Impaired Survival With LVEF
Poorer outcomes seen for LVEF
CONCLUSIONS: The Portico TAVI system allows safe and effective treatment of aortic stenosis in patients at increased surgical risk. At 30 days, mortality was low, and good haemodynamic performance was indicated by low transvalvular gradient and a low rate of moderate or higher PVL. PMID: 30111522 [PubMed - as supplied by publisher]
Condition: Aortic Valve Stenosis Intervention: Device: Transcatheter aortic valve Sponsor: Assiut University Not yet recruiting
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.Dextrocardia is a condition in which there is abnormal embryological looping of the hear...
RESPIRATORY COMPLICATIONS due to external compression of the airways can occur after procedures that involve repair of an interrupted aortic arch on newborns.1 One such procedure that includes reconstruction of an interrupted aortic arch is the Yasui operation that originally was described for the primary repair of type A and B aortic interruption with severe aortic stenosis in neonates with adequate-sized ventricles.2 This also has been termed the “Damus-Rastelli” technique3 or the “Norwood Rastelli” operation.
(MedPage Today) -- Registries suggest it reveals early LV dysfunction beyond what LVEF can do
Interview with Jeroen J. Bax, MD, PhD, author of Association of Left Ventricular Global Longitudinal Strain With Asymptomatic Severe Aortic Stenosis: Natural Course and Prognostic Value, and James D. Thomas, author of Moving Past Ejection Fraction in Timing of Aortic Stenosis Intervention
Authors: Hourai R, Kasashima S, Fujita SI, Sohmiya K, Daimon M, Hirose Y, Katsumata T, Kanki S, Ozeki M, Ishizaka N Abstract A 74-year-old man was admitted for preoperative screening of aortic stenosis. Five months before this admission, he was found to have elevated serum immunoglobulin G4 (IgG4; 2,010 mg/dL). Computed tomography (CT) showed a soft tissue mass surrounding the abdominal aorta, suggestive of IgG4-related periaortitis. CT coronary angiography showed perivascular thickening of the right coronary artery, and subsequent coronary angiography showed a multi-vessel disease. The patient underwent aortic val...
Condition: Morality Intervention: Other: Transthoracic ultrasound Sponsor: Centre Hospitalier Universitaire, Amiens Completed
CONCLUSIONS: Reduction in vascular complications is an important part of improving care for TAVI patients. The Solopath vascular access device offers an alternative to standard sheaths with a potential reduction in complications and cost-savings. PMID: 30099924 [PubMed - as supplied by publisher]
Publication date: September 2018Source: Archives of Cardiovascular Diseases Supplements, Volume 10, Issues 3–4Author(s): Edouard Aries, Fédoua El Louali, Philippe Aldebert, Florent Paoli, Virginie Fouilloux, Loic Macé, Caroline OvaertBackgroundBalloon aortic valvulopasty (BAV) is an alternative therapy to surgery in newborns with critical aortic stenosis and has become the first-line treatment in many centers. Concerns remain as to restenosis, aortic valve regurgitation and risks of reintervention.AimsThe aim of the present study was to identify predictors of reintervention (surgery or catheterization) ...