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Congenital aortic stenosis

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https://www.readbyqxmd.com/read/29928309/diagnosis-and-outcomes-of-transcatheter-aortic-valve-implantation-in-bicuspid-aortic-valve-stenosis
#1
REVIEW
Sung-Han Yoon, Yoshio Maeno, Hiroyuki Kawamori, Masaki Miyasaka, Takahiro Nomura, Tomoki Ochiai, Shadi Nemanpour, Matthias Raschpichler, Rahul Sharma, Tarun Chakravarty, Raj Makkar
Bicuspid aortic valve is the most common congenital cardiac malformation. Aortic valve replacement is often required in older patients but the surgical risk is often extremely high. As Transcatheter aortic valve implantation (TAVI) is an established therapy for intermediate and high surgical risk patients with symptomatic severe aortic valve stenosis (AS). Advances in technology and knowledge have led to TAVI being used for other pathologies and populations such as bicuspid AS. Recently, the diagnosis and classification of bicuspid aortic valve based on multidetector computed tomography (MDCT) assessment has been proposed, which may have an impact of outcomes after TAVI...
May 2018: Interventional Cardiology
https://www.readbyqxmd.com/read/29923134/comparison-of-balloon-dilatation-and-surgical-valvuloplasty-in-non-critical-congenital-aortic-valvular-stenosis-at-long-term-follow-up
#2
Sezen Ugan Atik, Ayşe Güler Eroğlu, Betül Çinar, Murat Tuğberk Bakar, İrfan Levent Saltik
The two main modalities used for congenital aortic valvular stenosis (AVS) treatment are balloon aortic valve dilatation (BAD) and surgical aortic valvuloplasty (SAV). This study evaluates residual and recurrent stenosis, aortic regurgitation (AR) development/progression, reintervention rates, and the risk factors associated with this end point in patients with non-critical congenital AVS who underwent BAD or SAV after up to 18 years of follow-up. From 1990 to 2017, 70 consecutive interventions were performed in patients with AVS, and 61 were included in this study (33 BADs and 28 SAVs)...
June 19, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29922011/percutaneous-balloon-dilatation-for-congenital-aortic-stenosis-during-infancy-a-15-year-single-center-experience
#3
Abdulraouf M Z Jijeh, Muna Ismail, Aisha Al-Bahanta, Ahmed Alomrani, Omar Tamimi
Background: Congenital aortic stenosis (AS) is a rare disease. Treatment options for newborns are challenging. Newborns may have higher reintervention rate and mortality. Objectives: The study aimed to identify the factors predictive of reintervention following balloon aortic valvuloplasty (BAV) for AS during infancy. Methods: Retrospectively, between 2001 and 2016, echocardiography (echo) and cardiac catheterization data for infants with AS were analyzed, including follow-ups and reinterventions...
May 2018: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/29922007/population-based-treated-prevalence-risk-factors-and-outcomes-of-bicuspid-aortic-valve-in-a-pediatric-medicaid-cohort
#4
Avnish Tripathi, Yinding Wang, Jeanette M Jerrell
Background: We investigated the treated prevalence of bicuspid aortic valve in a pediatric population with congenital heart disease and its incident complications. Materials and Methods: A 15-year retrospective data set was analyzed. Selection criteria included age ≤17 years, enrollees in the South Carolina State Medicaid program and diagnosed as having bicuspid aortic valve on one or more service visits. Results: The 15-year-treated prevalence of predominantly isolated bicuspid aortic valve was 2% (20/1000) of pediatric congenital heart disease cases, with a non-African American: African-American ratio of 3...
May 2018: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/29914284/congenital-heart-defects-the-10-year-experience-at-a-single-center
#5
Emine Aydin, Ebru Aypar, Ahmet Oktem, Ozgur Ozyuncu, Murat Yurdakok, Murat Guvener, Metin Demircin, M Sinan Beksac
OBJECTIVE: We aimed to evaluate congenital heart disease (CHD) cases according to EUROCAT subgroup classification that were diagnosed during the prenatal period in our center. METHODS: CHDs that were prenatally diagnosed using ultrasonography and confirmed by fetal echocardiography were reviewed over a 10-year period. Subgroup classification was finalized at the post-partum period in terms of the EUROCAT guide 1.3. Congenital heart defect subtypes and obstetric outcomes (gestational week at delivery, birth weight, gender, extracardiac structural abnormalities, karyotype results if performed) were analyzed...
