keyword
https://read.qxmd.com/read/38522574/the-relationship-between-discharge-location-and-cardiac-rehabilitation-use-after-cardiac-surgery
#21
JOURNAL ARTICLE
Tyler M Bauer, Maximilian Fliegner, Hechaun Hou, Temilolaoluwa Daramola, Jeffrey S McCullough, Whitney Fu, Francis D Pagani, Donald S Likosky, Steven J Keteyian, Michael P Thompson
BACKGROUND: Cardiac rehabilitation (CR) is a guideline-recommended risk reduction program offered to cardiac surgical patients. Despite CR's association with better outcomes, attendance remains poor. The relationship between discharge location and CR use is poorly understood. METHODS: This study was a nationwide, retrospective cohort analysis of Medicare fee-for-service claims for beneficiaries undergoing coronary artery bypass grafting and/or surgical aortic valve repair between 07/01/2016 and 12/31/2018...
March 22, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38521546/morphological-and-dynamic-analysis-of-the-normal-aortic-valve-with-4d-computed-tomography
#22
JOURNAL ARTICLE
Amine Fikani, Damian Craiem, Elie Mousseaux, Gilles Soulat, Aymeric Rouchaud, Cyrille Boulogne, Elie Martins, Jerome Jouan
OBJECTIVES: To evaluate the precise dimensions of the normal aortic root, especially the true aortic annulus, during the cardiac cycle using an innovative reconstruction method based on Multiphase Cardiac CT (MCCT) and to assess the feasibility and the reproducibility of this method for aortic root analysis. METHODS: Between January 2019 and June 2021, 30 optimal consecutive ECG-gated MCCT of patients with normal tricuspid aortic valve were analyzed using an in-house software...
March 23, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38521440/valvulitis-a-new-echocardiographic-criterion-for-the-diagnosis-of-bioprosthetic-aortic-valve-infective-endocarditis
#23
JOURNAL ARTICLE
Pablo Zulet, Isidre Vilacosta, Eduardo Pozo, Daniel García Arribas, Carlos Nicolás Pérez-García, Manuel Carnero, Daniel Pérez Camargo, Lourdes Montero, Melchor Saiz Pardo, Patricia Mahía, Adrián Jerónimo, Fabián Islas, Daniel Gómez, José Alberto San Román, José Alberto De Agustín, Carmen Olmos
INTRODUCTION AND OBJECTIVES: Diffuse homogeneous hypoechoic leaflet thickening, with a wavy leaflet motion documented by transesophageal echocardiography (TEE), has been described in some cases of prosthetic valve endocarditis (PVE) involving aortic bioprosthesis (AoBio-PVE). This echocardiographic finding has been termed valvulitis. We aimed to estimate the prevalence of valvulitis, precisely describe its echocardiographic characteristics, and determine their clinical significance in patients with AoBio-PVE...
March 21, 2024: Revista Española de Cardiología
https://read.qxmd.com/read/38521287/clinical-outcomes-for-patients-with-cardiovascular-diseases-before-during-and-after-the-covid19-pandemic-a-pooled-analysis-of-600-000-patients
#24
REVIEW
Antonio V Sterpetti, Raimondo Gabriele, Valeria Borrelli, Monica Campagnol, Immacolata Iannone, Umberto Costi, Paolo Sapienza, Luca Dimarzo
BACKGROUND: . The unexpected virulence of the COVID19 pandemic brought to significant changes of generally accepted therapeutic approaches. The consequences of these changes were difficult to define during the pandemic period. METHODS: . We analyzed the National Registries including 97% of hospital admissions in Italy, regrading data describing number of operations for aortic valve implantation or repair, carotid and coronary revascularization, AAA repair, and lower limb arterial reconstruction performed in the period 2015 to 2019 and in the pandemic years 2020, 2021, and 2022...
March 21, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38518227/comparative-analysis-of-early-postoperative-results-of-transcatheter-aortic-valve-implantation-and-surgical-aortic-valve-replacement-with-a-biological-prosthesis
#25
JOURNAL ARTICLE
Mykhailo Todurov, Oleh Zelenchuk, Mykola Stan, Andrii Khokhlov, Serhii Sudakevych, Nataliia Ponych, Stepan Marunyak
OBJECTIVE: . Aim: The choice of aortic valve stenosis correction method is determined by a number of clinical and technical parameters. The task was to compare early postoperative outcomes in patients after correction of aortic valve stenosis using TAVI and surgical aortic valve replacement with a biological prosthesis. PATIENTS AND METHODS: Materials and Methods: This retrospective study analyzed the medical records of adult patients (18 years of age and older) who had transcatheter aortic valve implantation or surgical aortic valve replacement with a biological prosthesis at the State Institution "Heart Institute of the Ministry of Health" in the period from 2018 to 2022...
