Successful transcatheter aortic valve implantation in a Jehovah’s Witness patient with a small aortic root and severe leaflet calcification

Publication date: Available online 4 October 2019Source: Journal of Cardiology CasesAuthor(s): Toru Yoshizaki, Toru Naganuma, Sunao NakamuraAbstractA 69-year-old female Jehovah’s Witness was diagnosed with symptomatic severe aortic stenosis (AS). Because the patient, who refused blood transfusion for religious reasons, had multiple comorbidities, such as thrombocytopenia due to liver cirrhosis, esophageal varices, and an old cerebral infarction, a decision to perform transcatheter aortic valve implantation (TAVI) was made. Preprocedural computed tomography showed a small aortic root and severe leaflet calcification, especially at the non-coronary cusp; therefore, the risk of annulus and Valsalva rupture was considered to be high. A 20-mm transcatheter heart valve (Edwards SAPIEN3; Edwards Lifesciences Corporation, Irvine, CA, USA) was successfully implanted using the transfemoral approach. To prevent blood transfusion, erythropoietin and sodium ferrous citrate were prescribed during the periprocedural period. The postprocedural course was uneventful, and the patient was discharged on postoperative day 10. TAVI, which is associated with a significantly lower need for transfusion compared with surgical aortic valve replacement, has recently been performed as a less invasive treatment for high- or intermediate-risk patients with AS. This case highlights the feasibility and safety of TAVI using a 20-mm transcatheter heart valve for a patient with severe AS, a small aortic r...
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research

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Hyperkalemia, defined as a concentration of potassium greater than 5.5 mEq/L in adults, is commonly found on labwork in the subacute nursing facility, often seen in the setting of kidney disease as a result of impaired excretion of potassium in the urine. Treatment is focused upon inducing potassium loss, often through use of loop diuretics such as furosemide. Sodium polystyrene sulfate (SPS) is often used; however, it carries with it significant associated risks and potential complications.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
Conclusion: These updated French guidelines will contribute to increase the level of urological care for the diagnosis and treatment for NMIBC and MIBC. PMID: 32093463 [PubMed - in process]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
Publication date: Available online 25 February 2020Source: Journal of EthnopharmacologyAuthor(s): Wei Zhuang, Ge Sun, Xiaolan Lin, Bin Chen, Li Wu, Dechun Jiang, Shengyan Xi
Source: Journal of Ethnopharmacology - Category: Drugs & Pharmacology Source Type: research
Patients with low-flow, low-gradient aortic stenosis (LFLG-AS) who don't show improvement in mitral regurgitation following transcatheter aortic-valve replacement (TAVR) face an increased risk of mortality, according to a substudy of a multicenter registry.Reuters Health Information
Source: Medscape Radiology Headlines - Category: Radiology Tags: Cardiology News Source Type: news
Authors: Hosokawa T, Suzuki S, Tanami Y, Sato Y, Ko Y, Nomura K, Oguma E, Yamada Y Abstract In contrast to computed tomography, ultrasound can be performed without radiation exposure, repeatedly performed by the patients' bedside. Hence, in this case series, we describe the evaluation of complications including hematoma, superficialsurgical site infection, mediastinitis, and pseudoaneurysm associated mediastinitis using ultrasound in pediatric patients after cardiovascular surgery. To our knowledge, no previous reports have evaluated such complications using ultrasound. Ultrasound may be useful for the early diagno...
Source: Medical Ultrasonography - Category: Radiology Tags: Med Ultrason Source Type: research
Authors: Maconi G, Sousa M Abstract Gastrointestinal ultrasound (GIUS) has been increasingly used for the management of gastrointestinal disorders due to its potentialities as a cheap, widely available and safe examination with comparable accuracy to other techniques such as Computed Tomography or Magnetic Resonance Imaging. However, some limitations have been stated to justify its underuse such as its dependency on the operator, small field of view and penetration and need of expertise. However, most of these limitations are inherent to any technique. The main problems with GIUS are lack of standardized definition...
Source: Medical Ultrasonography - Category: Radiology Tags: Med Ultrason Source Type: research
Authors: Roman A, Palego F, Achimas-Cadariu P, Vlad C, Andries A, Tomuleasa CI, Gata VA, Pintican R, Rada MP, Feier D Abstract AimsThe present study aims to investigate the pain, anxiety and other factors that are associated with percutaneous computed tomography (CT)- and ultrasound (US)-guided biopsies of tumors.Material and MethodsThe study prospectively included 60 consecutive patients, of which 24 underwent CT-guided biopsies and 36 US-guided biopsies. The location of targeted tumors was within the thorax, abdomen, pelvis, and limbs. A questionnaire containing numerical rate scales (0-10) regarding procedural a...
Source: Medical Ultrasonography - Category: Radiology Tags: Med Ultrason Source Type: research
CONCLUSIONS: EUS guided fine needle aspiration/biopsy of focal liver lesions is safe, provides a very high diagnostic accuracy and should not be considered only as a rescue method after failure of percutaneous guided biopsies. PMID: 32096783 [PubMed - as supplied by publisher]
Source: Medical Ultrasonography - Category: Radiology Tags: Med Ultrason Source Type: research
This study evaluated the haematological profile of adult individuals infected with the malaria parasite. Methods: A retrospective study was conducted using archived data of malaria positive cases from January 2017 to March 15, 2019. Data retrieved included subjects' demographics, malaria parasite count, malaria parasite species, and full blood count parameters. A total of 236 malaria positive subjects were included in the study. Results: The study showed that more females were infected with the malaria parasite than males (69.07% and 30.93%, respectively). A total of 87.3% of the study population were infected with...
Source: Advances in Hematology - Category: Hematology Tags: Adv Hematol Source Type: research
Elite runners often turn to sports drinks to keep essential minerals in balance, but a new study shows these products can actually contribute to a dangerous medical condition when temperatures are high.Reuters Health Information
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news
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