June 18, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29912227/-current-incidence-of-congenital-heart-disease-diagnosed-in-the-first-year-of-life-results-of-a-20-year-registry-with-one-year-follow-up-and-comparison-with-the-literature
#6
Alberto Cresti, Massimiliano Cantinotti, Stefania Stefanelli, Marco Solari, Incoronata D'Aiello, Susanna Falorni, Silvia Favilli, Ugo Limbruno
BACKGROUND: The epidemiological data on the incidence of congenital heart defects derive from retrospective registries based on birth discharge codes with methodological limits and different selection criteria. Our aim was to determine the actual incidence of congenital heart defects in the first year of life in a population of residents in a province of Tuscany, Italy. METHODS: This prospective study was conducted in 31 185 newborn residents in the province, enrolling a consecutive population throughout the first year of life and followed up at least for one year...
June 2018: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29911003/bicuspid-aortic-valve-registry-of-the-italian-society-of-echocardiography-and-cardiovascular-imaging-registro-della-valvola-aortica-bicuspide-della-societ%C3%A3-italiana-di-ecocardiografia-e-cardiovascular-imaging-rationale-and-study-design
#7
Rodolfo Citro, Moreno Cecconi, Salvatore La Carrubba, Eduardo Bossone, Francesco Antonini-Canterin, Stefano Nistri, Fabio Chirillo, Ilaria Dentamaro, Michele Bellino, Alfredo Posteraro, Mauro Giorgi, Licia Petrella, Ines Monte, Vincenzo Manuppelli, Antonio Mantero, Scipione Carerj, Frank Benedetto, Paolo Colonna
Background: Bicuspid aortic valve (BAV) is the most common congenital heart disease, affecting 0.5%-2% of the general population. It is associated not only with notable valvular risk (aortic stenosis and/or regurgitation, endocarditis) but also with aortopathy with a wide spectrum of unpredictable clinical presentations, including aneurysmal dilation of the aortic root and/or ascending thoracic aorta, isthmic coarctation, aortic dissection, or wall rupture. Methods: The REgistro della Valvola Aortica Bicuspide della Società Italiana di ECocardiografia e CArdiovascular Imaging is a retrospective (from January 1, 2010)/prospective, multicenter, observational registry, expected to enroll 3000 patients with definitive diagnosis of BAV made by transthoracic and/or transesophageal echocardiography, computed tomography, cardiovascular magnetic resonance, or at surgery...
April 2018: Journal of Cardiovascular Echography
https://www.readbyqxmd.com/read/29908190/transcatheter-aortic-valve-replacement-in-a-patient-with-dextrocardia-and-situs-inversus-totalis
#8
Gregory Pattakos, Michael Chrissoheris, Antonios Halapas, Konstantinos Papadopoulos, Panagiota Kourkoveli, Nikolaos Bouboulis, Stratis Pattakos, Konstantinos Spargias
This report presents the case of an 82 year old male with known dextrocardia and situs inversus totalis who developed increasing dyspnea on exertion and was diagnosed with severe aortic stenosis. Transcatheter aortic valve replacement was decided upon requiring deviation from standard techniques for patients with normal anatomy and left-sided aortic arch. We describe two technical differences required for patients with dextrocardia and right-sided aortic arch which facilitate transcatheter aortic valve replacement in this patient group...
June 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29883655/pediatric-coronary-artery-bypass-surgery-for-congenital-heart-disease
#9
REVIEW
Soichiro Kitamura
BACKGROUND: Pediatric coronary artery bypass surgery (PCABS) for congenital heart disease has become increasingly important in infants and children undergoing modern cardiac surgery, because of its life-saving potential in unsuccessful coronary transfer surgery. This review summarizes the current surgical role of PCABS for treating congenital heart diseases. METHODS: Databases, mainly PUBMED, were searched for relevant publications regarding coronary bypass surgery in the pediatric population, from 1970 (commencement) to March 2018...
