (MVR) in degenerative aetiology. However, that cannot be applied in rheumatic mitral valve disease. Therefore, this study aims to evaluate early and late clinical outcomes and mid-term survival in RHD compared to the non-RHD group and whether mitral valve repair is a better surgical approach in RHD patients. METHODS: Patients who underwent mitral valve surgery with or without coronary artery bypass grafting were included in this study...
2024: Global Heart
https://read.qxmd.com/read/38197056/a-rare-case-report-of-coexisting-rheumatic-heart-disease-and-systemic-lupus-erythematous
#32
Sanjay Dhungana, Abhishek Pandey, Nijita Aryal, Kshitiz Kayastha, Santosh Pandey, Mukunda Thakur
This case report discusses the rare coexistence of Systemic Lupus Erythematosus (SLE) and Rheumatic Heart Disease (RHD) in a 46-year-old female patient, challenging the conventional understanding of their distinct presentations. The patient exhibited migratory joint pains, palpitations, and shortness of breath. Diagnostic investigations confirmed SLE based on EULAR/ACR criteria, with positive anti-nuclear and anti-dsDNA antibodies. Concurrently, transthoracic echocardiography revealed severe mitral stenosis and regurgitation, leading to the diagnosis of RHD...
January 2024: Clinical Case Reports
https://read.qxmd.com/read/38190842/primary-cardiac-rhabdomyosarcoma-in-a-mitral-valve-involved-with-rheumatic-disease
#33
JOURNAL ARTICLE
Mohammad Bashar Izzat, Nour Kara Tahhan, Ahmad Walid Izzat, Eyad M Chatty
A 51-year-old female underwent emergency mitral valve replacement for mitral stenosis with an undetermined mass which was attached to the anterior mitral leaflet. Histopathological testing of the excised specimen confirmed the diagnosis of rheumatic mitral disease in combination with a primary rhabdomyosarcoma. Postoperative adjuvant chemotherapy with pazopanib hydrochloride was given. At 10 months of follow-up, repeated computed tomographic screening has not shown any signs of local recurrence or secondary metastases...
January 8, 2024: Asian Cardiovascular & Thoracic Annals
https://read.qxmd.com/read/38190006/transcatheter-aortic-valve-replacement-in-patients-with-a-pre-existing-prosthetic-mitral-valve-a-single-center-experience-with-two-cases
#34
JOURNAL ARTICLE
Oyewole A Kushimo, Mitendra S Yadav, Purneshwar Pandey, Santosh Singh, Viveka Kumar
BACKGROUND: The performance of transcatheter aortic valve replacement (TAVR) in patients with pre-existing prosthetic mitral valves is technically challenging due to the potential interference between both prosthetic devices. At present, there are no clear recommendations for this patient subset due to their exclusion from clinical trials. We report our experience of two cases with pre-existing prosthetic mechanical mitral valves who underwent TAVR. CASE PRESENTATION: The first case was a 57 year old man with severe aortic stenosis and type 2 diabetes mellitus who had a mitral valve replacement 32 years ago...
January 8, 2024: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/38186795/cardiovascular-disease-in-pregnancy-and-its-outcome-a-prospective-study
#35
JOURNAL ARTICLE
Dipali Prasad, Ravi Vishnu Prasad, Manoj Kumar Choudhary, Kanchan Kumari
INTRODUCTION: Prevalence estimates place maternal heart illness anywhere from 0.3 to 3.5 percent. Up to 20.5% of all maternal deaths of non-obstetrical cause are attributable to cardiovascular disease. AIM: The aim of the study was the management of patients with the multidisciplinary approach to maternal cardiovascular disease and its influence on maternal and fetal outcomes in a tertiary care centre. OBJECTIVES: 1. To find out the prevalence and spectrum of heart disease in Pregnancy...