2024: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://read.qxmd.com/read/38513932/untangling-the-complex-multidimensionality-of-the-social-determinants-of-cardiovascular-health-a-systematic-review
#26
REVIEW
Navya Vyas, Aida Zaheer, Harindra C Wijeysundera
BACKGROUND: The cardiovascular literature is limited by the lack of consensus on what are the best metrics for reporting social determinants of health (SDH)/social deprivation and if they should be reported as a single metric or separately by their domains. METHODS: A systematic review of the literature on cardiovascular surgeries and procedures was conducted, identifying articles from January 1st 2010 to December 31st , 2023 that studied the relationship between health outcomes post cardiovascular procedures and/or surgeries and SDH/social deprivation...
March 19, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38511860/a-rare-complication-of-transcatheter-aortic-valve-replacement-delayed-down-migration-of-a-portico-valve
#27
JOURNAL ARTICLE
Busra Guvendi Sengor, Cemalettin Yilmaz, Regayip Zehir
There are some complications after transcatheter aortic valve replacement (TAVR), which is an alternative to surgery for the treatment of severe aortic stenosis. Valve migration, an unusual but life-threatening complication of TAVR, usually occurs during or several hours after the procedure and is associated with poor outcome. Therefore, operators must be experienced in rescue treatments. Placement of a second prosthesis as a salvage strategy appears to be a safe method to avoid the need for conversion to surgery...
March 21, 2024: Medeniyet medical journal
https://read.qxmd.com/read/38511073/derivation-and-validation-of-predictive-indices-for-cardiac-readmission-after-coronary-and-valvular-surgery-a-multicenter-study
#28
JOURNAL ARTICLE
Louise Y Sun, Anna Chu, Derrick Y Tam, Xuesong Wang, Jiming Fang, Peter C Austin, Christopher M Feindel, Vicki Alexopoulos, Natasa Tusevljak, Rodolfo Rocha, Maral Ouzounian, Graham Woodward, Douglas S Lee
OBJECTIVE: To derive and validate models to predict the risk of a cardiac readmission within one year after specific cardiac surgeries using information that is commonly available from hospital electronic medical records. METHODS: In this retrospective cohort study, we derived and externally validated clinical models to predict the likelihood of cardiac readmissions within one-year of isolated CABG, AVR, and combined CABG+AVR in Ontario, Canada, using multiple clinical registries and routinely collected administrative databases...
April 2023: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38509415/detecting-aortic-valve-stenosis-based-on-the-non-invasive-blood-pressure%C3%A2-waveform-a-proof-of-concept-study
#29
JOURNAL ARTICLE
Eline Kho, Jimmy Schenk, Alexander P J Vlaar, Marije M Vis, Marije Wijnberge, Lotte B Stam, Martijn van Mourik, Harald T Jorstad, Henning Hermanns, Berend E Westerhof, Denise P Veelo, Bjorn J P van der Ster
The incidence of aortic valve stenosis (AoS) increases with age, and once diagnosed, symptomatic severe AoS has a yearly mortality rate of 25%. AoS is diagnosed with transthoracic echocardiography (TTE), however, this gold standard is time consuming and operator and acoustic window dependent. As AoS affects the arterial blood pressure waveform, AoS-specific waveform features might serve as a diagnostic tool. Aim of the present study was to develop a novel, non-invasive, AoS detection model based on blood pressures waveforms...
