Impaired Survival With LVEF

Poorer outcomes seen for LVEF
Source: Pulmonary Medicine News - Doctors Lounge - Category: Respiratory Medicine Tags: Cardiology, Nursing, Pathology, Pulmonology, Critical Care, Journal, Source Type: news

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Publication date: Available online 10 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Tania Giovannetti, Catherine C. Price, Molly Fanning, Steven Messé, Sarah J. Ratcliffe, Abigail Lyon, Scott E. Kasner, Gregory Seidel, Joseph E. Bavaria, Wilson Y. Szeto, W. Clarke Hargrove, Michael A. Acker, Thomas F. Floyd, DENOVO InvestigatorsAbstractBackgroundAortic valve replacement (AVR) for calcific aortic stenosis is associated with high rates of perioperative stroke and “silent” cerebral infarcts on diffusion-weighted magnetic resonance imaging (MRI), but cognitive outcomes in elderly AVR patients...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
ConclusionThe differential diagnosis of patients with recurrent GI bleeding with concurrent systolic murmur should include Heyde syndrome.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Conclusion: Surgical AVR for elderly AS patients may be feasible in terms of early mortality and postoperative complications, particularly paravalvular leak and permanent pacemaker insertion. The STS score and chronic kidney disease were associated with long-term outcomes after AVR in the elderly. PMID: 30402391 [PubMed]
Source: Korean Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research
We describe a term neonate with critical AS and coarctation, severe left ventricular (LV) dysfunction with endocardial fibro-elastosis palliated with surgical valvotomy and hybrid as a bridge to early biventricular repair. Initial repair consisted of commissurotomy to create bicuspid morphology with placement of bilateral pulmonary artery bands and maintenance of ductal patency with prostaglandin. LV function improved over two weeks allowing for repeat surgical valvotomy and coarctation repair. Patient was discharged two weeks post-operatively with low normal LV function, mild aortic stenosis/regurgitation.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
ConclusionOur early data clearly shows that in our country, TAVR is a good alternative for symptomatic severe AS for high surgical risk cases. Large-scale multicenter studies are required to study the real impact of TAVR in the Indian scenario. During initial years of implementation of a nationwide TAVR program, it may be prudent to focus on creating TAVR Centers of Excellence by developing an ideal hub and spokes model.
Source: Indian Heart Journal - Category: Cardiology Source Type: research
BackgroundLeft ventricular (LV) remodeling due to aortic regurgitation (AR) often leads to maladaptive responses. We assessed the prevalence and clinical implications of LV remodeling considering LV volume, mass, and relative wall thickness at the time of AR diagnosis.Methods and ResultsBetween 2008 and 2017, 370 consecutive patients (mean age 67.3  ± 16.1 years, 56.5% males), with moderate or severe AR, were retrospectively analyzed. LV geometric patterns and clinical outcomes (cardiovascular death, hospitalization for heart failure, or aortic valve replacement) were evaluated. LV dilatation (LV endā...
Source: Echocardiography - Category: Cardiology Authors: Tags: ORIGINAL INVESTIGATION Source Type: research
AbstractObjectivesTo assess the in ā€hospital outcomes of transcatheter aortic valve replacement (TAVR) vs. surgical aortic valve replacement (SAVR) in nonā€teaching hospitals.BackgroundTAVR has become widely available in the United States. However, the comparative outcomes of TAVR vs. SAVR in non ā€teaching hospitals are largely under explored.MethodsWe queried the Nationwide Inpatient Sample database from 2011 to September 2015 to identify those who were 50 years or above and underwent either trans ā€arterial TAVR or SAVR at nonā€teaching hospital. Inā€hospital clinical outcomes were compared with odds ratio (OR) i...
Source: Catheterization and Cardiovascular Interventions - Category: Cardiovascular & Thoracic Surgery Authors: Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research
ConclusionsNovel planning software showed excellent reproducibility and accuracy in the assessment of aortic root anatomy. Furthermore, the integrated 3D fusion image might have a potential as an intraprocedural imaging modality to contribute to the development of a safer TAVI procedure.
Source: Catheterization and Cardiovascular Interventions - Category: Cardiovascular & Thoracic Surgery Authors: Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research
We describe a term neonate with critical AS and coarctation, severe left ventricular (LV) dysfunction with endocardial fibro-elastosis palliated with surgical valvotomy and hybrid as a bridge to early biventricular repair. Initial repair consisted of commissurotomy to create bicuspid morphology with placement of bilateral pulmonary artery bands and maintenance of ductal patency with prostaglandin. LV function improved over two weeks allowing for repeat surgical valvotomy and coarctation repair. Patient was discharged two weeks post-operatively with low normal LV function, mild aortic stenosis/regurgitation. PMID: 3041...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Cardiology 2018;141:71 –73
Source: Cardiology - Category: Cardiology Source Type: research
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