June 5, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29880056/congenital-aortic-stenosis-due-to-unicuspid-unicommissural-aortic-valve-a-case-report
#10
Arnar B Ingason, Gunnlaugur Sigfusson, Bjarni Torfason
BACKGROUND: Unicuspid unicommissural aortic valve is an extremely rare congenital anomaly that usually presents in adulthood but can rarely present in infancy. We report a 17-year-old patient with congenital aortic stenosis secondary to unicuspid unicommissural aortic valve that was successfully treated with aortic valve replacement. CASE PRESENTATION: The patient was diagnosed with aortic stenosis after a murmur was heard in the newborn nursery and subsequently underwent aortic balloon valvuloplasty 6 weeks after birth...
June 7, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29864199/diagnostic-significance-of-three-dimensional-echocardiography-in-asymptomatic-unicuspid-aortic-valve
#11
Zorica Mladenovic, Danijela Vranes, Slobodan Obradovic, Boris Dzudovic, Andjelka Angelkov Ristic, Nenad Ratkovic, Zoran Jovic, Marijan Spasic, Jelena Maric Kocijancic, Predrag Djruic
Unicuspid aortic valve (UAV) is a rare congenital anomaly of aorta associated with a faster progress of valvular dysfunction, aortic dilatation and with necessity for more frequent controls and precise evaluation Asymptomatic 35 year old man had abnormal systolic diastolic murmur on aortic valve during routine examination. Initial diagnostic with transthoracic echocardiography (TTE) supposed bicuspid aortic valve, while three-dimensional transesophageal echocardiography (3D TEE) and multidetector computed tomography defined unicuspid, unicomissural aortic valve with moderate aortic stenosis and regurgitation...
June 4, 2018: Echocardiography
https://www.readbyqxmd.com/read/29750287/an-update-on-common-chromosome-microdeletion-and-microduplication-syndromes
#12
Paula Goldenberg
This review summarizes common microdeletion and microduplication syndromes and highlights important updates in patient-care needs for people with these conditions (22q11.2, 7q11.23, 17p11.2, and 16p11.2). These conditions are in chromosomal "hotspots" and have an estimated prevalence of 1 in 1,000 to 1 in 25,000. Some conditions have possible increased or decreased genetic risk of schizophrenia (22q11.2 deletion and duplication), or risk of aortic dilation (7q11.23 duplication) versus aortic stenosis (7q11...
May 1, 2018: Pediatric Annals
https://www.readbyqxmd.com/read/29718178/results-of-aortic-valve-repair-using-decellularized-bovine-pericardium-in-congenital-surgery
#13
Sarah Nordmeyer, Peter Murin, Antonia Schulz, Friederike Danne, Johannes Nordmeyer, Johanna Kretzschmar, Daria Sumbadze, Katharina Rose Luise Schmitt, Oliver Miera, Mi-Young Cho, Nicodeme Sinzobahamvya, Felix Berger, Stanislav Ovroutski, Joachim Photiadis
OBJECTIVES: The search for an optimal patch material for aortic valve reconstruction (AVR) is an ongoing challenge. In this study, we report our experience of AVR using decellularized bovine pericardial patch material in congenital heart surgery. METHODS: Data of 40 consecutive patients who underwent AVR using the CardioCel® patch (Admedus Regen Pty Ltd, Perth, WA, Australia) between February 2014 and August 2016 were retrospectively reviewed. The median age of the patients at operation was 9 (2-34) years, and 18 patients were younger than 7 years...
April 30, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29715168/persistent-left-superior-vena-cava-imaging-correlation
#14
Andrés M Pineda, Saqib A Gowani, Christos G Mihos, Nirat Beohar, Orlando Santana
In this heart failure patient, TEE images confirm the presence of the persistent left SVC with a dilated coronary sinus, severe mitral regurgitation, and aortic stenosis. Computed tomography reveals an isolated persistent left SVC and rules out anomalous pulmonary vein drainage or additional congenital disease.