November 2023: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38169235/midterm-outcome-of-valve-repair-for-rheumatic-mitral-stenosis-6-year-experience-in-a-single-mid-volume-cardiac-center
#36
JOURNAL ARTICLE
Suhua Zang, Shengwei Bai, Panyang Li, Xiaoyue Fan, Yang Liu, Weihua Zhang, Donghai Liu, Chenhui Qiao, Hao Xu, Xin Zhang
OBJECTIVES: Previous studies have reported satisfactory long-term results of mitral valve (MV) repair for rheumatic mitral disease. However, the effects of this procedure in isolated rheumatic mitral stenosis remain unclear. In addition, protective effects of MV repair on cardiac function have not been verified in rheumatic MV disease. This study retrospectively evaluated early mortality and mid-term results of MV repair for isolated rheumatic mitral stenosis in a mid-volume cardiac centre, and explored the effects of this procedure on cardiac function...
January 1, 2024: Heart, Lung & Circulation
https://read.qxmd.com/read/38152201/contemporary-surgical-techniques-for-mitral-valve-replacement-in-extensive-mitral-annular-calcification
#37
JOURNAL ARTICLE
Ahmed El-Eshmawi, Gilbert H L Tang, Erick Sun, Sophia L Alexis, Busra Cangut, Dimosthenis Pandis, Percy Boateng, David H Adams
OBJECTIVES: Mitral annular calcification remains a formidable lesion in cardiac surgery with significant perioperative morbidity and mortality, particularly when en bloc annular decalcification is implemented. Respect strategies and hybrid approaches have provided safe alternatives. We report the short-term results of our institution's experience with mitral valve replacement in patients with extensive annular calcification. METHODS: This is a retrospective review of 72 consecutive patients with extensive annular calcification who underwent open surgical mitral valve replacement from January 1, 2013, to September 31, 2022...
December 2023: JTCVS techniques
https://read.qxmd.com/read/38141728/outcomes-of-latent-rheumatic-heart-disease-external-validation-of-a-simplified-score-in-patients-with-and-without-secondary-prophylaxis
#38
JOURNAL ARTICLE
Bruno R Nascimento, Maria Carmo P Nunes, Jose Luiz P da Silva, Andrew Steer, Daniel Engelman, Emmy Okello, Joselyn Rwebembera, Liesl Zuhlke, Mariana Mirabel, Miriam Nakitto, Rachel Sarnacki, Antonio Luiz P Ribeiro, Craig A Sable, Andrea Z Beaton
BACKGROUND: Secondary antibiotic prophylaxis reduces progression of latent rheumatic heart disease (RHD) but not all children benefit. Improved risk stratification could refine recommendations following positive screening. We aimed to evaluate the performance of a previously developed echocardiographic risk score to predict mid-term outcomes among children with latent RHD. METHODS: We included children who completed the GOAL, a randomized trial of secondary antibiotic prophylaxis among children with latent RHD in Uganda...
December 21, 2023: International Journal of Cardiology
https://read.qxmd.com/read/38130866/veno-arterial-extracorporeal-membrane-oxygenation-as-a-perioperative-support-to-redo-cardiac-surgery-for-inoperable-adult-patients-a-case-series
#39
Alvaro Diego Peña, Alejandro Moreno-Angarita, Mayra Estacio, Diego Fernando Bautista, Ivan Fernando Quintero, Stephany Olaya, Eduardo Alberto Cadavid
BACKGROUND: The present article describes three cases of patients in cardiogenic shock (CS) with previous cardiac surgery that made them initially inoperable. Perioperative support with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) improved haemodynamic status and results in these high-risk patients. CASE SUMMARY: Case 1 is a 57-year-old male morbidly obese with previous aortic valve replacement (AVR) who presented with chest pain and developed cardiac arrest...
December 2023: European Heart Journal. Case Reports
https://read.qxmd.com/read/38130862/confounding-clinical-picture-in-the-diagnosis-of-left-ventricular-and-valvular-masses-a-case-report
#40
Amrin Kharawala, Yi-Yun Chen, Timothy Christian, Rosy Thachil
BACKGROUND: Masses in the heart and valves have a broad differential diagnosis including infective and rheumatic causes as well as primary or metastatic tumours. Diagnosis involves delineating the location, shape, and origin of the mass/masses and considering the clinical context. This case outlines the work-up and approach to diagnosing a cardiac mass along with imaging findings of a unique secondary metastatic mass in the left ventricle (LV). CASE SUMMARY: A 69-year-old female with past medical history of metastatic lung cancer treated with radiotherapy and breast cancer treated with mastectomy presented with dyspnoea and fever...
December 2023: European Heart Journal. Case Reports
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