March 20, 2024: GeroScience
https://read.qxmd.com/read/38508639/predictive-machine-learning-models-for-ascending-aortic-dilatation-in-patients-with-bicuspid-and-tricuspid-aortic-valves-undergoing-cardiothoracic-surgery-a-prospective-single-centre-and-observational-study
#30
JOURNAL ARTICLE
Bamba Gaye, Maxime Vignac, Jesper R Gådin, Magalie Ladouceur, Kenneth Caidahl, Christian Olsson, Anders Franco-Cereceda, Per Eriksson, Hanna M Björck
OBJECTIVES: The objective of this study was to develop clinical classifiers aiming to identify prevalent ascending aortic dilatation in patients with bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV). DESIGN AND SETTING: A prospective, single-centre and observational cohort. PARTICIPANTS: The study involved 543 BAV and 491 TAV patients with aortic valve disease and/or ascending aortic dilatation, excluding those with coronary artery disease, undergoing cardiothoracic surgery at the Karolinska University Hospital (Sweden)...
March 20, 2024: BMJ Open
https://read.qxmd.com/read/38505020/optimal-antithrombotic-strategy-following-valve-in-valve-transcatheter-aortic-and-mitral-valve-replacement
#31
REVIEW
Maximilian Reisinger, Polydoros N Kampaktsis, Tanush Gupta, Isaac George
The treatment of aortic and mitral valve disease requiring replacement has shifted to an increasing use of bioprosthetic heart valves. Due to their limited durability, there is a growing need for reintervention in the setting of failing bioprosthesis. Even though the gold standard for the treatment of failed bioprosthesis remains surgical repair or replacement, valve-in-valve (ViV) transcatheter aortic and mitral valve replacement have emerged as safe and effective alternatives for patients who are at high or prohibitive risk for surgery...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505007/analysis-of-the-hemostatic-effect-of-preset-wrapping-technique-for-type-a-aortic-dissection-with-abnormal-coagulation
#32
JOURNAL ARTICLE
Zhixiang Cai, Tao Yan, Ben Zhang, Weida Zhang, Chenjie Su, Hanwei Chen, Xianyue Wang
BACKGROUND: There are many techniques to reduce anastomotic bleeding for the total arch replacement, but hemostasis is sometimes difficult to achieve after surgery for acute dissection, especially in patients with abnormal coagulation (AC). This study aimed to investigate the hemostatic effect and early efficacy of a pre-set bovine pericardium wrapper in the right heart system shunt for total arch replacement in patients with type A aortic dissection (TAAD) and preoperative AC. METHODS: A retrospective analysis was conducted on 85 patients with TAAD and AC who underwent total arch replacement between January 2018 and December 2022...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38504357/a-case-of-hypertrophic-cardiomyopathy-with-previous-aortic-valve-replacement
#33
JOURNAL ARTICLE
Hongyan Xiao, Laichun Song, Meng Guo, Liang Tao
We describe a 45-year-old patient who was diagnosed with hypertrophic obstructive cardiomyopathy (HOCM) after the aortic valve replacement surgery. Enlarged left atria, thickened ventricular septum, left ventricular outflow tract stenosis, moderate mitral regurgitation and mild tricuspid regurgitation in the echocardiography were found. We offered the patient the new minimally invasive treatment modality: percutaneous intra-myocardial septal radiofrequency ablation (PIMSRA). We demonstrate the safety and efficacy with pictures...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504348/later-aorta-operation-after-aortic-valve-replacement-for-bicuspid-aortic-valve
#34
JOURNAL ARTICLE
Kohei Hachiro, Noriyuki Takashima, Tomoaki Suzuki
BACKGROUND: We investigated long-term outcomes, particularly later aorta operations and overall death in patients who underwent aortic valve replacement for bicuspid aortic valve without aortic surgery. METHODS: Between January 2002 and December 2022, 274 patients underwent aortic valve replacement for bicuspid aortic valve at our institution. Of them, 181 patients who did not undergo aortic surgery, in accordance with current guidelines, were analyzed retrospectively...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504317/high-risk-of-coronary-artery-obstruction-during-tavr-how-to-avoid-it
#35
JOURNAL ARTICLE
Jose R Gayosso-Ortíz, Juan F Garcia-Garcia, Jose Alfredo Merino-Rajme, Roberto Muratalla-González, Juan C Fuentes-Moreno, Arnoldo S Jiménez-Valverde, Marco A Alcantara-Melendez, Heberto Aquino-Bruno
BACKGROUND: Coronary artery obstruction after percutaneous aortic replacement is a complication with high short-term mortality secondary to the lack of timely treatment. There are various predictors of coronary obstruction prior to valve placement such as the distance from the ostia, the degree of calcification, the distance from the sinuses; In such a situation some measures must be taken to prevent and treat coronary obstruction. CASE PRESENTATION: An 84-year-old male, with severe aortic stenosis and high surgical risk, who was treated with TAVR...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504295/recognition-and-management-of-left-atrial-dissection-during-mitral-repair
#36
JOURNAL ARTICLE
Haya Alshaabi, Jack F Donaghue, Denise M Franko, Jock N McCullough
BACKGROUND: Left atrial dissection (LAtD) is a rare but potentially life-threatening complication of mitral valve surgery. Its management is not well stablished in the literature. However, early recognition through intraoperative TEE and attention to changes in the left atrial free wall during saline leak testing can lead to avoidance of severe complications. CASE PRESENTATION: We report a case of LAtD detected by intraoperative transesophageal echocardiogram (TEE) following mitral valve repair for primary mitral valve regurgitation secondary to degenerative mitral valve disease with MAZE IV procedure for atrial fibrillation...