May 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29681546/educational-series-in-congenital-heart-disease-congenital-left-sided-heart-obstruction
#15
REVIEW
Michelle Carr, Stephanie Curtis, Jan Marek
Congenital obstruction of the left ventricular outflow tract remains a significant problem and multilevel obstruction can often coexist. Obstruction can take several morphological forms and may involve the subvalvar, valvar or supravalvar portion of the aortic valve complex. Congenital valvar stenosis presenting in the neonatal period represents a spectrum of disorders ranging from the hypoplastic left heart syndrome to almost normal hearts. Treatment options vary dependent on the severity of the left ventricular outflow tract obstruction (LVOTO) and the variable degree of left ventricular hypoplasia as well as the associated lesions such as arch hypoplasia and coarctation...
June 2018: Echo Research and Practice
https://www.readbyqxmd.com/read/29652290/absent-right-superior-vena-cava-and-persistent-left-superior-vena-cava-in-a-patient-with-bicuspid-aortic-valve-with-aortic-stenosis
#16
Kushant Gupta, Vijayakanth Bhuvana, Varun Bansal, Ruma Ray, Arkalgud Sampath Kumar
Persistent left superior vena cava (LSVC) with absent right SVC (RSVC) is a rare congenital anomaly. If undetected, the condition may pose difficulties in central venous catheter insertion, pacemaker electrode insertion, and cannulation during cardiopulmonary bypass. We describe a case of persistent LSVC with absent RSVC, who was diagnosed to have bicuspid aortic valve with aortic stenosis.
April 2018: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/29625867/balloon-aortic-valvuloplasty-for-congenital-aortic-stenosis-a-14-year-single-centre-review
#17
Benjamin Auld, Lindsay Carrigan, Cameron Ward, Robert Justo, Nelson Alphonso, Ben Anderson
BACKGROUND: The approach to intervention for congenital aortic valve stenosis (AS) differs depending upon centre bias toward a primary catheter or surgical approach. We therefore investigated associations with freedom from re-intervention (FFI) in the cohort of children who underwent primary balloon aortic valvuloplasty (BAV) for congenital AS in our centre. METHODS: All patients who underwent BAV as a primary procedure in the period between 2001 and 2015 in a single service were included...
March 1, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29622096/management-of-patients-with-aortic-valve-stenosis
#18
REVIEW
Amrit Kanwar, Jeremy J Thaden, Vuyisile T Nkomo
With increased life expectancy and aging of the population, aortic stenosis is now one of the most common valvular heart diseases. Early recognition and management of aortic stenosis are of paramount importance because untreated symptomatic severe disease is universally fatal. The advent of transcather aortic valve replacement technologies provides exciting avenues of care to patients with this disease in whom traditional surgical procedures could not be performed or were associated with high risk. This review for clinicians offers an overview of aortic stenosis and updated information on the current status of various treatment strategies...
April 2018: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29564521/post-operative-assessment-of-the-arterial-switch-operation-a-comparison-of-magnetic-resonance-imaging-and-echocardiography
#19
Christopher R Broda, Svetlana B Shugh, Rohan B Parikh, YunFei Wang, Tobias R Schlingmann, Cory V Noel
After an arterial switch operation (ASO), serial imaging is necessary to monitor for maladaptive changes. We compared cardiac magnetic resonance imaging (CMR) to 2-D transthoracic echocardiography (TTE) in assessing post-operative ASO patients. We performed a retrospective review of patients at a single tertiary care center who underwent an ASO and subsequently had a CMR performed from 7/2010 to 7/2016. Those with single ventricle anatomy, congenitally corrected transposition of the great arteries, or previous atrial switch operation were excluded...
June 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29555839/longitudinal-doppler-assessment-of-congenital-aortic-stenosis-it-is-about-time
#20
EDITORIAL
Mark K Friedberg
No abstract text is available yet for this article.
March 2018: Circulation. Cardiovascular Imaging
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