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Numerous advantages over the standard transcatheter tricuspid device's immobilization, the standard transcatheter tricuspid unit's immobilization, a radial force-independence stent valve unit at the native tricuspid annular site have several key advantages. Case summary: A 76-year-old patient with renal sufficiency who underwent mechanical mitral valve repair in 2001 and transcatheter aortic valve replacement in 2021 due to severe aortic stenosis and shortness of breath in 2021. The flow velocities of the mitral mechanical valve and aortic prosthetic valve were both within the normal range, with no significant corrurgitation; the tricuspid valve displayed significant regurgitation.
Source link: https://doi.org/10.3390/jcdd9090296
Abstract: After 19 months of continuous flow LVAD and temporary RVAD assistance for one month, we present a 62-year-old patient who underwent redotopic Heart transplantation due to severe aortic regurgitation. In comparison to right-sided ECMO implantation, the patient received a heartware LVAD and annuloplasty of the tricuspid valve as a result of end-stage heart failure and severe tricuspid regurgitation. In immediate post-operative echo, minimal aortic regurgitation was observed, but in subsequent transthoracic echocardiograms, the severity of aortic regurgitation was increasing, both right and left ventricular functions gradually worsening both right and left ventricular functions. The patient was scheduled for urgent heart transplantation, and it was scheduled 19 months after the LVAD transplantation. Conclusion: severe aortic regurgitation is a common complication after cf-LVAD implantation, which in our case was achieved with orthotopic heart transplantation in this high-risk patient.
Source link: https://doi.org/10.22541/au.166239362.24775073/v1
After pmVSD's closing by these two methods, we wanted to see the changes in MR and AR. Material and method We conducted a comparative retrospective review of all pediatric patients with pmVSDs treated at our hospital with surgical or antegrade percutaneous techniques from 2014 to 2019, with 146 consecutive patients under 18 years enrolled. Patients with no or lower than moderate aortic valve prolapse and baseline normal mitral or aortic valve function were more than average MR or AR. After pmVSD closure in both cases, 13% of patients without a MRI developed trivial to mild MR, and 10% of patients with no AR had mild to moderate AR. Conclusions: In both percutaneous and surgical procedures among children and adolescents, pmVSD closure has generally improved mild to moderate MR and AR to a nearly identical degree.
Source link: https://doi.org/10.1186/s12872-022-02757-9
Following transcatheter aortic valve replacement, paravalvular leak is a common complication. Shortness of breath has been identified as an 81-year-old man's case five months post TAVR. This case illustrates the importance of multimodality imaging techniques, including cardiac magnetic resonance for a more accurate assessment of PVL severity, particularly when other imaging techniques yield discordant results.
Source link: https://doi.org/10.3389/fcvm.2022.925120
Patients with a pure aortic regurgitation are not eligible for transcatheter therapy and, as such, require another less invasive surgical option. We wanted to investigate our experience with sutureless aortic valve replacement in patients with symptomatic pure AR (symptomatic pure AR), which has since been a marker for the introduction of sutureless valve prostheses in Europe. Using Perceval, we investigated the results and postoperative complications of 12 patients with a pure severe AR undergoing SU-AVR using Perceval. All patients were diagnosed with symptomatic pure AR. Pure AR's experience shows that sutureless techniques in the aortic valve surgery is feasible. SU-AVR in severe AR has a great chance of minimizing hospital cost without compromising the postoperative results and in-hospital length of stay, in light of the surgical's continuing technical success and outstanding hemodynamics.
Source link: https://doi.org/10.1186/s13019-022-01959-8
Abstract Background Patients with severe aortic stenosis regularly recommended mitral regurgitation, which may be challenging with the commonly used echocardiographic measurements of mean pressure gradient, flow velocity, and aortic valve area. Aims Herein We investigated the prevalence and severity of MR in patients with severe AS, as well as its effect on AS quantification's baseline echocardiographic parameters. 119,641 patients with severe AS who underwent transcatheter or surgical valve replacement in the German Aortic Registry from 2011 to 2017, 119,641 were included in this study.
Source link: https://doi.org/10.1007/s00392-022-02067-2
Background The risk of cardiovascular disease has risen due to radiographic axial spondyloarthritis. In r-axSpA patients, other cardiac symptoms such as conduction dysfunction and valvular disease were also reported as co-morbidities, however, the risk of these cardiac abnormalities in a large sample was not well studied. Objectives: Among r-axSpA patients and the general population, compare the incidences of aortic regurgitation, atrial fibrillation, and atrioventricular block II. u2013III Methods used in National Health Insurance Services were used to calculate methods. National Health Insurance Services data were used. In the r-axSpA group, incidences of aortic regurgitation, AV block II, u2013III, and AF were 0. 42, 0. 21, and 4. 0 per 1000 person-years, respectively. The SIR for aortic regurgitation was highest among 40-year-old men in the r-axSpA group. The difference was negligible for AV block II-2013III, which was insignificant for AV block II-2013III. HRs for aortic regurgitation and AF were higher in the r-axSpA group than in the GP group, but the difference was negligible for AV block II-u2013III. Conclusion Compared to the GP, r-axSpA patients are at an elevated risk of aortic regurgitation and AF, but not AV block IIu2013III. This year, there was a review of EULAR's cardiovascular disease risk management in patients with rheumatoid arthritis and other forms of inflammatory joint disease. A population-based analysis found that ankylosing spondylitis patients have an elevated risk of cardiovascular and cerebrovascular disease in those with ankylosing spondylitis. A register-based survey from Sweden found that there was a risk of cardiac rhythm disturbances and aortic regurgitation in different spondyloarthritis subtypes in comparison to the general population.
Source link: https://doi.org/10.1136/annrheumdis-2022-eular.587
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