March 19, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38504187/outcomes-post-ozaki-procedure-among-children-with-aortic-valve-disease-at-jakaya-kikwete-cardiac-institute-dar-es-salaam-tanzania-a-retrospective-descriptive-study
#37
JOURNAL ARTICLE
Zawadi Edward Kalezi, Alphonce Nsabi Simbila, Stella Mongella, Deogratias Nkya, Godwin Sharau, Felix Shonyela, Vivienne Mlawi, Naizihijwa Majani
BACKGROUND: Aortic valve reconstruction using glutaraldehyde-treated autologous pericardium, also called Ozaki procedure, is a surgical procedure for patients with aortic valve disease. Gratifying results have been reported in adult patients, however, limited published data is available in paediatric population. This study looked at clinical characteristics and early outcomes of children who underwent Ozaki procedure at our Institute. METHODS: This was a retrospective descriptive study conducted on children who underwent aortic valve reconstruction at Jakaya Kikwete Cardiac Institute (JKCI) from January 2019 through December 2022...
March 19, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38504184/cannula-to-femoral-artery-diameter-ratio-predicts-potential-lower-limb-ischemia-in-minimally-invasive-cardiac-surgery-with-femoral-cannulation
#38
JOURNAL ARTICLE
Takuya Nishijima, Tomoki Ushijima, Yoshifumi Fuke, Meikun Kan-O, Satoshi Kimura, Hiromichi Sonoda, Akira Shiose
OBJECTIVE: Lower-limb ischemia is a complication of minimally invasive cardiac surgery with femoral cannulation. Herein, we verified our strategy using distal perfusion cannulation (DPC) against this complication. METHODS: We retrospectively assessed 91 cases of aortic valve replacement with femoral cannulation between January 2019 and March 2023. DPC was applied when lower-limb tissue oxygenation index declined by ≥20%. The cannula to femoral artery diameter ratio (C/FA) was calculated by dividing the cannula size (Fr) divided by 3 by the femoral artery inner diameter (mm)...
March 19, 2024: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38504140/the-role-of-the-vascular-surgeon-in-transcatheter-aortic-valve-implantation
#39
JOURNAL ARTICLE
Enrico Gallitto, Gianluca Faggioli, Francesco Saia, Tullio Palmerini, Rodolfo Pini, Antonio Giulio Bruno, Francesca Maria Feroldi, Moad Alaidros, Gabriele Ghetti, Nevio Taglieri, Stefania Caputo, Francesco Donati, Cinzia Marrozzini, Mauro Gargiulo
BACKGROUND: Transcatheter aortic valve implantation (TAVI) has become the standard treatment for severe aortic valve stenosis in patients at increased surgical risk. Percutaneous transfemoral (TF) is the access of choice due to its reduced invasiveness and perioperative morbidity/mortality compared with the trans-axillary, aortic, and apical routes. On the other hand, vascular access complications (VACs) of the TF access are associated with prolonged hospitalization, 30-day, and 1-year mortality...
March 19, 2024: Vascular
https://read.qxmd.com/read/38504088/the-novel-use-of-a-rapid-deployment-valve-in-type-a-aortic-dissection
#40
JOURNAL ARTICLE
Mortaza Fatehi Hassanabad, Ali Fatehi Hassanabad, Muhammad Rauf Ahsan
No abstract text is available yet for this article.
March 19, 2024: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
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