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Coronary flow reserve in degenerative aortic stenosis and diabetes mellitus: An intriguing question.Kardiologia Polska 2022
Topics: Humans; Aortic Valve Stenosis; Coronary Vessels; Diabetes Mellitus; Coronary Circulation; Coronary Stenosis; Fractional Flow Reserve, Myocardial; Blood Flow Velocity
PubMed: 36621014
DOI: 10.33963/KP.a2022.0256 -
The Journal of Thoracic and... Apr 2021
Topics: Aortic Valve; Aortic Valve Stenosis; Blood Flow Velocity; Humans; Simvastatin
PubMed: 31928820
DOI: 10.1016/j.jtcvs.2019.10.161 -
Trends in Cardiovascular Medicine Jan 2023
Topics: Humans; Aortic Valve Stenosis; Aortic Valve
PubMed: 34973411
DOI: 10.1016/j.tcm.2021.12.012 -
The Journal of Thoracic and... Aug 2021
Topics: Aortic Valve Disease; Aortic Valve Stenosis; Humans; Transcatheter Aortic Valve Replacement
PubMed: 32063356
DOI: 10.1016/j.jtcvs.2019.12.095 -
Turk Kardiyoloji Dernegi Arsivi : Turk... Oct 2021Transcatheter aortic valve implantation (TAVI) is a safe and effective alternative to surgical valve replacement in intermediate and even in low-risk patient cohorts....
Transcatheter aortic valve implantation (TAVI) is a safe and effective alternative to surgical valve replacement in intermediate and even in low-risk patient cohorts. Direct aortic (DAo) route may be used in patients with severe peripheral vascular disease. Here, we present an 88-year old patient hospitalized with cardiogenic shock. Echocardiography revealed severe aortic valve stenosis with aortic valve area 0.5 cm², mean gradient of 55 mmHg, and peak gradient 92 mmHg. TAVI was considered by the Institutional Heart Team. Multislice computed tomography (MSCT) revealed severe peripheral vascular disease, decreased calibration of abdominal aorta, and multiple large vulnerable atherosclerotic plaques. The patient was scheduled for a DAo TAVI. A 26-mm Medtronic CoreValve Evolut R valve was implanted after predilatation with median sternotomy. The patient was discharged after 96 hours. Although transfemoral (TF) access is used as the default approach for TAVI, it was contraindicated in our patient owing to severe peripheral vascular disease and decreased calibration of the abdominal aorta at its narrowest point (4.5 mm) with multiple large vulnerable atherosclerotic plaques. Careful preprocedural MSCT evaluation is essential and directly affects the success of the procedure. MSCT is also mandatory to confirm the best cannulation zone that must be met for a successful DAo TAVI.
Topics: Aged, 80 and over; Aortic Valve Stenosis; Diagnosis, Differential; Femoral Artery; Humans; Male; Multidetector Computed Tomography; Peripheral Vascular Diseases; Shock, Cardiogenic; Transcatheter Aortic Valve Replacement
PubMed: 34623302
DOI: 10.5543/tkda.2021.21018 -
Cardiology Clinics Feb 2020Severe aortic stenosis (AS) causes chronic pressure overload of the left ventricle (LV), resulting in the progressive cardiac damage, which extends beyond the LV.... (Review)
Review
Severe aortic stenosis (AS) causes chronic pressure overload of the left ventricle (LV), resulting in the progressive cardiac damage, which extends beyond the LV. Several previous studies have shown a relationship of the cardiac damage to AS, rather than the stenosis severity, with adverse events after aortic valve replacement (AVR) in patients with severe AS. A new staging system for AS patients has important prognostic implications for clinical outcomes after AVR. This review summarizes the importance of assessment of cardiac damage in patients with AS.
Topics: Aortic Valve Stenosis; Humans; Risk Assessment
PubMed: 31753174
DOI: 10.1016/j.ccl.2019.09.001 -
Journal of the American College of... Apr 2020
Topics: Aortic Valve; Aortic Valve Stenosis; Female; Humans; Male
PubMed: 32327101
DOI: 10.1016/j.jacc.2020.03.026 -
JACC. Cardiovascular Imaging May 2024
Topics: Humans; Aortic Valve Stenosis; Aortic Valve; Calcinosis; Risk Factors; Time Factors; Risk Assessment; Prognosis; Predictive Value of Tests
PubMed: 38719393
DOI: 10.1016/j.jcmg.2024.02.018 -
Heart (British Cardiac Society) May 2023
Topics: Humans; Aortic Valve; Transcatheter Aortic Valve Replacement; Aortic Valve Stenosis; Treatment Outcome; Severity of Illness Index; Risk Factors
PubMed: 36914251
DOI: 10.1136/heartjnl-2022-322195 -
European Heart Journal. Cardiovascular... Aug 2023
Topics: Humans; Aortic Valve Stenosis; Disease Progression; Aortic Valve
PubMed: 37294560
DOI: 10.1093/ehjci/jead132